Podcast #128: We chat with Kent C Dodds about why he loves React and discuss what life was like in the dark days before Git. Listen now.

Questions tagged [hsa]

For questions that relate to health savings accounts in the USA and health spending accounts in Canada, and any similar accounts in other jurisdictions. Must include an appropriate country tag.

Filter by
Sorted by
Tagged with
32
votes
5answers
3k views

Pros/Cons of a Health Savings Account (HSA) in the USA?

I am wanting to know the real benefits or pros/cons of a HSA in the USA. I have now been given the option of signing up for one due to healthcare changes. I understand some of the basics, but after ...
23
votes
4answers
2k views

Is it worth saving HSA funds until retirement?

I recently discovered that there is no lifetime limit to contributing to an HSA account - provided that you don't contribute more than the limit per year. Assuming that an individual makes a decent ...
21
votes
3answers
8k views

Is it mandatory to have health insurance?

Is it mandatory to have health insurance? Assuming that I contribute $200 monthly, which for 12 months is costing me around $2400, and don't use the insurance, then having only FSA with a fixed ...
21
votes
5answers
3k views

How much should I fund an HSA? Is there a danger in over-funding one?

I'm reviewing my options for health insurance during open enrollment and one of them is a HDHP/HSA option. I hear these are best for young people without chronic conditions etc. I think I fall into ...
20
votes
2answers
1k views

Using a Health Savings Account (HSA) as an investment vehicle: What are the drawbacks?

For next year, my company has started offering an HDHP with an HSA. With this, they will contribute $500 per year flat, and 50% matching up to $500 (where they will match $250; up to $750 total). I ...
17
votes
2answers
22k views

Can I change banks for my HSA account?

My employer provides a High-deductible health plan with HSA option. One thing I was surprised by was how many fees were associated with the HSA account offered through my employer (the HSA is ...
16
votes
5answers
8k views

Which is better: Employer-sponsored HSA or opening an HSA individually?

So I know that: Employer-sponsored HSA's allow you to deduct contributions directly from your paycheck, pre-tax With individual HSAs, you must contribute using post-tax dollars, then deduct those ...
16
votes
2answers
34k views

How do I correct an HSA distribution when I was refunded by a health provider?

At work I'm covered by an HDHP with an HSA. My dentist has the policy of estimating the amount that my insurance will cover and asking for the remainder at the time of service. On my most recent ...
16
votes
3answers
56k views

Can I use an HSA to pay off medical debts incurred before the HSA was funded?

Let's say that in year A I had a medical insurance plan without an associated health savings account, and incurred some medical expenses (co-pays, deductibles). I didn't pay them that year; they may ...
16
votes
1answer
1k views

What happens to an HSA when I am no longer eligible to contribute?

Can I still make qualified distributions from an HSA (Health Savings Account) if I am no longer eligible to contribute? Otherwise, what happens to any remaining balance in the HSA? Example: Say I ...
14
votes
3answers
3k views

Treat HSA as an IRA?

As I understand it, any funds remaining in a Health Savings Account can be withdrawn for any purpose at age 59 1/2 (subject to ordinary income tax), making an HSA essentially behave like an IRA. Is ...
13
votes
1answer
2k views

Difference between Health Savings Account (HSA) & Flexible Spending Account (FSA)?

What is the practical difference between a Health Savings Account and a Flexible Spending Account? What are the pro's and con's of each, and are there situations where either is best?
12
votes
3answers
5k views

Should I prioritize my 401(k) over my student loans?

Lately things have been a bit tight. Between student loan payments, my HSA, my 401(k) and bills my account balance isn't going up or down, its stagnant. I am wondering if I should decrease my savings ...
12
votes
3answers
17k views

Comparing HDHP vs PPO Plans: Am I missing something?

It's that time of year at work that we're needing to renew our insurance carrier. HR decided to continue the two PPO plans we previously had available, while adding an HDHP + HSA plan. I've compared ...
12
votes
3answers
977 views

Is it possible to use my HSA for a payment I've already made?

I misplaced my HSA debit card, and while waiting for a new one was forced to pay a qualified health care expense out of pocket. Is there any way to use my HSA to cover the expense retroactively?
12
votes
1answer
9k views

Can I use HSA money to pay for family member that isn't covered by an HDHP?

If I'm in an HDHP, but my wife is on a different plan (non-HDHP), can I use money from my HSA to pay for her costs until she reaches her deductible?
11
votes
2answers
748 views

If I make an out of pocket medical payment on my normal credit card, can I withdraw that amount from my HSA?

I accidentally paid for some medical expenses using my normal credit card instead of my HSA account. Can I withdraw the equivalent amount from my HSA without tax liabilities?
11
votes
3answers
2k views

Withdrawing qualified HSA expenses many years later, to earn interest?

Say I have $2000 in my HSA account and have a $1000 medical bill in 2012. If I were to pay the $1000 bill out of pocket and let that $1k left earn interest in my HSA for a significant amount of time (...
11
votes
2answers
1k views

When is an HSA expense “incurred”?

Starting next year (2019), my family will be covered by an HSA plan. A member of my family is undergoing a medical treatment, starting on 12/27/2018, which will continue into March 2019. There is a ...
11
votes
5answers
35k views

Wife has FSA with employer, and my new employer offers an HSA plan. What to do?

Current Situation My wife currently has a general health FSA with her employer. The fiscal year started on October 1. We have spent about a third of the money in the account, but she obviously has ...
11
votes
1answer
4k views

Can I get a rebate after using my HSA?

I used an HSA to buy some contact lenses. They came with a rebate form that I can send in to get a refund of about 1/5 of the purchase price. Is it okay to send away for the refund after using the ...
11
votes
1answer
671 views

I have both an FSA and HSA. How can I fix this mistake?

Expecting a lot of medical expenses in 2017, I signed up for both the medical FSA and HSA offered by my employer. Unfortunately, my employer did not mention that it was against the rules to have both. ...
10
votes
1answer
300 views

HSA without a HDHP [USA]

I had an HSA with an HDHP with a former employeer. I left that company and now have a traditional health insurance plan. Should I continue to contribute to my old HSA account? Are there any tax ...
10
votes
2answers
4k views

What if an employer sets up and contributes to an HSA for an ineligible employee - can he withdraw the excess contributions with no penalty?

My son is 21 years old and starting his first job. He is covered under my health insurance, which is a non-HDHP PPO, until he turns 26. (Because I have other children, I wouldn't save any money by ...
10
votes
4answers
15k views

Can a US expat have and use an HSA for the tax benefits while living abroad?

I am a US expat living abroad. As some of you may know, I still have to pay US taxes on my foreign income, even though I've been abroad for more than 5 years. That said, I obviously want to minimize ...
10
votes
2answers
158 views

Tools for comparing costs between different healthcare providers?

I have a high deductible health insurance plan. That means the first $2000 or so expenses per year are not covered by my insurance. What's a good way to compare health care costs from different ...
9
votes
3answers
1k views

Why do HSA qualifying plans have a max deductible?

In order to be eligible to make tax deductible contributions to an HSA account, you must have a qualifying HDHP (High deductible health plan). Among the requirements, is a deductible and max OOP ...
9
votes
1answer
4k views

What happens to investment gains and distributions inside an HSA?

I did some research and it turns out that you can invest funds that you have in your Health Savings Account in certain things. If I invest $5,000 from my HSA into a Mutual Fund (which is acceptable) ...
9
votes
4answers
689 views

What should I do with my HSA?

I recently changed companies, and the new employer does not have a HDHP. I have just under $2,000 in my HSA, but without any medical expenses to spend it on, it's just sitting there, slowly being ...
9
votes
2answers
1k views

When can I roll over a HSA?

I have a health savings account with a high-deductible health plan. Because my employer pays less for the plan than for other insurance options, they are willing to contribute money to my HSA account ...
9
votes
1answer
545 views

Am I elligible to contribute to an HSA plan if my spouse is on Medicare?

I'm a little confused about the IRS qualification rules for an HSA account specifically with respect to Medicare. The eligibility rules state that You must not be currently enrolled in Medicare. So, ...
9
votes
2answers
338 views

How can I find/compare custodians for my HSA in the United States?

I have a high-deductible health plan that qualifies me to open an HSA (Health Savings Account). Where are good places to find an HSA in the US? What sorts of features should I look for? What extra ...
8
votes
3answers
1k views

What is the purpose of putting funds into an HSA when the interest rate is so low?

I have an HSA through my employer, of which I put a certain percentage of my salary towards. The "goal" of the HSA (as I understand it) is to have a lifetime plan to support your healthcare. Looking ...
8
votes
3answers
276 views

Who could afford a higher annual deductible who couldn't afford a higher monthly payment?

I'm comparing some health insurance plans with Humana, and trying to understand the relationship between the price tiers. For a single HDHP plan, they have these price options: $1,500 Deductible - ...
8
votes
1answer
536 views

What is the HSA contribution limit when you are only enrolled in HDHP for part of the year?

What is the HSA contribution cap for a person that is only enrolled in a HDHP for part of the year? For example, consider a single participant that was not previously enrolled in any other health ...
8
votes
3answers
2k views

I'm getting gouged on prices for medical services when using my HSA plan. How to be billed fairly?

I had never given a second thought to the details of the bills that my health insurance (HI) company used to send me until I moved to a HSA plan. My typical (before the HSA plan) bill claim would be ...
8
votes
3answers
61k views

How should pre-tax contributions to an HSA show up on a W2?

How should pre-tax contributions to an HSA account show up on a W2 from an employer? I thought they would show up like 401k or similar but that doesn't appear to be the case. If I made $50K and put ...
8
votes
3answers
69k views

How do I withdraw funds from my Health Savings Account?

I have recently opened a Health Savings Account (HSA) with Bank of America. Do I need to associate it with a health plan? How does that work? Bank of America has set up a HSA for me to make ...
8
votes
1answer
908 views

What is the penalty for over-contributing to an HSA?

My employee switched to regular insurance in April making him ineligible for HSA contributions. Payroll neglected to stop taking his contributions out and it was recently discovered and has since been ...
8
votes
1answer
6k views

Can I use an HSA to pay financed payments for LASIK?

I understand that an HSA can be used for qualified medical expenses, and that LASIK falls under this category. I'm considering getting LASIK done and would like to use my HSA to pay for it. However, ...
8
votes
1answer
7k views

Withdrawing HSA excess contributions?

I just got married a couple of weeks ago. I have a self-coverage only HDHP through my employer, with an HSA funded by my employer ($3000 per year). My husband has a family-coverage HDHP through his ...
8
votes
1answer
2k views

If I don't participate in my employer-sponsored FSA, can I open my own HSA?

My employer offers/manages an FSA (Flexible Spending Account) as part of my health care plan. I put in $800 last year and barely managed to use it up, including expenses in the allowed grace period (...
8
votes
2answers
330 views

Should I prioritize retirement savings inside of my HSA?

This year I switched my family from a traditional PPO plan to a high deductible plan with an HSA. This is a great move for our family. I have been reading about using an HSA as an investment vehicle ...
8
votes
3answers
349 views

Can an HSA excess contribution withdrawal be done when you haven’t really contributed an excess?

If you find that you have contributed more to your HSA than your annual contribution limit, you can do an excess contribution withdrawal. This is effectively an “undo” button on your contribution: On ...
7
votes
5answers
2k views

Getting health insurance with the highest deductible and putting the savings in HSA

I'm thinking about getting the highest deductible plan for next year, which would save us a lot of money. With that money, I'm planning to put all the savings (and some more) into our HSA account. We ...
7
votes
2answers
536 views

HSA - Continue to Invest?

I have an HSA that allows me to invest the money in the account in the stock market. Any money not invested is available to be used for health expenses. I currently have ~50% of the total balance of ...
7
votes
1answer
192 views

Rules about spouse's HSA

My spouse and 2 kids have high deductible insurance, but I do not. If my spouse contributes to an HSA, could that money be used for my medical expenses, or only for expenses for the rest of the family?...
7
votes
1answer
178 views

I purchased a drug in country A, and consumed it in country B; neither A nor B is the US; is that a qualified medical expense from the HSA standpoint?

I am a US citizen. I have an HSA account. I purchased a drug in country A, and consumed it in country B, where neither A nor B is the US. Is that a qualified medical expense from the HSA standpoint? ...
7
votes
1answer
2k views

Is there a time limit on claiming medical expenses for HSA?

I use my HSA as a savings vehicle. From what I'm reading it seems that there is no limit on the time between when the expense was incurred and when it can be claimed against an HSA except that you ...
7
votes
1answer
267 views

Switch from HSA/Limited FSA to FSA only

In 2016 I had a High Deductible Health Plan/HSA and a Limited FSA through my employer. For 2017 during our open enrollment I decided to not use a HDHP, and chose a PPO Plan. In addition, I selected a ...