How much cash should I keep in my HSA?

Asked by: Dr. Judah Hill III  |  Last update: August 18, 2023
Score: 4.9/5 (62 votes)

The short answer: As much as you're able to (within IRS contribution limits), if that's financially viable. If you're covered by an HSA-eligible health plan (or high-deductible health plan), the IRS allows you to put as much as $3,850 per year (in 2023) into your health savings account (HSA).

What is the average HSA cash balance?

The average HSA balance rose from $2,645 at the beginning of 2021 to $3,902 by the end of the year, the Washington, D.C.-based nonprofit independent research organization found in its analysis of its HSA database, which had information on 13.1 million HSAs in 2021.

Should I put a lot of money in HSA?

If you're able, consider contributing the maximum allowed by the IRS. The more you can contribute, the more you can benefit from the HSA's potential triple tax advantages1. Keep in mind: you don't lose any unspent funds at the end of the year. Your HSA can be used now, next year or even when you're retired.

Can you have too much money in HSA?

Putting too much money in your HSA can happen, but the IRS isn't happy when it happens. In fact, you'll be penalized for it unless you catch it and fix it.

How much should I have in my HSA before retirement?

According to the Fidelity Retiree Health Care Cost Estimate, an average retired couple age 65 in 2022 may need approximately $315,000 saved (after tax) to cover health care expenses in retirement.

Can You Have Too Much Money In Your HSA?

18 related questions found

Should I max out HSA or 401k?

If you're in a position to max out your retirement contributions, it makes sense to save in both plans. But if you only max your HSA each year, it would likely be inadequate to fund your retirement fully. So, you'd want to supplement it with a 401(k), which has significantly higher contribution limits.

Can you use HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Why shouldn't I max out my HSA?

You won't get much benefit from maxing it out if it's nothing more than a basic savings account because the money isn't being invested and earning better returns.

Should I use my HSA as a savings account?

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 percentage of people invest their HSA?

More HSA Funds Are Getting Invested

But market headwinds have slowed growth in the past year. Despite these conditions, 2.6 million account holders used their HSAs to invest. About 7.2% of all HSA accounts had some money in investments in 2022, up from 6.9% the prior year and 3.7% in 2018.

What happens if you save too much in HSA?

Possible Repercussions. Any excess funds added to your HSA account are subject to both income tax and an additional 6% excise tax. Both taxes are applied each year until your contribution amount is corrected. The good thing is these taxes are processed with your yearly tax return.

Does HSA money grow?

An HSA could be an effective tool to help you accumulate money on a tax-advantaged basis to pay for out-of-pocket medical expenses. When you invest the funds in your HSA, you give your money a chance to grow. Any investment gains in an HSA aren't taxed, which could give your money potential to accumulate.

What happens to unused HSA funds after death?

ANSWER: Upon the death of an HSA account holder, any amounts remaining in the HSA transfer to the beneficiary named in the HSA beneficiary designation form. (If a beneficiary is not named, the funds transfer according to the terms of the HSA trust or custodial account agreement.)

How much does HSA money grow?

You start your HSA account at age 26. You make the maximum family coverage contribution every year until age 65, including catch-up contributions. You earn an average annual return of 8% by investing in the stock market. You do not withdraw funds for medical expenses.

How is cash out HSA taxed?

You can take money out any time tax-free and without penalty as long as it is used to pay for qualified medical expenses. If you take money out for other purposes, however, you will pay income taxes on the withdrawal plus a 20% tax penalty.

What is the downside of HSA accounts?

What Is the Main Downside of an HSA? The main downside of an HSA is that you must have a high-deductible health insurance plan to get one. A health insurance deductible is the amount of money you must pay out of pocket each year before your insurance plan benefits begin.

Is it better to use HSA or out of pocket?

It is never ideal to go into debt to cover your deductible and other out-of-pocket costs. If you have medical bills right now that you can't cover from your checking account (or by tapping a portion of your emergency savings), it is wise to use your HSA today to pay your outstanding medical bills.

Can I use HSA money to pay off old medical bills?

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

Can out-of-pocket be too high for HSA?

To qualify for an HSA, the out-of-pocket max for your health insurance must be $7,500 or less for individuals, and $15,000 or less for families. It's not uncommon to find a high-deductible plan with a larger out-of-pocket max, but that will make you ineligible for an HSA.

Is HSA better than Roth IRA?

If you do have to choose between an HSA or a Roth IRA, then HSAs potentially have more advantages. HSAs have a triple-tax advantage. The contributions are tax-deductible, the growth is tax-free and withdrawals are tax-free for qualified medical expenses.

Can I overspend on my HSA card?

The IRS states that having a negative HSA balance is prohibited by federal law. And while the IRS doesn't provide any specific guidance beyond that statement, you need to be sure that no expenses cause your HSA to fall into a negative balance. Long story short—don't overdraw your HSA.

Can you use HSA to buy vitamins?

You may be eligible to buy certain vitamins with your health savings account (HSA) or flexible spending account (FSA), if used to treat a medical condition. You may need a letter of medical necessity (LOMN) to purchase vitamins with a tax-advantaged account.

Is Apple Watch HSA eligible?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

Can you use HSA to pay for Botox?

Botox: HSA Eligibility

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

Why HSA is the best retirement account?

Unlike other types of tax-advantaged retirement accounts, HSA contributions and investment earnings are never taxed, provided you follow the rules when withdrawing from the account. That means you avoid paying income tax on your withdrawals, which, at current rates, is at least 10%.