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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.
Paying Premiums. You usually donât get to use HSA dollars to pay your health insurance premiums, but there are a few exceptions. You can pay premiums out of your HSA if you are receiving unemployment benefits or making COBRA payments to maintain your insurance coverage after leaving a job. If you have money left in an HSA after you turn 65, you can use it to make Medicare payments.