Understanding HSA Accounts for Health Expenses

Published on July 28, 2025

by Adrian Sterling

With rising healthcare costs, it’s more important than ever to have a solid understanding of your options for covering medical expenses. One increasingly popular option is a Health Savings Account (HSA). HSAs allow individuals to set aside pre-tax dollars for medical expenses, providing flexibility and potential tax savings. In this article, we’ll take a deep dive into what an HSA is, how it works, and why it may be a smart choice for your health expenses.Understanding HSA Accounts for Health Expenses

What is an HSA?

A Health Savings Account is a type of savings account that is specifically designed to cover medical expenses. It is only available to individuals who have a high deductible health insurance plan (HDHP). Unlike a Flexible Spending Account (FSA), an HSA is owned by the individual rather than their employer. This means that you have more control over your funds and can take your HSA with you if you change jobs.

The Benefits of an HSA

One of the major benefits of an HSA is the potential tax savings. Contributions to an HSA are tax-deductible, meaning they lower your taxable income for the year. And when you use the funds for qualified medical expenses, they are not subject to taxation. Unlike an FSA, there is no “use it or lose it” rule with an HSA. Any unused funds roll over from year to year, allowing you to build up savings for future medical expenses.

HSAs also offer more flexibility in terms of how the funds can be used. While FSAs typically only cover certain medical expenses, HSAs can cover a wider range of costs including deductibles, copays, and even some over-the-counter medications. Additionally, once you reach age 65, you can use HSA funds for non-medical expenses without penalty (though you will have to pay income tax on those withdrawals).

How to Contribute to an HSA

Contributing to an HSA is simple. If you have a high deductible health plan, you are automatically eligible to open an HSA. You can then make contributions directly to your account, either through your employer or on your own. The maximum annual contribution for 2020 is $3,550 for individuals and $7,100 for families. If you are age 55 or older, you can make an additional $1,000 catch-up contribution.

It’s important to note that there are income limits for HSA contributions. In order to make the maximum contribution, you must have a modified adjusted gross income (MAGI) below $65,000 for individuals and $130,000 for families. If your income exceeds these limits, your contribution limit may be reduced or you may not be eligible to contribute to an HSA at all.

Using HSA Funds

As mentioned earlier, HSA funds can be used for a wide range of medical expenses. This includes things like doctor visits, prescription medications, and even dental and vision care. If you use your HSA funds for non-qualified expenses, you will face a 20% tax penalty on top of the normal income tax you would pay on that withdrawal. However, once you reach age 65, you can use HSA funds for any purpose without penalty (though income tax will still apply).

Another important benefit of an HSA is that you can invest the funds for potential growth. Depending on the HSA provider, you may have options for investing in stocks, bonds, or other assets. This can help your HSA grow over time and provide even more funds for future medical expenses.

Is an HSA Right for You?

HSAs are a great option for individuals who are relatively healthy and have the ability to save for medical expenses. If you have a high deductible health plan and are looking for a way to lower your taxable income and build up savings for healthcare costs, an HSA may be the perfect choice for you.

However, HSAs are not the best option for everyone. If you have a chronic or ongoing medical condition that requires frequent doctor visits and treatments, you may end up paying more out-of-pocket with an HSA than you would with a traditional health plan.

Choosing the Right HSA Provider

If you decide that an HSA is the right choice for your healthcare needs, the next step is to find a reputable HSA provider. Banks, credit unions, and online financial institutions all offer HSAs, so it’s important to do your research and compare options. Consider factors like fees, investment options, and customer service when choosing an HSA provider.

In conclusion, understanding HSA accounts is key to managing your health expenses effectively. With potential tax savings and investment opportunities, HSAs can be a smart choice for individuals with high deductible health plans. Be sure to weigh the pros and cons and choose a reputable HSA provider to make the most of this valuable healthcare tool.