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If the "Health Savings for Seniors Act" is passed in the current form, the treatment like a Traditional IRA after 65 and the ability to pay for any/all Medicare premiums will be eliminated. If you are concerned about those types of reimbursement going away, you should write to your representative.

I prefer obtaining info off irs.gov sites, but all my searches indicated HSAs can be used for reimbursements of Medicare premiums, e.g. https://www.kiplinger.com/article/retirement/T039-C001-S003-...

Bill Summary from https://www.congress.gov/bill/116th-congress/senate-bill/12

This bill modifies the requirements for health savings accounts (HSAs) to

* rename high deductible health plans as HSA-qualified health plans;
* allow spouses who have both attained age 55 to make catch-up contributions to the same HSA;
* make Medicare Part A (hospital insurance benefits) beneficiaries eligible to participate in an HSA;
* allow individuals eligible for hospital care or medical services under a program of the Indian Health Service or a tribal organization to participate in an HSA;
* allow members of a health care sharing ministry to participate in an HSA;
* allow individuals who receive primary care services in exchange for a fixed periodic fee or payment, or who receive health care benefits from an onsite medical clinic of an employer, to participate in an HSA;
* include amounts paid for prescription and over-the-counter medicines or drugs as "qualified medical expenses" for which distributions from an HSA or other tax-preferred savings accounts may be used;
* increase the limits on HSA contributions to match the sum of the annual deductible and out-of-pocket expenses permitted under a high deductible health plan; and
* allow HSA distributions to be used to purchase health insurance coverage.

The bill also: (1) exempts HSAs from creditor claims in bankruptcy, and (2) reauthorizes Medicaid health opportunity accounts.

The bill allows a medical care tax deduction for: (1) exercise equipment, physical fitness programs, and membership at a fitness facility; (2) nutritional and dietary supplements; and (3) periodic fees paid to a primary care physician and amounts paid for pre-paid primary care services.


Am I missing something? Aren't Medicare premiums considered health insurance coverage....and can't one already use HSAs for Medicare premiums?

Thanks again for all everyone sharing your knowledge.
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