What is one downside of an HSA?

Asked by: Gabriella Pouros  |  Last update: August 3, 2025
Score: 4.8/5 (49 votes)

Weak earnings and investment limits: Interest rates on HSA accounts may be low and some trustees charge a monthly fee if your balance drops below a certain threshold. Minimum balance requirements may apply before you can invest; investment options may be limited, and investments are not insured.

What is the disadvantage of HSA?

The main downside of an HSA is that you must have a high-deductible health insurance plan to get one.

Why is an HSA not worth it?

HSA is generally a bad idea if you have a lot of health expenses or prescription costs. HSA requires you to have high deductible healthcare plans, so often it makes sense to get higher tier plans if you have health issues.

Can my HSA lose 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.

Is it better to have an HSA or copay?

I'd likely go with the HSA if you are healthy and able to save into the HSA. The only scenario I'd pick copay is if they deductibles, copays, out of pocket max is extremely low on it. In that case you'd essentially get free healthcare and don't risk a single emergency setting you back a ton of money.

The Downsides of An HSA - Health Savings Account

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Which is better, PPO or HSA?

The choice between an HSA and a PPO can depend heavily on the type of business you run and the needs of your employees. In California, where the tech industry thrives and many employees are younger, healthier, and more likely to value long-term savings, an HSA may be the better option.

Is it better to pay out-of-pocket or use HSA?

Use HSA funds to pay for emergency medical costs.

A better option is to pay with other funds and keep track of expenses. Medical claims never expire, so money can be withdrawn tax-free in retirement in order to reimburse medical expenses that were paid out-of-pocket years before.

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.

Can HSA be used for dental?

Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.

Can I ever cash out my HSA?

As a practical matter, you are allowed to withdraw funds from your HSA at any time for any reason. But if you aren't using the funds to cover a qualified medical expense, then you'll be stuck paying a penalty tax.

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.

How much should I put in my HSA?

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 $4,300 per year (in 2025) into your health savings account (HSA).

Is HSA better than 401k?

Comparing HSAs and 401(k)s

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).

What happens if HSA is not used?

Unlike many other health plans, the balance in your HSA account carries over indefinitely. This means that any extra money you have at the end of the year does not disappear or reset. Instead, it remains in your account and continues to grow over time.

Is HSA good or bad for taxes?

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

What is the IRS HSA limit for 2024?

For 2024, the annual contribution limits on deductions for HSAs for individuals with self-only coverage is $4,150 (increase of $300) and $8,300 for family coverage (increase of $550). There is an additional contribution amount of $1,000 for taxpayers who are age 55 or older.

Can I use HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)

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.

Are tampons HSA eligible?

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…”

Does HSA reduce Social Security benefits?

HSAs can reduce taxable income in retirement, which may affect Medicare premiums and the portion of Social Security benefits subject to federal income tax.

What happens to HSA on death?

What happens to an HSA at death? Like an IRA account, when a person sets up an HSA, they name a beneficiary. If the beneficiary is a surviving spouse, the unused portion of the decedent's HSA passes directly to the spouse and becomes his or her HSA; there is no tax liability.

At what age can you withdraw from HSA without penalty?

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense.

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 use HSA on vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition.

At what point should I stop contributing to my HSA?

If you are retiring at the age of 65 ½ or older, to avoid potential tax issues, you want to STOP YOUR HSA CONTRIBUTIONS so that you have 6 months of NO contributions before you FILE FOR MEDICARE.