Are you familiar with a Health Savings Account (HSA)? If you’re like most people, you’ve heard the term but you’re probably not sure what it is or if it makes sense for you.
If that’s the case, then it’s your lucky day because we’re going to dig into exactly what a Health Savings Account is and, most importantly, why I absolutely love them. So with that, let’s check out a few statistics that just might surprise you.
Did you know that 63% of Americans can't even shell out $500 for emergency expenses?
A 2015 survey conducted by Bankrate reveals that only 37% out of the 1000 participants interviewed have the financial ability to pay for an unexpected expense. Stuff like having your car fixed, taking your dog to the vet, or even getting your refrigerator back up and running are typical problems that fall under this expenditure.
And, while the numbers have probably changed since then (for the better, let’s hope), it gives us a glimpse at the state of a lot of people’s financial capacities. And it’s not looking good, apparently.
Which leads me to my next few questions. What if there was a medical emergency? What’s the best way to make sure you’ll have the funds for medical expenses? And, what if there was an account that offered tax-deductible contributions, tax-free growth and tax-free withdrawals? In others words, the triple threat of tax savings.
Enter: the Health Savings Account.
Think of a Health Savings Account (HSA) as a health-expense focused-401k. However, instead of saving for retirement, the money you allocate to it can be used anytime, tax-free, for qualified medical or health-related expenses. Like a 401k, it also has an annual limit which for 2020 is $3,550 for individual and $7,100 for families.
Here are just a few of the incredible things about an HSA:
So, how do you get access to a Health Savings Account? Well, you have to be enrolled in what’s a called a high deductible health insurance policy (HDHP) either offered through your employer or one you purchase on your own. We’ll get into exactly what an HDHP is in just a minute.
Let’s first take a look at the benefits of a Health Savings Account.
Since an HSA is a tax-free savings account for medical expenses, you’re going to save a lot of money on taxes. It even gives the added flexibility of allowing the use of HSA funds to pay for other qualified health expense like eye and dental care (which usually aren’t covered by health insurance). As a bonus, it can also be used to pay deductibles on your health insurance and long-term care insurance policies as well.
The earnings that accumulate from your HSA grow tax-free as long as they’re used for qualifying medical expenses.
HSA monies are rolled over into the next year, unlike a flexible spending account (FSA). As long as it sits in there unused, it will continue to enjoy tax-free growth.
Here’s where your HSA money shines best---as long as you use it for qualified medical expenses (which is the whole purpose), the money is 100% tax-free
Like an IRA or 401k, the money you contribute to your HSA is 100% tax-deductible. So, if you pay 35% in federal and state taxes, you’re going to save over $2,000 a year if you’re contributing the maximum amount of $6,900 as a family to your HSA. Just think, that’s easily over $40,000 in tax savings in 20 years and that’s not even including the tax-free growth. Now you can see why I love Health Savings Accounts
HSA monies stay with you even if you leave your job or switch employers. You can always move your HSA from one provider to another
Your HSA may receive contributions from you, your employer or a family member. Also, employer HSA contributions are typically excluded from your gross income but they will count against your annual maximum contribution
Let’s do a quick rundown of requirements for qualifying for HSAs:
Once you have an HSA set up, you can start making contributions immediately. You can actually start using these funds right away as they are vested upon deposit. If you have any (qualified) medical expenses, you can tap into your HSA funds and enjoy tax-free withdrawals.
However, if you withdrawal monies from an HSA for non-qualified expenses and you are less than 65 years old then you will pay taxes and a 20% penalty. At 65 and older, the 20% penalty is erased but you will still pay taxes. In other words, please don’t use this money to pay for non-qualifying expenses unless it is an absolute last resort – the tax-benefits are just too important.
Most HSAs issue a debit card for easy and convenient payments. If you prefer to receive a bill, you can pay for it over the phone using your debit card or simply get reimbursed with a receipt.
Contributions to an HSA must be made in cash which will most likely come from direct deposit through your paycheck or writing a check. Other forms of contributions like property or stock are not allowed. Contributions to an HSA can be made until April 15 of the next year.
Note that while you don’t have to pay taxes on distributions for qualified medical expenses, you still have to report the distribution on Form 8889.
Monies put into HSA can be placed into different types of investments – which I would highly recommend. Fidelity, UMB and Vanguard, amongst most other providers, will offer a selection of investments to choose from (depending on your risk appetite or strategy) for your HSA monies.
Typically though, you have to have at least $1,000 to $2,000 in the account before they will allow you to invest the money.
When investing the funds in your HSA, I do recommend you either perform your own research to ensure you’re making the best investments or work with a financial advisor for their expertise.
Also, as mentioned earlier, these funds will grow 100% tax-free as long as they are used for qualified medical expenses.
As just mentioned, HSAs can be used tax-free as long as it’s for a qualified medical expense. For clarification purposes, Qualified Medical Expenses are the ones incurred by the following individuals:
Treatment for alcoholism
Supplies for contact lens
Birth control pills
Disable Dependent care services
Weight loss program
Here are several things to keep in mind if you’re thinking about opening an HSA:
There’s no one-size-fits-all solution when it comes to financial matters, especially when it comes to medical expenses. But to answer that question, HSA’s are probably best for people who have minimum to medium healthcare expenses or frequently spend their own cash when paying for the types of qualified expenses mentioned above.
If you read the full list on the IRS’s page, you’ll realize that it pretty much covers the most common health expenditures (even wigs are included).
The benefits of tax-deductibility on contributions, tax-free withdrawals for medical expenses, and tax-free earnings on growth make this the most tax-advantaged account available today.
There’s no other account that offers triple tax savings. Once again, it could potentially save you tens of thousands if not hundreds of thousands in taxes over your lifetime. And, once again, why I love them.
Plus the rollover-ability and portability are just icing on the cake.
As you can probably tell by now, a lot of people will use an HSA as a form of a tax shelter. Aside from acting as a well, you can dip into for medical expenses, it can also serve as a long-term savings tool since HSA earnings accumulate tax-free when untouched.
However, you might want to look at other options if you’re someone (or have someone) who requires frequent (and more expensive) health care needs. What you have in your HSA simply might not be enough to cover it.
You’ll also want to make sure you’re able to meet the high-deductible potential of the healthcare policy before committing to an HSA. So, if you have unpredictable cash flow an HSA might not be a good fit (unless you can fund it in a lump sum).
While most will see an HSA’s benefits from a “now” standpoint (since it’s meant to fund your annual medical expenses), it’s really the long-term benefits that make HAS’s more appealing. And, I have to say that I couldn’t agree more.
Think about it: If you don’t need to spend it this year, for example, it will get rolled over next year and continue to grow tax-free. Now, the annual limits may seem small to some, but add these up over the years and sprinkle in a magical dash of compound interest and you’ll have quite a nice nest egg for medical expenses in retirement.
For example, a 40-year old couple could start maxing their yearly HSA contributions until they retire at 65. Using a 7 percent rate of return, they could be looking at a potential balance of around $466,000 at age 65. And, believe it or not, that probably still won’t be enough medical expenses in retirement.
On a limited basis, the funds in your HSA can be used to pay the premiums for a long-term care insurance policy. That’s option #1. The second option is not to utilize it for insurance premiums but instead continue to invest it and let compound interest continue to work.
Say that 40-yr old couple decides to max their annual HSA contributions until age 65. Using the same example above, we see that they’ll have around $466,000 in their account.
If they go with option 1, they can use this money to buy a qualified long-term care insurance policy and pay the annual premiums. That in and of itself is already an excellent reason to get an HSA.
But if they go with option 2 and still get that 7% return, they’ll end up with nearly $1.3 million dollars if they hold off until age 80. Pretty amazing if I do say so myself.
As mentioned earlier, HSA distributions can be used to fund expenses other than medical or health reasons. The main rule to remember is that if you’re under 65, you’ll have to pay taxes and a penalty of 20%.
Here’s a quick reference guide to help you figure out if a distribution is taxable:
For participants aged 55 and above, they are allowed to contribute an extra $1,000 into their HSA annually
Per our table above, you won’t take a penalty for a non-medical distribution---however, it will still be subject to income tax.
If you named your spouse as the beneficiary, it will then be in their name. If you are single and have no spouse as beneficiary, the savings account will no longer be treated as an HSA and will be tagged within the federal gross income of the named beneficiary or estate.
Some of the most typical ones are (may vary from one HSA to another):
Sure, but check with your HSA provider to make sure they allow it. Note that it should still not exceed the allowed annual maximum contribution limits.
The ability to not lose the funds even when left unused along with triple tax savings makes the HSA a much better pick over Flexible Spending Accounts. However, you can still contribute to an HSA and Dependent Care FSA if you have childcare expenses.
|Is it portable?||Yes---the participant gets to keep their HSA funds even after changing employers||No---employer will forfeit your contributions if you leave the job|
|Can I change how much I contribute?||Yes---amounts being allocated can be updated within the year||No---the chosen amount elected by the participant cannot be changed within the year|
|Does it earn interest?||Yes---and it's tax-free||No---it does not accrue interest|
|Can I make withdrawals?||Yes--- tax-free for qualified medical expense (will be taxed and penalized if distribution is not for health reasons)||Yes--- tax-free for qualified medical expenses|
|Can I rollover my previous year's balance?||Yes||No---unused contribution will be forfeited by the employer.|
|What is the contribution limit?|| || |
|Who is eligible?||Individuals with a high deductible health insurance plan||Employees are eligible whether they have a HDHP or not. Note, however, that self-employed individuals are not included since this is an employer-owned plan|
If you’ve read this far then it probably means you have some serious interest in setting up an HSA.
It’s not really surprising given the fact that HSAs provide a ton of benefits whether you use it within the year or not. Just having the financial cushion during emergency health-related situations is a solid reason to get one in place.
However, the biggest benefit is the incredible triple tax-savings:
As I said, there’s no other account out there that offers these benefits.
And should you have the fortunate or flexible situation wherein you don’t have or don’t need to spend your HSA regularly, then you’re looking at the best solution available for funding your healthcare and long-term care insurance needs in retirement. This is what I always recommend if you’re able.
By following certain rules, there are ways an HSA can help you increase your bottom line by tens if not hundreds of thousands of dollars in tax savings. The key is to know what these rules are and knowing how to properly manage your HSA account.
If you need any help at all or have questions, then feel free to reach out to us any time. We’re here to get you moving in the right direction and ensure you’re making the best financial decisions that will lead you to financial independence.
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