Participation in any type of Medicare (Part A, Part B, Part C-Medicare Advantage Plans, Part D, and Medicare Supplement Insurance – Medigap) makes you ineligible to contribute to a Health Savings Account, or HSA. However, you can continue to use your HSA for qualified medical expenses and for other expenses for as long as you have funds in your HSA. You lose eligibility as of the first day of the month you turn 65 and enroll in Medicare. Medicare Plan F is considered supplemental insurance or Medigap.
To be able to contribute to an HSA after age 65, you must not enroll in Medicare. HSA rules make a distinction between being merely ‘eligible’ for Medicare (keep HSA eligibility) and being ‘entitled’ to or ‘enrolled’ in Medicare (lose HSA eligibility). You become enrolled in Medicare under Part A by filing an application or by being approved automatically. The Social Security Administration automatically enrolls you in Medicare Part A when you begin collecting Social Security benefits. Accordingly, if you are receiving Social Security payments and are over 65, you are almost certainly enrolled in Medicare Part A. Also, employees that work for smaller employers (fewer than 20 employees) will have Medicare as their primary insurance at age 65. Some people, however, avoid enrolling in Medicare and being automatically enrolled by waiting to receive Social Security.
If you are not enrolled in Medicare and are otherwise HSA eligible, you can continue to contribute to an HSA after age 65. You are also allowed to contribute the $1,000 catch-up.