Can HSA be used for premiums in early retirement?

Asked by: Dr. Deanna Schiller I  |  Last update: February 11, 2022
Score: 4.7/5 (42 votes)

You can use your HSA right now as well as in retirement. If you retire early, you can use your HSA funds regardless of what health insurance you have — short-term medical, an ACA plan, COBRA or anything else. (Once you retire, this also applies to Medicare.)

Can you use HSA for insurance premiums in retirement?

Plan to use your HSA in retirement

Generally, HSAs cannot be used to pay private health insurance premiums, but there are 2 exceptions: paying for health care coverage purchased through an employer-sponsored plan under COBRA, and paying premiums while receiving unemployment compensation.

How do I use my HSA for early retirement?

If you're 65 and older, you can use an HSA on any expense without paying the 20% penalty. If you're 65 and have Medicare, you can use the HSA on Medicare premiums. If you invest money in an HSA for 20 years without ever withdrawing from it, you'll have even more money for your healthcare needs.

When can HSA funds be used to pay insurance premiums?

HSAs cannot pay for health insurance premiums unless they fall under a special exception. Your HSA can cover qualified premiums, including Medicare, COBRA, and long-term care insurance, though. Anytime you use your HSA to cover eligible expenses, you'll get triple tax benefits that can save you money.

Why can't HSA be used for premiums?

Can I use my HSA to pay for health insurance premiums? Generally, you cannot treat insurance premiums as qualified medical expenses unless the premiums are for: ... Long-term care insurance, subject to IRS mandated limits based on age and adjusted annually (see IRS Publication 502: Long-Term Care).

Health Savings Account / HSA: Rules and Limits UPDATED for 2021

20 related questions found

What is the downside of an HSA?

What are some potential disadvantages to health savings accounts? Illness can be unpredictable, making it hard to accurately budget for health care expenses. Information about the cost and quality of medical care can be difficult to find. Some people find it challenging to set aside money to put into their HSAs .

What happens to my HSA account when I retire?

Once you're 65, your HSA is treated like a traditional IRA if you withdraw money for non-medical expenses. A traditional IRA is a retirement account in which the contributions and gains are tax-free, but withdrawals are subject to income tax.

What can I spend my HSA on?

HSA - You can use your HSA to pay for eligible health care, dental, and vision expenses for yourself, your spouse, or eligible dependents (children, siblings, parents, and others who are considered an exemption under Section 152 of the tax code).

How much should I have in HSA for retirement?

A 65-year-old couple, both with median drug expenses needs $301,000 to have a 90% chance of having enough money to cover health care expenses (excluding long-term care) in retirement.

Should you max out your HSA?

A health savings account (HSA) is an account specifically designed for paying health care costs. The tax benefits are so good that some financial planners advise maxing out your HSA before you contribute to an IRA.

Should I use my HSA or save it?

Consider these reasons for saving:

When you use HSA funds for qualified medical expenses, you don't pay taxes. The money you contribute to your account, any earnings and any withdrawals for qualified expenses -- all are tax-free. These tax advantages can make for compelling reasons to save in your HSA.

Can I use HSA for vitamins?

Generally, weight-loss supplements, nutritional supplements, and vitamins are used for general health and are not qualified HSA expenses. HSA owners usually cannot include the cost of diet food or beverages in medical expenses because these substitute for what is normally consumed to satisfy nutritional needs.

Can I buy groceries with my HSA card?

Yes! You can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to purchase any Ready, Set, Food!

Is hand sanitizer covered by HSA?

Health savings account (HSA) participants may use the funds in their HSA to pay for masks, hand sanitizer, and sanitizing wipes on a pre-tax basis. Sponsors of flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs) may also allow these expenses to be reimbursed from their plans.

Why do HSA plans cost more?

HSA-eligible plans also have to follow rules that hold down the amount the plans can require enrollees to spend on out-of-pocket costs. Because those "out-of-pocket limits" mean insurers can end up having to bear more health costs, they can push up premiums on HSA-eligible plans.

Does your HSA roll over?

You can roll over all the funds in your HSA. Rolling over your funds every year allows you to grow the value of your portfolio. An HSA is similar to an individual retirement account (IRA) or 401(k). ... You can grow the portfolio for decades and continue to pay for your qualified medical expenses tax-free.

Is toilet paper HSA eligible?

Lively, my pick for the top HSA account, maintains a very thorough list of qualified medical expenses that has been updated. Items like common deodorant, shampoo, soap, and toilet paper are not eligible.

Can you buy toothpaste with HSA?

Toothpaste is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I buy tampons with HSA?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Can I buy shampoo with HSA?

While some exceptions may vary, shampoo is generally not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I buy an electric toothbrush with my HSA?

Because toothbrushes are considered general health products, they are not eligible for reimbursement.

Is sunblock covered under HSA?

Sunscreen is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). Any over-the-counter broad-spectrum sunscreen with SPF 15 protection or above is eligible.

Is it better to put money in HSA or 401k?

HSAs offer the greatest tax benefits – more than any other retirement account, including a 401k. ... With an HSA, you can tap into the power of triple-tax savings. This means contributions to your account are tax-free, earnings are tax-free, and withdrawals for eligible healthcare expenses are tax-free.

How much can you contribute to an HSA in the year you turn 65?

Excess Contributions

The IRS annual contribution limits for HSAs for 2021 is $3,600 for individual coverage and $7,200 for family coverage. Individuals age 55+ can contribute an additional $1,000 per year as a “catch-up” contribution.

Can you roll over HSA to 401k?

You cannot roll over HSA funds into a 401(k). You also cannot roll over 401(k) money into an HSA.