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

Question

Bill Green · Accepted Answer

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

Larry Dalton · Answer

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

Timothy Brown · Answer

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

Vachik Chakhbazian · Answer

Yes. You can withdraw money from your HSA to reimburse yourself for Medicare premiums that are automatically deducted from your Social Security benefits check.

Fred Manas · Answer

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).

Ross Landon · Answer

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!

Charles Mai · Answer

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