Medical expenses are one of the few guarantees in life. As we all get older, and time passes by, the cost to get healthy and stay healthy will likely only increase. One way you can start planning for these expenses is saving via a Health Savings Account (HSA) as a part of your financial portfolio. If you are currently enrolled in a High Deductible Health Plan (HDHP), you could be eligible. An HSA is the only (potential) triple tax-advantaged investment account. All contributions are pre-tax, growth of assets is tax-deferred, and distributions for qualifying medical expenses are tax-free. Below we discuss more of the benefits and trade-offs for starting your own HSA account.

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Associate Wealth Management Advisor



Understanding the Advantages of an HSA in 2023

A Health Savings Account (HSA) can be a good alternative to traditional health care, especially for those who are young and healthy. With an HSA, you put money away in a tax-advantaged account but in order to be eligible, you must already be in a health plan that has a high deductible. Anyone can open an HSA, provided they are not already covered by another health plan, are not 65 and covered by Medicare, and cannot be claimed as a dependent on someone else’s tax return. 

With a high-deductible health plan (HDHP), you get health benefits only after the deductible is satisfied. In 2023, that means no less than $1,500 for individuals, or $3,000 for families. These numbers are the minimum, and your deductible may be higher depending on the HDHP you choose. 

Why is it Different?

 An HSA can grow over time, assuming no huge market downturns. HSAs offer options for investing what you contribute. These include stocks, bonds and mutual funds, as well as interest-earning savings accounts and money market accounts. 

Growth is fueled by the HSA’s rollover feature: If you do not use all of your HSA funds in a given year, the money remains in your account, rolling into your health plan for the following year. Some of these carry more risk than others, so be sure to know what your plan offers. Consult a financial professional to help you find the options that are best for you. 

Also, HSA accounts are yours, so if you lose your job or find another one, your HSA account remains for you to use. Because you are responsible for covering such a high deductible out of pocket, the premiums you pay through your paycheck or otherwise are considerably less than what you likely pay for a traditional health-care plan. That helps you to contribute to an HSA. 

Many employers also contribute some money to either your HSA or your HDHP plan premium, making your burden less. As with many other health plans, there is a maximum yearly contribution to an HSA. For 2023, individual coverage contributions can be no more than $3,850, for a family, $7,750. There is also an additional $1,000 “Catch Up” contribution for those over age 55. Contributions, along with the ability to rollover “unused” dollars, allows individuals to save money when they have few health issues, and builds funds for emergencies.

A Caveat

HSAs could have the opposite effect, as well. If you open an HSA while you have relatively high health expenses, you risk losing the account’s ability to save and grow – and in coming years, may wind up paying all your high deductible out of pocket. 

How Can it Help with My Taxes?

An HSA carries several tax benefits: 

  • Some employers will allow you to make pre-tax contributions from your paycheck, therefore reducing your taxable income. 
  • If you make deductions after-tax on your own, you can deduct the amount from your federal, and possibly state, income taxes. 
  • All contributions to an HSA, as well as interest or investment earnings, grow tax-deferred. 
  • Contributions and withdrawals are tax-free so long as they are used for qualified medical expenses (IRS Publication 502). 

Choosing a health-care plan is a difficult decision, so be sure to consult a professional to help you make the right choice. 

If you have questions or would like to discuss this topic further, please don’t hesitate to contact your QA advisor. If you’re new to QA, please click here to connect with us.


The information contained in this post is general in nature and for informational purposes only.  It should not be considered as investment advice or as a recommendation of any particular strategy or investment product.  This post is not a solicitation or an offer to buy or sell any specific security. QA Wealth Management cannot guarantee the accuracy of information from third parties.

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