Do not add Medicare part a if you are employed and have a health savings account at work that you want to continue to contribute to if your spouse has a health savings account at work and you were on Medicare that will not impact your spouse‘s ability to contribute to the health savings account but if you were the employee do not take Medicare part a or we will conflict with your health savings account for more information go to www.themedicarefamily.com Click here for my FREE cheat sheet, works