Unlocking the Power of Health Savings Accounts (HSAs)

Unlocking the Power of Health Savings Accounts (HSAs)

In today’s world of rising healthcare costs, it’s essential to find smart financial tools that can help manage expenses while also supporting long-term goals. One powerful but often overlooked tool is the Health Savings Account (HSA). Whether you’re new to HSAs or looking to optimize your existing one, this guide will break down everything you need to know about these tax-advantaged accounts.

What is an HSA?

A Health Savings Account (HSA) is a special type of savings account that allows individuals with a high-deductible health plan (HDHP) to save money pre-tax for future medical expenses. The funds can be used for qualifying medical costs like doctor visits, prescription medications, dental care, and vision services.

The real beauty of HSAs lies in their triple tax advantage:

  1. Tax-deductible contributions: The money you contribute to your HSA is pre-tax, which lowers your taxable income.
  2. Tax-free growth: Any interest or investment earnings grow tax-free.
  3. Tax-free withdrawals: When used for qualified medical expenses, withdrawals are also tax-free.

How Does an HSA Work?

To open an HSA, you must be enrolled in a high-deductible health plan (HDHP). Contributions to the HSA can be made by both individuals and employers. In 2024, the annual contribution limits are:

– $4,150 for individuals.

– $8,300 for families.

– Those over 55 can make an additional $1,000 catch-up contribution.

One great feature of HSAs is that the funds roll over year after year, unlike Flexible Spending Accounts (FSAs) where unused funds can expire at the end of the year. This makes HSAs a great tool for both short-term healthcare costs and long-term financial planning.

How to Invest Your HSA

Beyond just saving for medical expenses, HSAs offer investment opportunities. Once you’ve built up enough savings, many providers allow you to invest your balance in mutual funds, ETFs, and stocks—much like you would with a retirement account. This allows the funds to grow over time, providing an additional cushion for future medical costs, especially during retirement.

For example, if you can cover your medical expenses out of pocket now, you can let your HSA balance grow tax-free for decades. After age 65, you can even withdraw the funds for non-medical expenses without penalty, although the funds will be subject to regular income tax.

Top HSA Providers

Choosing the right HSA provider is key to maximizing your account’s benefits. Here are three top providers to consider:

  1. Fidelity – Best for Investment Options

Fidelity offers a wide range of investment opportunities with no account fees and no minimum balance required to start investing. It’s ideal for those who want to actively grow their HSA funds.

  1. Lively – Best for Low Fees

Lively is known for its fee-free structure and flexibility. It partners with Schwab platform for investment options, offering a simple yet robust platform for HSA management.

  1. HealthEquity – Best for Automated Investment Help

HealthEquity provides robo-advisor options for those who prefer a hands-off approach to investing their HAS, Vanguard funds as an option. It’s also a great option for employer-sponsored HSAs, offering seamless integration with payroll systems.

What Can You Use an HSA For?

HSAs can be used for a wide range of qualified medical expenses, such as:

– Doctor visits and co-pays.

– Prescription medications.

– Dental and vision care.

– Acupuncture and physical therapy.

After age 65, HSAs become even more flexible, allowing you to use the funds for non-medical expenses without facing a penalty. However, non-medical withdrawals will be subject to regular income tax, similar to traditional IRA withdrawals.

HSAs as a Long-Term Planning Tool

While HSAs are great for covering immediate medical expenses, they also serve as a powerful tool for retirement planning. Medical expenses often rise in retirement, and having a dedicated account that grows tax-free can help ease the burden. Many people use their HSA as a supplemental retirement fund, tapping into it during their golden years for healthcare costs, which are tax-free.

Even if you don’t use all the funds for medical purposes, HSAs remain one of the most tax-advantaged savings accounts available, making them an excellent part of any long-term financial strategy.

Health Savings Accounts offer a unique opportunity to save for medical expenses while also benefiting from long-term tax advantages. Whether you’re looking to reduce your current healthcare costs or build a nest egg for future needs, an HSA can be a key component of your financial strategy.

Take action today:

Look into opening an HSA if you haven’t already, and consider maximizing your contributions to benefit from this powerful financial tool. For those with existing HSAs, it may be time to start thinking about how you can invest those funds for even greater growth.

Anna Sergunina
Anna Sergunina
anna@mainstreetplanning.com

I'm Anna Sergunina, CFP®, President & CEO at MainStreet Financial Planning, Inc. My passion lies in serving others through financial planning, helping clients achieve their dreams like buying a home, saving for education, or retiring early. With over two decades in the industry and a CFP designation since 2009, I'm dedicated to excellence and continuous growth. Beyond work, I cherish moments with my son Liam, prioritize self-care, and engage in content creation for my Money Boss Parent Podcast and Money Library blog.

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