Health savings account HSA Retirement - The BEST Retirement Account (2024)

If you are familiar with healthcare benefits you have most likely heard of a Health Savings Account (HSA). Health Savings Accounts are an important component to not only your healthcare needs but also your retirement.

An HSA is much like a savings account, where it can be used to pay for medical expenses; however, financially savvy people are using these accounts to bridge the gap from early retirement till traditional retirement income kicks in.

Health Savings Accounts when used wisely, are the ultimate retirement tool. Think of them as a really smart way to save for retirement. Find out if an HSA Retirement option is right for you.

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Health savings account HSA Retirement - The BEST Retirement Account (1)

Table of Contents

What Is A Health Savings Account?

HSAs were created in 2003 for individuals covered by high-deductible health insurance plans. In fact, to qualify you must have a high deductible health plan. These savings accounts provide tax-relief and help to pay those out of pocket costs associated with high deductible plans.

With an HSA account, you can contribute up to $3,350 per year of pre-tax dollars for individuals and $6,750 for families. You can use the money contributed to pay for qualified health expenses at any time. Here’s the important part, if you never need it for health expenses or have a balance when you retire you can use it as retirement money.

Yes years later, like 10-15 years later that money can be withdrawn from your account and be used to pay for previous medical expenses– This is your golden nugget to early retirement. Let me explain…

How Do Health Savings Accounts Work?

If you are enrolled in a high deductible health insurance plan you can qualify for an HSA. These accounts are marketed as savings accounts for health care expenses yet financially savvy people use them as an IRA.– Think of them as retirement accounts in disguise.

Each year you decide how much you would like to contribute to your HSA account keeping in mind the maximums mandated by the government. Your HSA company will issue you a debit card that is linked to your account to pay for any eligible medical expenses, including copays, and coinsurance, plus other qualified medical expenses not covered by your plan.

Most of the population uses these accounts as a savings account to pay for medical expenses yet smart people disregard the medical aspect of the accounts and think of them as a special retirement account that you can contribute to if you have a high deductible insurance plan.

One of the benefits of these accounts is that your balance rolls over from year to year so you never have to worry about losing the money you have in your account. The money you contribute is not only pre-tax dollars but it grows tax-free and can be withdrawn tax free —3 tax advantages in 1 (or in other words completely tax free money!)

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Health Savings Account Eligibility

Anyone who is enrolled in a high deductible health plan is eligible. The IRS defines HDHP (high deductible health plan) in these terms and limits:

  • The deductible must exceed $1,300for individual
  • The deductible must exceed $2,700 for family

Why Are HSAs So Important For Early Retirement?

One of the greatest benefits of HSA’s is they have three tax advantages and they provide much better tax breaks than a Traditional IRA, 401(k) or Roth IRA. In essence, it’s the ultimate combo of a Traditional and Roth IRA.

Tax-Free Contribution Accounts (Traditional IRA, 403b, 401k)

Contributions are pre-taxed, meaning you don’t pay income tax on the money you contribute. If you make $100,000 a year and contribute $5,000 you only pay income taxes on the $95,000.

• The money is able to grow tax-free and you will only have to pay taxes when you withdraw.

Tax Free-Withdrawal Accounts (Roth IRA – Roth 401k)

These accounts are tax-free withdrawal. You pay taxes in the beginning, your money grows tax-free, then you withdraw tax-free.

[click_to_tweet tweet=”The early retirement IRA” quote=”The early retirement IRA”]

Health Savings Account

• Not only are you able to contribute tax-free money but you can withdraw tax-free. Potentially completely tax-free money!

Let’s say you make $50,000 per year, if you contribute $3,000 to your HSA you will be taxed as though you only make $47,000! Lowering your tax burden.

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How To Use HSA For Retirement

Remember earlier when I told you HSA’s don’t require you to take an eligible reimbursem*nt at the time they occur. If you don’t pull money from your HSA it just rolls over and continues to grow. Since there is no hard and fast rule that says you have to use an HSA to pay for medical expensesyou can take out the money whenever you want.

Let’s say you had an eligible medical expense that year for prescription costs and an ER co-pay totaling $500.

You have two options with your HSA

  1. First, you could withdraw the money now and use it to pay your bill. That money would be completely tax-free.

2. The other option and what I recommendis this. You pay your bill with cash on hand and save all your medical bills. (make digital copies of your receipts in case you physical copies disappear or wear out) By doing this your HSA will continueto grow tax-free.

Fast forward 10 years at the ripe old age of 45 and you want to retire. You can hand in those receipts 10 years later and withdraw from your HSA account completely tax-free. Just remember the covered medical expense must have happened after you started your HSA.

Now let’s say you don’t have enough qualified medical expenses to pull all your accrued savings out. At the age of 65, instead of 59.5 like an IRA, you can withdraw the money for any reason penalty free. You will have to pay tax for any withdrawal that’s not for qualified medical expenses, but that is no different than a Traditional IRA.

At the age of 65, an HSA is nearly identical to a Traditional IRA but with the added bonus of tax-free withdrawals for medical expenses which an IRA does not give you.

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Health savings account HSA Retirement - The BEST Retirement Account (3)

Health Savings Account Setup

So like I said earlier you must be on a high deductible healthcare plan (HDHP) in order to qualify. This could be through an employer or on the open market. Be sure to check with your employer as some will match HSA contributions.

What qualifies for a high deductible plan?

  • Individual deductible of $1,250
  • Family deductible of $2,500

The contribution limit for 2018 is $3,450 for individuals and $6,900 for families.

If your employer doesn’t offer an HSA here are some options for you to look into to begin an HSA account.

In Review

Don’t use your HSA to pay medical expenses. Treat it as a savings account and let it grow tax-free.

• Keep a very good record of your medical expenses. I recommend scanning or taking pictures of them so they aren’t lost or damaged-Remember without these records you won’t be able to access the money until 65.

• Shop around for a good HSA that allows index fund investing

• Here’s a list of qualified medical expenses for an HSA

By using an HSA as an investment account you are funding a tax-free income source that you can use for early retirement. In addition, you are shielding yourself from income taxes during your working years.

If you aren’t using a spending tracker app it’s time. They are free and will make a big difference in how well you save. We use and recommend Personal Capital.

Health savings account HSA Retirement - The BEST Retirement Account (2024)

FAQs

Is HSA the best retirement account? ›

If you're looking to maximize your retirement savings, using your Health Savings Account (HSA) could be a wise choice. Not only can HSAs help pay for current medical expenses, but they can also be utilized as a supplementary retirement plan, similar to traditional options like 401(k)s or IRAs.

Should I use my HSA or save it for retirement? ›

Save: Prepare for health care needs in the future

Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

Is it better to put money in HSA or 401k? ›

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).

How much should you have in your HSA at retirement? ›

According to the Fidelity Retiree Health Care Cost Estimate, an average retired couple age 65 in 2023 may need approximately $315,000 saved (after tax) to cover health care expenses in retirement. An average individual may need $157,500 saved (after tax) to cover health care expenses in retirement.

What is the disadvantage of HSA account? ›

"Weak earnings and investment limits: Interest rates on HSA accounts may be low and some trustees charge a monthly fee if your balance drops below a certain threshold. Minimum balance requirements may apply before you can invest; investment options may be limited and investments are not insured."

How much can I contribute to my HSA the year I turn 65? ›

Your maximum contribution is determined by adjusting the HSA maximum in accordance with how many months of the year that you were eligible. For example, if you turn 65 in April, you were eligible for the first three months of the year. You can then contribute 3/12 of the HSA annual contribution maximum.

What happens to unused HSA funds at retirement? ›

One benefit of the HSA is that after you turn age 65, you can withdraw money from your HSA for any reason without incurring a tax penalty. You are, however, subject to normal income tax on any non-qualified withdrawals.

When should you not use an HSA? ›

HSAs might not make sense if you have some type of chronic medical condition. In that case, you're probably better served by traditional health plans. HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future.

What happens to HSA after 65? ›

If you have money in your HSA when you turn 65, you can spend it on anything you want — but if you aren't spending it for a qualified medical expense, it will be taxed as income at your then current tax rate. You must stop contributing to your HSA when you enroll in any part of Medicare.

How aggressively should I invest my HSA? ›

Try to invest as much of your HSA money as possible while ensuring that you keep enough cash to cover your qualified medical expenses. Consider where your other retirement plans are invested as well to make sure that your HSA investments provide diversification. Avoid taking out funds from your HSA as much as possible.

Should I max out my HSA every year? ›

Max out your contributions if you can

The more you can contribute, the more you can benefit from the HSA's potential triple tax advantages1. Keep in mind: you don't lose any unspent funds at the end of the year. Your HSA can be used now, next year or even when you're retired.

Can you use HSA for dental? ›

HSAs can help pay for a variety of dental services and orthodontic procedures. Here are some of the specific dental procedures your HSA can help cover: Crowns (when non-cosmetic, and may need a letter of medical necessity (LMN)) Sealants (if used for the prevention or treatment of a dental disease)

Can I cash out my HSA when I leave my job? ›

Yes, you can cash out your HSA at any time. However, any funds withdrawn for costs other than qualified medical expenses will result in the IRS imposing a 20% tax penalty. If you leave your job, you don't have to cash out your HSA.

What happens to unused HSA funds after death? ›

The funds in your HSA go to the named beneficiary of the account when you die. If there is no beneficiary designated, the funds could go to your estate. If you're married, your HSA money may automatically go to your spouse, depending on the laws in your state or the policy of your HSA company.

Can you use HSA to pay premiums in retirement? ›

Ideally, consumers would pay out of pocket for their long-term care premiums before they retire, McClanahan said. However, it generally makes sense to use an HSA to pay these qualified premiums if they're retired and now living off their savings, she said.

Is it better to put money in HSA or IRA? ›

If you qualify for both an HSA and Roth IRA and can afford to contribute to both, it's a no-brainer. But if you have to choose between one or the other, an HSA has the potential to give you more savings power and allows you to take withdrawals now and in retirement without the potential guilt.

Is HSA the best investment? ›

Comparing HSA to 401(k)

When it comes to retirement, everyone talks about the 401(k). But your HSA can be one of the best accounts for saving for retirement. Not only can you invest1 your HSA and potentially capitalize on tax-free growth, but your HSA also delivers powerful tax advantages you can't find anywhere else.

Is it better to have an HSA or not? ›

Because an HSA is a member-owned account, you can save money for expenses well into the future. In short, if you want to save money for the long-term, HSAs could be a great option. You can use that money down the road to pay for thousands of qualified medical expenses.

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