What is the future of HSA accounts?

Asked by: Elody Waters  |  Last update: November 2, 2023
Score: 4.8/5 (67 votes)

Health savings accounts (HSAs) are projected to surpass $100 billion in assets in 2023, showing that consumers are realizing the potential power of HSAs, including as a significant wealth-building tool (there were nearly 34 million accounts in June 2022, according to research by HSA investment company Devenir).

What is the future of the HSA?

Today, HSA accounts have reached nearly $93 billion in total assets, of which $30 billion are in investments. Tomorrow, the future of the HSA will be powered by the embedded investing experience, which will empower consumers with investment choices and a user experience that offers personalized investing guidance.

What is the downfall of 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.

Should you invest your HSA right now?

That's up to you... Investing your HSA funds can be a great way to save for the future. But it's generally only a good option if you're not consistently dipping into the account to cover current medical expenses.

What happens to HSA money year end?

What's more, unlike health flexible spending accounts (FSAs), HSAs are not subject to the "use-it-or-lose-it" rule. Funds remain in your account from year to year, and any unused funds may be used to pay for future qualified medical expenses.

The Real TRUTH About An HSA - Health Savings Account Insane Benefits

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Can I keep my HSA forever?

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.

Does HSA ever go away?

HSA funds automatically carry over from year to year and the money can be used indefinitely, as long as the purchase is a qualified medical expense. There is a limit to the amount that a person or family can contribute to their HSA each year, as well as other limits and policies that the IRS updates each year.

Should I use HSA money or let it grow?

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.

How much should I have in my HSA at 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. Even if you don't have an HSA, it may be prudent to set aside certain assets just to pay for health care.

What is the average HSA 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.

Why not to choose HSA?

The Downside of HSAs

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.

Why are companies pushing HSA?

HSAs also have significant tax advantages for the employers who offer them. Employers don't have to pay federal income tax, social security, or medicare taxes (commonly known as FICA taxes) on any pre-tax contributions (from the employer or the employee). Why?

What percentage of Americans have an HSA?

Unfortunately, right now, according to IRS data, only about one in ten Americans has an HSA, or about 33 million people. And that percentage is unlikely to rise — ever — without an act of Congress. Why?

Can HSAs be used as a retirement fund in the future?

In addition to using an HSA for medical expenses, it can also be used as another way to save for retirement. Once you reach age 65, money held in an HSA can be withdrawn and used for any reason, the only catch being that you'll pay ordinary income taxes on withdrawals not used for qualified medical expenses.

What happens to an HSA at age 65?

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. Withdrawals made for other purposes will be subject to ordinary income taxes.

Can I still contribute to my HSA after 65?

If you work beyond age 65 and defer Medicare, however, you will need to stop contributing to your HSA six months prior to receiving Social Security. Once you begin drawing Social Security after your full retirement age, you are required to have Medicare coverage and can no longer contribute to an HSA.

How much can I contribute to my HSA in the year I turn 65?

Your maximum contribution is determined by adjusting the HSA maximum in accordance with how many months of the year that you were eligible. For example, if you turn 65 in April, you were eligible for the first three months of the year. You can then contribute 3/12 of the HSA annual contribution maximum.

Can you use HSA to pay for medical bills?

You can use your health savings account (HSA) to pay for qualified medical expenses for yourself, your spouse and your eligible dependents. And you save on every item because qualified purchases are never taxed. Plus, you can pay using your HSA so you know you're saving smart.

What is the best way to maximize HSA?

Contributing the maximum annual contribution and investing for the long term is the best way to get the most benefit from your HSA. Avoid using the HSA as your emergency fund because nonqualified withdrawals are subject to ordinary taxes and possibly penalties.

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.

Who is the largest HSA provider?

HealthEquity is a nonbank HSA custodian and one of the largest HSA providers.

Why HSA accounts are good?

A health savings account (HSA) can help you lower your taxes, pay for health care more easily and even save for retirement. HSAs are only available with high-deductible health plans. You can use HSA funds to pay for eligible health care expenses and for out-of-pocket costs your health plan doesn't cover.

Does an HSA grow every year?

Not only do HSAs offer the ability for your balance to grow by rolling over, but you are able to set aside money at a greater rate. Annual contribution limits for pre-tax accounts are determined by the IRS.

What are the pros and cons of an HSA?

You pay less out-of-pocket due to the lower deductible and copay, but pay more each month in premium. HSA plans generally have lower monthly premiums and a higher deductible. You may pay more out-of-pocket for medical expenses, but you can use your HSA to cover those costs, and you pay less each month for your premium.

What are the disadvantages of high deductible health plan?

Cons of High Deductible Healthcare Plans

Individuals who are stretched thin for funds may delay or avoid seeking medical treatment due to the high cost of treatment. For example, someone injured may avoid the emergency room if they know it will result in an expensive bill that will be applied to the plan deductible.