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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. Loss of Eligibility in Month You Turn 65. You lose eligibility as of the first day of the month you turn 65 and enroll in Medicare. Example.
If you take money out of your HSA to pay for qualified medical expenses, you donât have to pay income taxes on it. However, if you take money out of your HSA but donât use it for medical expenses, youâll have to pay income taxes on it plus a 20% penalty. After you turn 65 years old, the rules are a little different. If youâre on Medicare, you canât contribute to your HSA anymore.