How to use HSA to build wealth?
Asked by: Marianne Marquardt | Last update: November 2, 2025Score: 4.5/5 (69 votes)
- Max Out Contributions. The first step to building wealth with an HSA is to contribute the maximum amount allowed by the IRS each year. ...
 - Treat Your HSA as an Investment Account. ...
 - Pay for Medical Expenses Out-of-Pocket. ...
 - Use the “Shoebox Strategy” ...
 - Let Your HSA Become a Retirement Asset.
 
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.
Can you make money from an HSA?
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.
How to use HSA most effectively?
Best. Contribute at or near the maximum and invest most of it for the long term. This affords you the full triple tax benefit. For 2025, contribution limits are $4,300 (an increase of $150 from 2024) for individual coverage and $8,550 for family coverage (an increase of $250).
What is the loophole for HSA investments?
The Adult Child HSA Family Contribution Loophole
 That's why you can do things like save receipts for decades and then pull the money out of the account. That's why you can use it as a stealth IRA by investing in it for decades and then pulling it out after age 65 penalty-free and buying a sailboat with it.
How to Use Your HSA to Make Money: HSA Explained
What is 1 potential downside of investing in an HSA?
The main downside of an HSA is that you must have a high-deductible health insurance plan to get one.
How does an HSA build wealth?
Health savings accounts (HSAs) are a dual-purpose tool for managing healthcare expenses and building wealth. They provide three key tax benefits: tax-deductible contributions, tax-deferred growth, and tax-free withdrawals for qualified medical expenses.
How much does the average person have in HSA?
End-of-year balances increased in 2022 to $4,607, but overall, average balances are still modest. This may be a result of the fact that many of the HSAs in EBRI's HSA Database are relatively new; roughly one-third were opened since 2021.
Should I use my HSA money or let it grow?
Balance your needs
 How you use your HSA really depends on your health care needs and longer‑term goals. It's all about balance: Spend when you need to and save as much as you can to take advantage of the benefits of your HSA that can help you be ready for the future.
What happens to unused HSA funds?
Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.
Can I use HSA for gym membership?
Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.
Is it better to max out HSA or 401k?
First off, most experts would recommend maxing out HSA contributions before maxing out 401(k) contributions because of the tax advantages that come with the HSA. There's no minimum age for HSA fund distributions, so when you need it to spend money on health care, it's got your back.
Is it illegal to use HSA money for anything?
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.
Can HSA be used for dental?
Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.
When should I stop investing in my HSA?
Once you hit 65, you can withdraw your HSA funds for non-medical expenses without penalty and pay only income taxes. But you may want to stop contributing then, too, since you may be eligible for Medicare.
What happens when my HSA balance is $0?
Will my HSA account remain open if I have a $0 balance? The account will remain open if you have a $0 balance. There is no fee assessed to you for having a $0 balance.
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).
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 I use HSA to pay medical debt?
Unfortunately, you can't use your HSA to pay for your medical debt directly but there are ways you can use it indirectly. Use your HSA to pay for qualified medical expenses and put the money you would have otherwise used toward your medical debt.
What is a good HSA balance?
If you're unsure of where to start, try working with a financial advisor. What Is the Average HSA Balance By Age? The average HSA balance for a family is about $7,500 and for individuals it is about $4,300. This average jumps up to $12,000 for families who invest in HSAs.
Can I buy a hot tub with my HSA?
In very rare cases, a TPA may deem a hot tub as eligible with a Letter of Medical Necessity (LMN) which details that the only reason for purchasing this device is to treat a specific medical condition.
Should I max out my HSA every year?
If you're able to make the maximum contribution each year, then it's suggested that you do so. Some years you may need to use more of your HSA contributions than other years. Just remember, there's no yearly minimum you have to spend from your HSA and your entire HSA automatically rolls over each year.
Does your money grow in a HSA?
Health savings accounts (HSAs) are for more than just routine medical expenses. By investing a portion of your account, you can potentially grow your funds tax-free.
Can you convert HSA to Roth IRA?
No. However, you are allowed to make a one-time transfer from an IRA to an HSA. You are also allowed to rollover funds from an Archer MSA or an existing HSA to a new HSA. We recommend that you seek advice from a financial expert before making any transfers or rollovers.
How do you take advantage of an HSA?
- #1 Get lower health plan premiums. ...
 - #2 Reduce your annual tax bill. ...
 - #3 Grab your employer HSA contribution. ...
 - #4 Maximize your spending power. ...
 - #5 Create a healthcare emergency safety net. ...
 - #6 Invest your HSA in low-cost mutual funds. ...
 - #7 Save for healthcare expenses in retirement.