Can I use a health savings account (HSA) to pay Medicare premiums after I retire?

Answered by 21 licensed agents

Yes, absolutely. In addition to paying Medicare Part B, Part D, and Medicare Advantage (Part C) premiums, you can also use your HSA funds tax-free to cover out-of-pocket costs like copays, coinsurance, and deductibles for those plans. That includes copays at the pharmacy under Part D or doctor visit copays under a Medicare Advantage plan. HSA funds can also be used for dental, vision, and hearing expenses—even if Medicare doesn't cover them. Just remember, once you're enrolled in any part of Medicare, you can no longer contribute to your HSA, but you can continue to spend what you've already saved. It's a great preplanning tool for managing healthcare costs in retirement with tax advantages.

Answered by Bill Green on March 26, 2025

Broker Licensed in FL, AL, AZ & 19 other states

Answered by Bill Green Medicare Insurance Agent
Yes, this is your savings. However, HSA savings come from a financial account made available through employment. Many of the contributions to this fund are made without paying any taxes on them. Therefore, withdrawing this money from your HSA to reimburse yourself for Medicare premiums, etc., could be subject to taxes if they are not appropriately used for medical expenses.

Answered by Larry Dalton on April 3, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent
Once on Medicare, you go off your insurance plan and either deposit your money in a savings account and use it that way to pay or deposit that money in an investment vehicle and save it. You can pay Medicare premiums via bank draft or if your drawing s.s. It will be drafted from it.

Answered by Lt Col Tim Brown on May 21, 2025

Broker Licensed in TN, AL, CO & 10 other states

Answered by Lt Col Tim Brown Medicare Insurance Agent
No. HSA cannot be used for premiums. Just copays and out of pockets for anything medically related.

Dental, vision, glasses, hearing aids, out of network providers, experimental drugs.

Answered by Charise Karjala on May 15, 2025

Broker Licensed in CA, AZ, CO, PA & WA

Answered by Charise Karjala Medicare Insurance Agent

Answered by Clarence "Mark" Christiansen on April 24, 2025

Agent Licensed in WI, AZ, CA & 16 other states

Answered by Clarence "Mark" Christiansen Medicare Insurance Agent
No, you can not use your HSA to pay your Medicare premiums! HSA is to be used for co-payment for medical expenses. Once you turn 65, you can withdraw your money from your HSA account without penalty. Then if you want to pay your Medicare premium with the money.

Answered by Gary Church on May 19, 2025

Broker Licensed in Ca, AZ, NV & TX

Answered by Gary Church Medicare Insurance Agent
IF YOU ARE TAKING YOUR SOCIAL SECURITY YOU CAN NOT. MEDICARE WILL TAKE IT OUT OF YOUR CHECK AUTOMATICALLY UNLESS YOU GO ONLINE AND CHANGE IT TO BE TAKEN OUT OF YOUR HSA.

Answered by Misty Bolt on May 7, 2025

Agent Licensed in TN, AL, AR & 45 other states

Answered by Misty Bolt Medicare Insurance Agent
Yes and no. You have to stop contributing to these plans when you reach 65 and you can't use them for Medicare Supplement (Medigap) premiums, however you use the tax-free distributions for Medicare Part B premiums, Medicare Part D prescription drug coverage premiums or Medicare Advantage premiums.

Answered by Esther Miller on May 26, 2025

Agent Licensed in WA

Answered by Esther Miller Medicare Insurance Agent
Yes you can use your HSA to pay Medicare premiums of Parts B, Part D, and Part C.

Couple things, once you enroll onto medicare, you can't contribute to your HSA account any longer. You can't use your HSA to pay for a Supplement/Medigap plan (since these are not medicare or health plans)

Answered by Voss Speros on June 2, 2025

Broker Licensed in AZ, CA, ID & 7 other states

Answered by Voss Speros Medicare Insurance Agent
HSA funds can be used for qualified medical expenses, which include Medicare premiums for Part A (hospital coverage), Part B (medical coverage), Part C (Medicare Advantage), and Part D (prescription drug coverage).

Answered by Timothy Brown on March 28, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent
Yes, you can use your Health Savings Account (HSA) to pay for Medicare premiums, including Part B, Part D, and Medicare Advantage premiums.

Once you turn 65 and enroll in Medicare, you can continue to withdraw funds from your HSA tax-free for qualified medical expenses, including Medicare premiums and out-of-pocket costs. Specifically, you can remain HSA eligible after 65 as long as you are employed, enrolled in an HSA-eligible high-deductible health plan (HDHP), and not enrolled in Medicare or other non-HDHP insurance.

You cannot use it to pay for Medicare supplement policies (like Medigap).

Answered by Fred Manas on April 14, 2025

Agent Licensed in NY, CT, DC & 7 other states

Answered by Fred Manas Medicare Insurance Agent
Yes. You can withdraw money from your HSA to reimburse yourself for Medicare premiums that are automatically deducted from your Social Security benefits check.

Answered by Vachik Chakhbazian on April 9, 2025

Agent Licensed in CA, AL, AR & 22 other states

Answered by Vachik Chakhbazian Medicare Insurance Agent
If you have a HSA established prior to enrolling In a Medicare plan - you can use those funds to pay for Medicare premiums. However, once you are enrolled in Medicare you cannot contribute to a HSA account.

Answered by Carol Thompson on May 14, 2025

Broker Licensed in FL, LA, MI & NC, SC, VA & WI

Answered by Carol Thompson Medicare Insurance Agent
Yes, you can pay part A& B, and D premiums are eligible. Medicare Advantage premiums would

also qualify. Medicare supplement or Medigap policy premiums do not qualify for pretax HSA.

Note: Contribution to your HSA account must cease at this time.

Answered by Deborah Webster on May 12, 2025

Broker Licensed in Ia & SC

Answered by Deborah Webster Medicare Insurance Agent
HSA SAVINGS ARE PERMITRED TO BE USED AFTER RETIREMENT FOR MEDICAL EXPENSES AND I BELIEVE CAN BE USE TO PAY FOR MEDICARE PLAN PREMIUMS - BEING PAID FOR A MEDICARE SUPPLEMENT PREMIUM. I DON’T THINK YOU CAN PAY YOUR MEDICARE PART B PREMIUMS (IRMAA FEES) WITH HSA MONIES.

Answered by Gary Haft on May 19, 2025

Agent Licensed in FL, AL, DC & 9 other states

Answered by Gary Haft Medicare Insurance Agent
Yes, but not directly. You would have to use personal funds to pay the premiums like using a bank account or credit card. Then you can reimburse yourself by making withdrawals of your HSA, as long as you keep careful records and receipts of your withdrawals so you can prove those are Medicare qualified expenses!

Advantage plans do qualify as well as copays & coinsurance, however Medicare Supplement premiums do not qualify!

Answered by Ross Landon on April 11, 2025

Agent Licensed in UT

Answered by Ross Landon Medicare Insurance Agent
After you turn 65, you can use HSA money tax-free to pay premiums for Medicare parts B and D and Medicare Advantage plans (but not premiums for Medicare supplement policies), in addition to paying for other out-of-pocket medical expenses.

Answered by Robert Remin on May 19, 2025

Agent Licensed in NY, CT, FL & NJ

Answered by Robert Remin Medicare Insurance Agent
Yes, you can use an HSA to pay for Medicare premiums and other qualified medical expenses, even after you enroll in Medicare. However, you can no longer contribute to the HSA once you've enrolled in Medicare.

You can use your HSA funds to pay for various Medicare expenses, including premiums for Part B, Part D, and Medicare Advantage (Part C).

You can also use it for qualified medical expenses like copays, coinsurance, and deductibles.

You cannot use HSA funds to pay for Medicare Supplement (Medigap) premiums.

Once you enroll in Medicare, you are no longer eligible to make contributions to your HSA. However, you can still utilize the money already in your account for qualified medical expenses.

After turning 65, you can withdraw money from your HSA for non-medical expenses, but these withdrawals will be taxed as ordinary income.

Answered by Linda Davies on May 23, 2025

Broker Licensed in IL

Answered by Linda Davies Medicare Insurance Agent
You can use the HSA funds to pay for your Part A, B and/or D premiums. You may not pay for a Medicare Supplement premium with your HSAfunds.

Answered by Shannon Brenneke on May 5, 2025

Agent Licensed in MO

Answered by Shannon Brenneke Medicare Insurance Agent
Yes, you can use a Health Savings Account (HSA) to pay Medicare premiums after you retire. HSA funds can be used tax-free to pay premiums for Medicare Part B and D, as well as Medicare Advantage plans

Answered by Charles Mai on April 14, 2025

Broker Licensed in NJ, CA, FL & 6 other states

Answered by Charles Mai Medicare Insurance Agent
Yes, you can use a health savings account to pay Medicare premiums after you retire. Using your health savings account to pay for Medicare Part B, Part C, and Part D premiums is allowed and tax-advantaged after you retire. Just remember to stop new contributions once you enroll in Medicare and keep documents for any reimbursements.

Answered by Jesus Escamilla on June 2, 2025

Broker Licensed in TX, AL, AR & 34 other states

Answered by Jesus Escamilla Medicare Insurance Agent

Tags: Advice for Seniors New To Medicare Retirement

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