Health Savings Account

Shawn Plummer, CRPC

Chartered Retirement Planning Counselor

What Is A Health Savings Account?

An HSA is an ideal way to save money for potential medical costs. It’s created in tandem with an HDHP, which allows you to take advantage of lower premiums and higher deductibles while still being covered by health insurance.

What Are Health Savings Account

Who Needs A Health Savings Account?

Anyone with a high-deductible health plan (HDHP) who wants to save on healthcare expenses can benefit from a health savings account (HSA).

If you have an HDHP, you can open an HSA and make tax-deductible contributions. This can be a good option for individuals who are relatively healthy and do not anticipate many medical expenses in a given year, as they can save money on their health insurance premiums with an HDHP and then use their HSA to pay for any out-of-pocket costs.

However, even if you anticipate higher medical expenses in a given year, an HSA can still be a valuable tool for saving money on taxes and building up a nest egg for future medical expenses.

Types Of Health Savings Accounts

Health Savings Account (HSA)

Definition and Eligibility: An HSA is a tax-advantaged account designed for individuals with high-deductible health plans. Eligibility requires enrollment in a qualifying plan and no other primary health coverage.

Benefits: The triple tax advantage! Contributions are tax-deductible, earnings grow tax-free, and withdrawals for qualified medical expenses are not taxed. An HSA also rolls over annually, making it a valuable tool for future health expenses or retirement savings.

Usage: Use your HSA for a wide range of medical expenses, from doctor visits to prescriptions. It’s a financial cushion for health-related outlays.

Flexible Savings Account (FSA)

Definition and Accessibility: FSAs are employer-sponsored accounts allowing employees to set aside pre-tax dollars for medical expenses. Unlike HSAs, they are accessible to anyone with employer coverage, regardless of the deductible.

Benefits: Immediate tax savings! Contributions lower your taxable income, leading to significant savings. Also, FSAs often come with a grace period or carryover option, giving you flexibility in using your funds.

Usage: FSAs cover various out-of-pocket health costs, but they’re “use it or lose it,” so plan your spending wisely.

Hybrid Life Insurance

Combining Protection and Savings: Hybrid life insurance melds life insurance with long-term care benefits. If you don’t use the long-term care portion, it remains as a death benefit.

Benefits: Flexibility and peace of mind. You’re preparing for long-term care needs while ensuring your beneficiaries are protected. Plus, you’re not paying for separate long-term care insurance.

Usage: Leverage this for long-term care expenses, like in-home care or nursing home costs, without diminishing the death benefit for your heirs.

Long-Term Care Annuity

Retirement Planning with Health in Mind: This annuity is for those planning for potential long-term care. It’s an investment product that also covers extended care costs.

Benefits: It offers a way to grow your investment while securing long-term care funding. If you don’t use the care component, the money can be used as retirement income or left as an inheritance.

Usage: Primarily for funding long-term care needs, it’s a financial safety net for your later years, ensuring care without depleting other savings.

Comparing HSA Options

FeatureHSAFSAHybrid Life InsuranceLong-Term Care Annuity
EligibilityHigh-deductible planEmployer-offeredNoneNone
Primary BenefitTriple tax advantageImmediate tax savingsFlexibility in care and benefitInvestment growth & care funding
Rollover CapabilityYesLimitedN/AN/A
Suitable ForFuture health savingsShort-term health expensesLong-term care & life coverageLong-term care & retirement
Contribution LimitsSet by IRSSet by employerBased on policyBased on investment
Withdrawal for Non-Medical UsePenalty & taxesNot allowedTransferred as a death benefitAs retirement income

What Are The Pros And Cons Of A Health Savings Account?


  • Tax benefits: Contributions to an HSA are tax-deductible, and the funds in the account can be used tax-free to pay for qualified medical expenses. Additionally, any interest or investment gains earned in the account are tax-free.
  • Control over healthcare spending: Because the individual owns the HSA, they have more control over how their healthcare dollars are spent. This can be especially valuable for those who want to save money on healthcare expenses or have specific medical needs.
  • Portability: The HSA is owned by the individual, so it can be taken with them if they change jobs or retire.
  • Long-term savings: Any unused funds in the HSA can roll over year to year and continue to grow tax-free. This can make the HSA a valuable tool for saving for future medical expenses.


  • Requires an HDHP: To be eligible for an HSA, an individual must have a high-deductible health plan (HDHP). HDHPs can have higher out-of-pocket costs, which can disadvantage those with regular medical expenses.
  • Limited contribution amounts: There are annual limits on how much an individual can contribute to their HSA, which can disadvantage those with high medical expenses.
  • Use-it-or-lose-it: While unused funds can roll over year to year, there is still a risk of losing the funds if they are not used before the account owner dies or withdraws them for non-medical expenses.
  • Limited investment options: Limited investment options for a health savings account can mean lower returns and potential missed growth opportunities.
Health Savings Account Rules

Can I open a Health Savings Account (HSA) if I’m self-employed?

A Health Savings Account (HSA) is crucial if you’re your boss. With an appropriate high-deductible health plan (HDHP), establishing and contributing to the account can benefit you immensely financially – offering tax benefits while allowing you to save funds for potential future medical expenses. To make the most of this situation, check that your HDHP adheres to IRS regulations and adds up to their yearly limit!

Just check the Internal Revenue Service guidelines to ensure your HDHP qualifies and that you contribute within the annual limits.

What Can I Pay for Using an HSA?

You can use your Health Savings Account (HSA) funds to pay for qualified medical expenses, which are considered eligible by the IRS.

Some everyday expenses that are eligible for HSA reimbursement include:

  • Doctor and specialist visits
  • Prescription medications
  • Dental and vision care
  • Laboratory tests and imaging services
  • Medical equipment and supplies
  • Mental health services and counseling
  • Physical therapy and rehabilitation
  • Long-term care services and expenses

Some expenses are not eligible for HSA reimbursements, such as cosmetic procedures, health club memberships, and over-the-counter medications (with a few exceptions).

Benefits Of Hsa

HSA Contribution Rules

Several contribution rules apply to Health Savings Accounts (HSAs). Here are some important ones to keep in mind:

  • Contribution Limits: For 2023, the maximum HSA contribution is $3,850 for individuals and $7,750 for families. In 2024 it goes up to $4,150 for individuals and $8,300 for families. Individuals aged 55 or older can contribute an additional $1,000 catch-up contribution.
  • Eligibility Requirements: To contribute to an HSA, you must be enrolled in a high-deductible health plan (HDHP). You cannot be covered by another health plan that is not an HDHP or is claimed as a dependent on someone else’s tax return.
  • Timing of Contributions: You can contribute to your HSA any time during the year up to the annual contribution limit. You have until the tax filing deadline (typically April 15th) to make contributions for the previous year.
  • Pro-Rata Rule: If you can contribute to an HSA for only part of the year (e.g., you switch to a non-HDHP mid-year), your contribution limit is prorated based on the months you have been eligible.
  • Employer Contributions: Your employer can contribute to your HSA on your behalf, but the combined employer and employee contributions cannot exceed the annual contribution limit.

What is Health Savings Account Distribution?

A Health Savings Account distribution refers to the withdrawal of funds from the HSA. These distributions can cover a wide array of qualified medical expenses, alleviating the financial burden during medical exigencies.

Most HSA providers offer several methods for distribution, including debit cards, checks, or online transfers, streamlining the process to suit various preferences.

What Is A Health Care Savings Account

Health Savings Account Vs. Flexible Spending Account

A Health Savings Account (HSA) and a Flexible Spending Account (FSA) can help you save money on healthcare expenses. However, they have some key differences:

  • Eligibility: An HSA is only available to individuals with a high-deductible health plan (HDHP), while any employer can offer an FSA.
  • Ownership: An HSA is owned by the individual and can be carried over yearly, even if you change jobs or health plans. The employer owns an FSA, and any unused funds are forfeited at the plan year’s end.
  • Contribution Limits: In 2023, the maximum contribution limit for an HSA is $3,850 for individuals and $7,750 for families. In 2024 this will increase $4,150 for individuals and $8,300 for families. For an FSA, the maximum contribution limit is $3,050 per year. In 2024 it will increase to $3,200.
  • Investment: With an HSA, you can invest the funds in your account and earn tax-free interest or returns. An FSA does not offer investment options.
  • Withdrawals: Both HSAs and FSAs allow tax-free withdrawals for qualified medical expenses. However, HSAs have greater flexibility because the funds can be used to pay for healthcare expenses at any time, even if you don’t have the funds in the account yet. FSAs, on the other hand, only allow withdrawals up to the amount that has been contributed at that point.

An HSA is a more flexible and long-term savings option for eligible individuals. At the same time, an FSA is an excellent short-term option for anyone who needs to save on healthcare expenses but does not have an HSA available.

Health Savings Account Vs. Savings Account

A Health Savings Account (HSA) and a Savings Account are both types of accounts that can help you save money, but they have some key differences:

  • Purpose: An HSA is designed explicitly for healthcare expenses, while a savings account is for general savings purposes.
  • Tax Benefits: With an HSA, you can contribute pre-tax dollars, which reduces your taxable income. In addition, withdrawals for qualified medical expenses are tax-free. However, with don’t get any tax benefits for contributing or withdrawing funds with a savings account.
  • Eligibility: An HSA is only available to individuals with a high-deductible health plan (HDHP), while a savings account is available to anyone.
  • Contribution Limits: In 2023, the maximum contribution limit for an HSA is $3,850 for individuals and $7,750 for families. In 2024, this will increase to $4,150 for individuals and $8,300 for families. There are no contribution limits for a savings account, but the amount you can earn in interest is usually much lower than with an HSA.
  • Withdrawals: HSAs and savings accounts allow you to withdraw funds at any time, but with an HSA, withdrawals for qualified medical expenses are tax-free. With a savings account, you may have to pay taxes on any interest earned, and early withdrawals may incur penalties.

If you’re searching for a way to save on medical expenses, an HSA is perfect for those with high-deductible health plans. A regular savings account may be suitable for other saving needs; however, it doesn’t provide the same tax advantages as an HSA.

Next Steps

An HSA is a great way to save for retirement and ensure that you are financially prepared should any medical expenses arise. The tax advantages make them much better than most other retirement options. If you are interested in learning more about how an HSA could benefit your retirement plan, consider contacting a financial advisor who specializes in retirement health savings plans and can provide specific advice for your individual needs. They’ll be able to answer any questions that you might have regarding contributions and allowable expenses. Please don’t wait until it’s too late; take your financial future seriously and request a free quote today!

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Frequently Asked Questions

How does the health savings account work?

A Health Savings Account (HSA) is a tax-advantaged savings account that allows individuals with high-deductible health plans to save money for qualified medical expenses.

Is an HSA the same as a 401k?


How do Health Savings Accounts reimburse qualified medical expenses?

With tax-free withdrawals or reimbursements.

What is the purpose of a health savings account?

To save money for qualified medical expenses with tax advantages.

How can a tax advisor help you maximize the benefits of your Health Savings Account?

By guiding contributions, withdrawals, and tax implications.

What are the tax implications of using HSA funds for other qualified medical expenses?


Can both employers and employees make HSA contributions?


Can Health Savings Account funds be used to pay for Medicare premiums?

Yes, for certain premiums.

What happens to unused money in a health savings account?

It rolls over to the following year.

Can you withdraw money from HSA?

Yes, for qualified medical expenses.

What is the difference between HSA and regular health insurance?

HSA is a tax-advantaged savings account, while regular health insurance covers medical expenses.

How much is a HSA deductible?

The individual’s high-deductible health plan determines the deductible amount.

What is a health savings account tax form?

A Health Savings Account tax form is a paper you fill out to report how much money you put into and took out of your Health Savings Account (HSA) during the year. This form, known as IRS Form 8889, is important because it shows the IRS that you are following the tax rules for your HSA. You must include this form with your tax return if you have an HSA. It lists your yearly contributions and withdrawals and helps keep track of your account activities.

Can I start an HSA on my own?

You can start a Health Savings Account (HSA) independently, but you must be enrolled in a High Deductible Health Plan (HDHP) to be eligible. The account can be opened through a qualified HSA trustee like a bank or insurance company. Contributions are tax-deductible, and withdrawals for medical expenses are tax-free.

Can anyone open a health savings account?

No, not everyone can open a Health Savings Account (HSA). You must be enrolled in a High Deductible Health Plan (HDHP) to be eligible. You cannot be enrolled in Medicare, claimed as a dependent on someone else’s tax return, or have any other non-HDHP health coverage. The IRS defines eligibility criteria.

Shawn Plummer, CRPC

Chartered Retirement Planning Counselor

Shawn Plummer is a Chartered Retirement Planning Counselor, insurance agent, and annuity broker with over 14 years of first-hand experience with annuities and insurance. Since beginning his journey in 2009, he has been pivotal in selling and educating about annuities and insurance products. Still, he has also played an instrumental role in training financial advisors for a prestigious Fortune Global 500 insurance company, Allianz. His insights and expertise have made him a sought-after voice in the industry, leading to features in renowned publications such as Time Magazine, Bloomberg, Entrepreneur, Yahoo! Finance, MSN, SmartAsset, The Simple Dollar, U.S. News and World Report, Women’s Health Magazine, and many more. Shawn’s driving ambition? To simplify retirement planning, he ensures his clients understand their choices and secure the best insurance coverage at unbeatable rates.

The Annuity Expert is an independent online insurance agency servicing consumers across the United States. The goal is to help you take the guesswork out of retirement planning and find the best insurance coverage at the cheapest rates

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