What are the problems with HSA?

Asked by: Dr. Coy Lebsack  |  Last update: April 12, 2025
Score: 4.5/5 (41 votes)

The main downside of an HSA for employees is that there is an increased risk of accruing medical debt because of the health plan associated with the HSA.

What is the downside of having 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.

Why don't more people use HSA?

People are primarily concerned with how to access their funds, how to reimburse themselves for medical costs and what kinds of expenses are HSA-eligible.

What are the hidden fees for HSA?

Hidden HSA costs

These fees include monthly maintenance, paper statements, outbound transfers, and account closure fees. The agency says these charges can eat into the funds allocated for healthcare needs, directly reducing the benefits of tax savings afforded by HSAs.

What are the most common mistakes for HSA?

Common HSA mistakes and how to avoid them
  • Using an HSA when you're not eligible. ...
  • Paying for ineligible expenses. ...
  • Contributing too much to your account. ...
  • Paying someone else's medical bills. ...
  • Using all of your funds. ...
  • Using both an HSA and FSA. ...
  • Stay ahead of mistakes with HSA Store.

New HSA Rules in 2025 You Need to Know

44 related questions found

What if I accidentally bought food on my HSA?

Yes, you read that correctly—even if you accidentally paid for a burger with your HSA debit card, you will have to report it on your annual income tax return and pay taxes on it. If you're under 65 and spend the money on unqualified purchases, you must also pay a 20% penalty on top of the income tax.

Why not to use HSA funds?

You'll owe income taxes plus a 20% penalty if you withdraw funds from your HSA for non-qualified expenses before you turn age 65.

Does HSA really save money?

While you have the flexibility to withdraw as little or as much as you need to help pay for health care expenses, the HSA is really designed to help you save money and build up your balance so that you're prepared for future health care expenses, including in retirement when you're likely to have more medical expenses ...

Why is my HSA charging me a monthly fee?

Monthly account fees

HSA providers sometimes charge monthly account maintenance fees. But it should be noted that if you participate in an HSA through your employer, they'll often take care of these fees for you. Your enrollment paperwork should detail this, but if you're unclear, check with your plan administrator.

Is there a penalty for using HSA for non-medical?

Using Funds for Non-Medical Purposes Results in Penalties

When an account holder under the age of 65 uses their health savings account's funds for non-medical expenses, they have to pay income tax on the money spent plus a 20-percent penalty.

Do I ever lose my HSA money?

Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.

Can I 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.

Is it smart to max out my HSA?

Medical expenses are inevitable, so it could be a smart strategy to max out an HSA, especially since you don't risk losing the money and can take full advantage of the tax benefits. Just be cautious about prioritizing maxing out your HSA if you have other financial needs that could make better use of that cash.

What happens to your HSA when you turn 65?

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.

Is it better to have an HSA or copay?

If you don't have an HDHP, have a family, and require frequent diagnostic medical care, a copay plan may be a better option. Neither an HSA or copay plan is better than the other; you just need to decide which plan meets all of your needs and will benefit you the most.

What disqualifies you from contributing to an HSA?

If you can receive benefits before that deductible is met, you aren't an eligible individual. Other employee health plans. An employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses can't generally make contributions to an HSA. FSAs and HRAs are discussed later.

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 happens if I accidentally used my HSA card for groceries?

You can repay the incorrect distribution before filing your federal taxes for that tax year. However, if you do not correct the mistake, the unqualified amount will be subject to income tax, and you may also face an additional 20% tax penalty.

How can I avoid HSA monthly fees?

Sometimes you can get those fees waived if your account balance is over a certain threshold, usually between $2,000 to $5,000. Plenty of banks offer HSAs with no maintenance fees, so this is an easy one to avoid if you do your research ahead of time.

What are the disadvantages of HSA?

HSA Cons. The big drawback of an HSA is that you have to sign up with a high deductible health plan to be eligible for one. It is difficult to forecast medical expenses accurately.

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.

What is the biggest advantage of an HSA?

1. What are the potential benefits of an HSA?
  • Federal tax advantages.
  • Savings on qualified medical expenses.
  • Many unreimbursed medical expenses qualify.
  • Annual rollover.
  • Others can contribute, including the participant's employer or family member.
  • Convenience.

Why an HSA is not worth it?

HSAs might not make sense if you have some type of chronic medical condition. In that case, you're probably better served by traditional health plans. HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future.

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 you 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.