Why would I want an HSA?
Asked by: Monty Schroeder Jr. | Last update: November 24, 2025Score: 4.7/5 (74 votes)
What is the point of having an HSA?
“HSAs are intended to help you save pre-tax or tax-deductible dollars to pay for qualified medical expenses — both now and in the future — that aren't covered by insurance,” says Jennifer Goldsmith, managing director and head of Health Benefit Solutions at Bank of America.
What's one potential downside of an 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.
How much will an HSA save me on taxes?
A family contributing the current (2023) maximum to an HSA in the 24% marginal income tax bracket can save up to $1,860. And if both spouses are over age 50, the family can save an additional $480 in income taxes by making the additional $1,000 allowable catch-up contributions each of them are entitled to by law.
Is an HSA even worth it?
HSAs have risen in popularity over the past few years because, in combination with high-deductible health plans (HDHPs), they can vastly reduce the monthly premium you and your employer pay. A higher deductible means lower premiums, and that could mean huge savings for you and your employer.
Why Should I Use a Health Savings Account (HSA)?
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.
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.
Can I cash out my HSA when I leave my job?
Yes, you can cash out your HSA at any time. However, any funds withdrawn for costs other than qualified medical expenses will result in the IRS imposing a 20% tax penalty. If you leave your job, you don't have to cash out your HSA.
Why does my HSA lower my tax refund?
When you contribute money to an HSA, it decreases your adjusted gross income (AGI) which determines your taxable income. Since the U.S. runs on a tax rate system based on your income, the lower your AGI, the lower your tax bill.
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 HSA be used for dental?
Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.
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.
Does HSA lower my paycheck?
Did you know that setting aside funds for healthcare expenses can also help you lower your taxable income? That's exactly what a health savings account, or HSA, does. Think of an HSA as a special savings account just for medical expenses, but with added tax perks.
What are the cons of 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.
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.
Who is an HSA best for?
A health savings account (HSA) can be a very good deal, especially for someone in their 20s and 30s who's just starting out. If you're enrolled in a high-deductible health care plan (HDHP)i that offers an HSA, consider using it to sock away extra money for future medical needs.
Can I leave my HSA off my taxes?
Are HSA contributions tax deductible? In short, contributions to an HSA made by you or your employer may be claimed as tax deductions, even if you don't itemize deductions on a Schedule A (Form 1040). Additionally, contributions made by your employer may be tax-free and excluded from your gross income.
Is HSA worth it?
A health savings account (HSA) isn't only for emergency medical savings. It can also help pay for qualified medical expenses and even help you save for retirement. Thanks to multiple tax advantages, you may get more out of your money now and in the future. One key to maximizing your HSA is contributing early and often.
Is an HSA or FSA better?
Bottom line: Both HSAs and FSAs provide financial benefits for managing health care expenses. HSAs offer more flexibility and long-term growth potential, making them a valuable tool for future financial planning. Learn about HSA options from Aetna.
What happens to money in HSA if not used?
Unspent HSA funds roll over from year to year. You can hold and add to the tax-free savings to pay for medical care later. HSAs may earn interest that can't be taxed.
Can you keep an 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.
What is considered a high deductible health plan in 2024?
For calendar year 2024, a “high deductible health plan” is defined under § 223(c)(2)(A) as a health plan with an annual deductible that is not less than $1,600 for self-only coverage or $3,200 for family coverage, and for which the annual out-of-pocket expenses (deductibles, co-payments, and other amounts, but not ...
Is there any reason not to max out HSA?
Sacrificing other financial goals: If you have the spare money, there's nothing wrong with maxing out your HSA. But if you're behind on other financial goals, like paying off student loans or saving for a down payment, you might want to tackle those first and make smaller HSA contributions.
At what age should I stop contributing to my 401k?
Most experts recommend contributing to your 401(k) for at least as long as you're working.
Should I choose HSA or Roth IRA first?
If you have to choose, prioritize the HSA for its triple tax benefits, especially if you anticipate significant healthcare costs in retirement. However, if you expect higher taxes in the future, a Roth IRA could be more advantageous.