Health and Taxes: What’s an HSA Anyway?

Health and Taxes: What’s an HSA Anyway?

As the year goes by, I can’t help but imagine the day our retirement accounts will be maxed out. Between my lovely girlfriend and myself, I expect we are still at least a year away from contributing the max to both our IRA’s and 401(k)’s. To the detriment of making this goal happen anytime soon, I stumbled upon another retirement vehicle, one that we both were missing out on for years; a Health Savings Account, aka an HSA.

In 2016, I will benefit from tax savings of $1,220 by placing $2,130 of my take home pay into such an account. Here’s How:

An HSA allows me to avoid paying an extra $1,220 in taxes all while contributing a max of $3,350 into my retirement accounts (The maximum contribution in 2016 for a family is $6,750 with an additional $1,000 allowed if you are 55+ years of age).

How does this work exactly?

By offering a benefit that IRA’s and 401K’s don’t.

HSA contributions are made via payroll deductions that allow you to avoid paying FICA taxes (7.65 percent from Social Security & Medicare) AND income taxes (currently 25% for my tax bracket plus an additional 3.75% for my home state of Illinois.)

Working backwards from my take home pay, that means for every 64 cents I contribute to my Health Savings Account, the account is funded a full dollar. This happens because the other 34 cents come from the taxes I would have otherwise paid had I not contributed to the account.

You can now see why such an account is a powerful tool in the early retirement toolbelt.

You can pull the money out tax-free via qualified medical expenses years after you actually incur those medical expenses. If you don’t incur medical expenses, you can still pull the money out at a later date but more on that below.

Is an HSA right for you?


Before you run off to sign up for an HSA, there are a few things to consider.

First off, HSA’s are not available to everyone as not every employer offers the benefit option of having an HSA.

Second, HSA’s are linked to high deductible healthcare plans. So, if you expect a large amount of medical bills for yourself or your family in the following year, you will likely benefit more from choosing an alternative option such as a low deductible, high premium health care plan rather than a high deductible option with an eligible HSA.

Third, some HSA’s are tied to high fees and limited investment options. Before choosing to opt into an HSA program, be sure to understand the fee structure you are signing up for.

Since people are eligible to open their own account, you do have the option to shop around at different service providers. If you elect this route, you will need to work with your HR and notify them you intend to open your account with another broker. In most cases, employers are flexible enough to accommodate.

Once you have enough funds in your HSA, often a minimum of $1,000, then you can begin to invest this money similar to any other type of retirement account.

If an HSA looks right for you, you can turn it into a tax savings vehicle that is unmatched when compared with traditional retirement accounts.

Have your cake and eat it too. (insert pic of me on crutches stuffing a cake into my face)

What does the IRS have to say about this?
Funny you should ask.

It just so happens that part of my job as a CPA is to dig through tax code and when I did, I found this gem:

You can receive tax-free distributions from your HSA to pay or be reimbursed for qualified medical expenses you incur after you establish the HSA…You do not have to make distributions from your HSA each year.” (Page 8 of IRS Publication 969 (2015))

In other words, as long as you keep your receipts to show you have had qualified medical expenses since opening your account, you can withdraw your HSA funds at any point, tax free. That’s right. Any point. Tax free.

But what if I don’t have any medical problems and don’t qualify for medical expenses??

If you manage to get to 65 without ANY medical bills, then the HSA essentially converts to a Traditional IRA. The money in the account can then be distributed penalty free and will only be subject to ordinary income taxes. 

Final Say
Many employers are now offering high deductible medical plans, so seeing an HSA option is becoming more and more popular.

When you select your coverage, I would encourage you to see if an HSA makes sense for you.

Have you considered using an HSA in the past? Did it make sense for your situation?

-Matt
Distilled Dollar

5 comments… add one
  • Allan @ The Practical Saver Mar 23, 2016, 3:00 pm

    I started with HSA 2 years ago after seeing my family’s out of pocket medical bills skyrocketed primarily because I had to take my daughter to her doctor from time to time. It benefited and still provides benefits to me and my family in the form of not paying too much taxes while still saving. I use HSA as my family’s emer2fancy funds for medical-related matters, which is really good because I don’t have to worry about saving money to that purpose because the money is taken right away before I get my paycheck. Let’s put it as forced savings, I guess.

    • Distilled Dollar Mar 23, 2016, 6:42 pm

      The automated savings aspect of an HSA is one of the best parts, agreed!

      I’m curious, did you have an option between an HSA and FSA? If so, did you choose the HSA because it is not a ‘use it or lose it’ type of account?

      • I chose HSA over FSA for a couple of reasons. One, FSA has a limit (probably around $2,500). Second, there’s a use it or lose it clause with FSA and none with HSA.

        One time, we had FSA and close the the 3Q of the year, we consumed all our FSA money. So, we ended up paying money out of our pocket and those extra dollars didn’t get used towards decreasing our tax bill.

  • Amy Mar 31, 2016, 10:24 am

    I’ll be enrolling in a HDHP for 2017 so I can open my first HSA. I’m curious, which administrator do you use/recommend? I’ve found one which allows investing the HSA in Vanguard funds which seems to be my top contender right now.

    And nice to see a fellow Chicagoan in the blogosphere! 🙂

    • Distilled Dollar Mar 31, 2016, 7:32 pm

      That’s a good question and I’m in the process of researching a few options myself. The default option from my employer waives the largest fee they have if you have a balance of at least $1,000. Given they’re the default, I’m pretty sure there are better options out there. I’m planning on writing another post on this in the future, so I’ll be sure to share it with you when I figure out my options.

      Props for Chicago! I’m bias, but its the best city I’ve ever seen. 🙂

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