A
Look at HSAs
Health Savings Accounts
may provide you with remarkable tax advantages.
Why do
higher-income households inquire about Health Savings Accounts? They have heard about
what an HSA can potentially offer them: a pool of tax-exempt dollars for health
care, a path to tax savings, even a possible source of retirement income after
age 65. You may want to look at this option yourself.
About 26
million Americans now have HSAs. You must enroll in a high-deductible health plan
(HDHP) to have one, a health insurance option that is not ideal for everybody.
In 2018, this deductible must be $1,350 or higher for individuals or $2,650 or
higher for a family. In exchange for accepting the high deductible, you may pay
relatively low premiums for the coverage.1,2
You fund an
HSA with tax-free contributions. This year, an individual can direct as much as
$3,450 into an HSA, while a family can contribute up to $6,900. (These contribution
caps are $1,000 higher if you are 55 or older in 2018.) Some employers will
even provide a matching contribution on your behalf.1,2
HSAs offer
you three potential opportunities for tax savings. Your account
contributions are tax free (that is, tax deductible), the earnings in your
account grow tax free, and you can withdraw funds from your HSA, tax free, so
long as they are used to pay for qualified health care expenses, such as
deductibles, co-payments, and hospitalization costs. (HSA funds may not be used
to pay health insurance premiums.)1,3
At age 65, you can even turn to your HSA
for retirement income. Currently,
federal tax law allows an HSA owner 65 or older to withdraw HSA funds for any
purpose, tax free. Yes, any purpose. You can use the money to pad your
retirement income; you can use it to pay Medicare premiums or long-term care
insurance premiums. No Required Minimum Distributions (RMDs) are ever required
of HSA owners. (Prior to age 65, an HSA withdrawal not used for qualified
medical expenses is assessed a 20% I.R.S. penalty.)3
Why is an HSA less attractive for some
people? Well, the first thing to
mention is the related high-deductible health plan. When you enroll in one of
these plans, you agree to pay all (or nearly all) of the cost of medicines,
hospital stays, and doctor and dentist visits out of your pocket until that
high insurance deductible is reached.1
The other hurdle is just saving the money. If you pay for your own
health insurance, just meeting the monthly premiums can be a challenge,
especially if your household contends with other significant financial
pressures. There may not be enough money left over to fund an HSA. Also, if you
are a senior (or a younger adult) with a chronic condition or illnesses, you
may end up spending all of your annual HSA contribution and reducing your HSA
balance to zero year after year. That works against one of the objectives of
the HSA – the goal of accumulation, of growing a tax-advantaged health care
fund over time.
If you would like to explore opening an HSA, your first step is to
consult an insurance professional to see if you can enroll in a qualified HDHP,
unless your employer already sponsors such a plan. Finding an HSA provider is
next.
We may be reached at 800-916-9860.
www.wenadvisory.com
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Citations.
1 - tinyurl.com/y9lbk7s7 [2/2/17]
2 -
trustetc.com/resources/investor-awareness/contribution-limits [1/3/18]
3 -
thebalance.com/hsa-vs-ira-you-might-be-surprised-2388481 [8/13/17]