How does medicare enrollment affect HSA eligibility / Kelley Long
Material type:
TextDescription: Vol 239 (2) pages 28-34 : illustrations ; 27 cmISSN: - 0021-8448
- Journal of Accountancy / December 2025
Americans age 55 and over hold an eatimated $52 billion in their health savings accounts (HSAs), according to HSA investment company Deve-nir's most recent research.
It's no surprise that as clients approach Medicare enroll-ment, they are increasingly interested in continuing to fund their HSAs to provide for current and future health care expenses.
Unfortunately, the guidance on how HSA contribution rules intersect with Medicare enrollment is limited, with many clients receiving conflicting answers from their HSA providers, Medicare and Social Security representatives, and even their own tax professionals.The purpose of this article is to provide clarity on three of the most common questions that JofA readers have been asking in response to a prior article, "Medicare's Tricky Rules on HSAs After Age 65," JofA, July 1, 2021.
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