Health Savings Accounts (HSA) – Definition & Detailed Explanation – Elderly Legal and Financial Planning Glossary

I. What is a Health Savings Account (HSA)?

A Health Savings Account (HSA) is a type of savings account that allows individuals to save money specifically for medical expenses. HSAs are designed to work in conjunction with high-deductible health insurance plans, providing a way for individuals to save for out-of-pocket medical expenses while also taking advantage of certain tax benefits.

II. How do Health Savings Accounts work?

Individuals who have a high-deductible health insurance plan can open and contribute to an HSA. Contributions to an HSA are tax-deductible, and the funds in the account can be used to pay for qualified medical expenses, such as doctor visits, prescription medications, and medical procedures. Unlike flexible spending accounts (FSAs), funds in an HSA roll over from year to year, allowing individuals to save for future medical expenses.

III. Who is eligible for a Health Savings Account?

To be eligible for an HSA, an individual must be covered by a high-deductible health insurance plan and cannot be enrolled in Medicare. In 2021, the minimum deductible for a high-deductible health insurance plan is $1,400 for individuals and $2,800 for families. There are also limits on the amount that can be contributed to an HSA each year, with the maximum contribution for 2021 being $3,600 for individuals and $7,200 for families.

IV. What are the benefits of having a Health Savings Account?

There are several benefits to having an HSA. One of the main benefits is the ability to save money on a tax-free basis for medical expenses. Contributions to an HSA are tax-deductible, and withdrawals for qualified medical expenses are also tax-free. Additionally, funds in an HSA can be invested, allowing them to potentially grow over time. HSAs also offer flexibility, as funds can be used for a wide range of medical expenses, including dental and vision care.

V. How can funds in a Health Savings Account be used?

Funds in an HSA can be used to pay for a variety of qualified medical expenses, including doctor visits, prescription medications, hospital stays, and medical procedures. In addition to traditional medical expenses, funds in an HSA can also be used for certain non-medical expenses, such as long-term care insurance premiums and COBRA premiums. It is important to keep track of expenses paid with HSA funds, as using the funds for non-qualified expenses can result in tax penalties.

VI. What are the tax implications of a Health Savings Account?

Contributions to an HSA are tax-deductible, meaning that individuals can deduct the amount they contribute to an HSA from their taxable income. Additionally, funds in an HSA grow tax-free, and withdrawals for qualified medical expenses are also tax-free. This makes HSAs a tax-efficient way to save for medical expenses. However, if funds are withdrawn for non-qualified expenses before age 65, they are subject to income tax and a 20% penalty. After age 65, funds can be withdrawn for non-qualified expenses without penalty, but they are subject to income tax.