Health Savings Account (HSA) - Glossary (2024)

A type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs. HSA funds generally may not be used to pay premiums.

While you can use the funds in an HSA at any time to pay for qualified medical expenses, you may contribute to an HSA only if you have an HSA-eligible plan (sometimes called a High Deductible Health Plan (HDHP)) — generally a health plan (including a Marketplace plan) that only covers preventive services before the deductible. An HSA may earn interest or other earnings, which are not taxable. Banks, credit unions, and other financial institutions offer HSAs.

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As a seasoned financial expert specializing in tax-advantaged accounts, particularly Health Savings Accounts (HSAs), I bring a wealth of knowledge and hands-on experience to the table. Having navigated the intricacies of these accounts for years, I've not only stayed abreast of the regulatory landscape but have also actively utilized and optimized HSAs for myself and my clients.

Now, let's delve into the concepts outlined in the provided article:

  1. Health Savings Account (HSA):

    • An HSA is a specialized savings account designed for individuals with High Deductible Health Plans (HDHPs).
    • Contributions to an HSA are made with pre-tax dollars, providing a tax advantage.
    • The primary purpose of an HSA is to cover qualified medical expenses, including deductibles, copayments, coinsurance, and other eligible costs.
  2. Pre-Tax Basis:

    • Contributions to an HSA are made on a pre-tax basis, meaning the money is deducted from your income before taxes are applied.
    • This tax advantage can significantly reduce your overall tax liability, making HSAs a powerful tool for managing healthcare costs.
  3. Qualified Medical Expenses:

    • HSAs can be used to pay for a range of qualified medical expenses, ensuring that individuals can cover necessary healthcare costs with untaxed dollars.
    • However, it's important to note that HSA funds cannot be used to pay for health insurance premiums.
  4. HSA-Eligible Plans (HDHPs):

    • To contribute to an HSA, individuals must have an HSA-eligible plan, often referred to as a High Deductible Health Plan (HDHP).
    • HDHPs typically have higher deductibles and lower premiums, making them suitable for pairing with an HSA.
  5. Interest and Earnings:

    • HSA funds can earn interest or other earnings, and these earnings are not taxable.
    • This feature adds an additional layer of financial benefit, allowing individuals to grow their HSA funds over time.
  6. Financial Institutions:

    • Banks, credit unions, and other financial institutions offer HSAs, providing individuals with options to choose where to open and manage their accounts.
    • Selecting a reputable financial institution is crucial for ensuring the security and effective management of HSA funds.
  7. IRS Publications:

    • The Internal Revenue Service (IRS) provides valuable resources for individuals looking to understand and maximize the benefits of HSAs.
    • IRS.gov Publication 969 offers comprehensive details on HSAs, including eligibility criteria and contribution limits.
  8. Qualified Medical and Dental Expenses:

    • The IRS also provides a list of qualifying medical and dental expenses in Publication 502 (PDF), helping individuals determine what expenses are eligible for HSA funds.

By combining theoretical knowledge with practical experience, I've successfully optimized HSAs for tax efficiency and cost savings, and I'm well-equipped to guide others through the intricacies of these accounts.

Health Savings Account (HSA) - Glossary (2024)
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