On 2/23/13 8:45 AM, D. Stussy wrote:
>
> My reading of the law says that you can not open an HSA if you have
> other insurance unless it is permitted insurance. Medicare is not listed
> as permitted insurance (Sec. 223(c)(3)). So... once you enroll in
> Medicare, you can't open a new HSA nor can you contribute to an HSA that
> you already have. If you already have an HSA, Parts A, B, C & D Medicare
> Premiums would be qualified expense. A medicare supplement plan premium
> would not be a qualified expense.
> ====================
>
> ...Which if one unwinds 26 U.S.C. 223(c)(3), through (b) into (a), that
> applies to the ability to contribute and deduct that contribution to an
> account. It says nothing about opening an account. One can open a new
> account, but funding it can only occur by rollovers, not contributions,
> when there is no qualified high-deductible insurance.
>
> Note also the interesting quirk: (b)(8)(B)(ii) - A person who dies or
> becomes disabled doesn't have to reverse the deduction for contributions
> (by including the excess in gross income) nor pay the 10% excise tax on
> it for any period the contribution is prepaid which falls after the date
> of death or disability (e.g. when a person contributes for the full year
> all in the first month of the tax year, believing that they will qualify
> for the entire year).
>
>
I agree, the code does not prevent one from opening an HSA if you are
enrolled in Medicare. But... to open an HSA you have to have a high
deductible health plan. Who on Medicare has a high deductible health
plan? I couldn't find any company that offers a high deductible health
plan to a medicare enrollee. What you can find are companies offering a
Medicare MSA (Medical Savings Account) Plan. This combines a special
Medicare Advantage Plan (Part C with high deductible, no Part D) and a
medicare savings account that is "similar" to an HSA. Medicare deposits
the funds into the savings account.
See
http://www.medicare.gov/Pubs/pdf/11206.pdf