The CNBC columnist (
Sara O'Brien) has apparently taken to recycling old(?) material. A "new" column appears today. The only new material I see is a single sentence giving the number of projected HSA accounts at the end of 2024 to be 38M, with assets of $
150B.
https://www.cnbc.com/2022/05/19/you-cant-save-in-hsa-on-medicare-a-bill-to-change-that-has-tradeoffs.htmlTo add a little new material to this thread, here's a question I have not been able to answer about Medicare premiums being eligible medical expenses:
- An HSA owner may use the HSA to pay qualified medical expenses incurred by one's spouse. So one spouse may take tax free withdrawals from his or her HSA to pay for doctor visits incurred now or in the past by the other spouse (so long as the expenses weren't deducted, paid for out of another HSA, etc.).
https://www.irs.gov/publications/p969#en_US_2021_publink1000204083- One cannot use an HSA to pay Medicare premiums before one turns age 65. This is a very rigid rule: someone age 62 cannot use an HSA to pay for a 65 year old spouse's Medicare premiums.
https://www.irs.gov/publications/p969#en_US_2021_publink1000204086- If a spouse is the beneficiary of an HSA, then the HSA become's the spouse's, much as a surviving spouse may elect to treat an inherited IRA as one's own.
https://www.irs.gov/publications/p969#en_US_2021_publink1000204097Now, what happens with Medicare premiums paid by the deceased spouse? Suppose spouse A, deceased, had paid premiums at age 65 (qualified expenses) before the surviving spouse B turned 65?
Had A withdrawn money from the HSA prior to death, the withdrawals would have been tax-free based on the premiums paid. But now that the HSA is owned by spouse B and the same payments were not qualified expenses for spouse B.
Is there an exception that allows the Medicare premiums to be considered qualified expenses for surviving spouse B? Or, what I suspect, does death transform these formerly qualified medicare expenses into unqualified expenses?
It's different if the beneficiary isn't the spouse. Then the estate has a year to take withdrawals as if the deceased were still alive.