Do I lose my HSA if I switch to a PPO?

Asked by: Kiel Beer  |  Last update: July 19, 2025
Score: 4.5/5 (12 votes)

You own your account, so you keep your HSA, even if you change health plans or leave Federal Government. However, if your HSA was fully funded and you leave the HDHP during the year, then you will have to withdraw some of the contribution from the account.

What happens if you switch from HSA to PPO?

What happens to my account? You can keep your HSA account and use the funds for eligible health expenses in the future, but the university will no longer deposit seed money.

Can I use my HSA if I have a PPO?

Yes—you can use an HSA with a PPO. But not with just any PPO. Since an HSA isn't actually a type of health insurance, HSAs provide the flexibility to be integrated with any HSA-eligible high-deductible health plan (HDHP). As long as your PPO is an HSA-eligible HDHP, you can use an HSA with the PPO without issue.

Does HSA expire if you switch plans?

A: No, HSA funds are portable and never expire. They stay with you through changes in medical plans, employers, or retirement. Q: Do I have to spend down my dollars in my HSA once I switch medical plans? A: No requirement exists to spend down HSA dollars, as they are a savings account, and the funds never expire.

What happens to HSA if you switch to PPO on Reddit?

You can invest the funds you already have in your HSA at any time--- however, you cannot contribute to an HSA if you have any other coverage other than an HSA eligible plan. Traditional PPOs with copays for visits and medication are not HSA eligible.

What happens to my HSA if I change health insurance plans?

21 related questions found

Why would I choose PPO over HSA?

Although the option of opening an HSA is attractive to many people, choosing a PPO plan may be the best option if you have significant medical expenses. Not facing high deductible payments makes it easier to receive the medical treatment you need, and your healthcare costs are more predictable.

What should I do with my HSA when I change jobs?

The bottom line is that your HSA is yours. This account doesn't belong to your employer, so you get to take it with you wherever you go, even if your new employer doesn't offer HSAs or provide HSA contributions.

What happens if HSA no longer have HDHP?

If you never have HDHP coverage again, your HSA will be a one-way street: Withdrawals only, but no contributions (although the balance could continue to grow due to interest or investment earnings). But keep in mind that you might become HSA-eligible again in the future.

Does Blue Cross Blue Shield offer HSA accounts?

A CareFirst BlueCross BlueShield Health Savings Account (HSA) plan has two main components: A medical plan that meets certain IRS criteria* A medical savings account called an HSA.

Do I lose my HSA every year?

If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

What is the 12 month rule for HSA?

It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

How do I know if my PPO is HSA-eligible?

There are three important criteria the health plan must meet to make it eligible. According to the IRS2 , HSA-qualified HDHPs must have: A higher annual deductible than typical individual health insurance plans. A maximum limit on the annual deductible and medical expense costs, including copays and other items.

How much should I have in my HSA at retirement?

The amount of money you should have in your HSA during retirement depends on your healthcare needs and circumstances. According to the Fidelity Retiree Health Care Cost Estimate, a single person who is age 65 in 2023 should aim to have about $157,000 saved (after tax) for healthcare expenses during retirement.

Can I cash out my HSA when I leave my job?

Yes, you can cash out your HSA at any time. However, any funds withdrawn for costs other than qualified medical expenses will result in the IRS imposing a 20% tax penalty. If you leave your job, you don't have to cash out your HSA.

Can I use my HSA to cover insurance premiums?

You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA.

Is Blue Shield PPO HSA-eligible?

If you're looking for a high-deductible health plan (HDHP) that allows you to contribute toward a health savings account* (HSA), the Blue Shield Silver 2600 HDHP PPO plan may be for you. You can prepare for future medical costs by contributing tax-advantaged money to your own HSA.

Is HSA cheaper than PPO?

The PPO negotiates lower rates with all in-network providers, and even when you're still paying your deductible, you get the discounted price. However, as mentioned, you can have a PPO and an HSA if you have an HDHP. So, you can pay for the appointment with an HSA and save a little money.

Can you use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Can I keep my HSA if I switch to PPO?

You own your account, so you keep your HSA, even if you change health plans or leave Federal Government. However, if your HSA was fully funded and you leave the HDHP during the year, then you will have to withdraw some of the contribution from the account.

Why can't you have an HSA with a PPO?

If your spouse has a traditional health insurance plan, such as a PPO or HMO, that provides individual coverage only, then yes, you are eligible to participate in an HSA, but only if you are enrolled a high-deductible health plan and your spouse doesn't also have a Healthcare FSA or HRA that covers your healthcare care ...

What are the disadvantages of a high deductible health plan?

Disadvantages of a high deductible health plan
  • You pay all costs for nonpreventive care until you've paid the high deductible.
  • Possible unplanned high out-of-pocket costs when you receive covered services.
  • Worries about money might influence your health care decisions.

Can I cash out my HSA?

Yes, you can withdraw funds from your HSA at any time. But please keep in mind that if you use your HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

Can you have two HSA accounts?

This is a very common question from our customers, so let's lead with the short answer: Yes, you can have more than one health savings account (HSA). But it's important to understand the pros and cons of having multiple accounts, to make sure that you stay in compliance with IRS rules.

Is an HSA worth it?

One of the biggest advantages of an HSA is that it offers a triple tax advantage, which means: Contributions to an HSA are federally tax-deductible, reducing your taxable income. Depending on where you live, you may also get a break on state income taxes. Assets in an HSA can potentially grow federal tax-free.