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.

This article may contain affiliate links, full disclosure here

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Yes years later, like 10-15 years later that money can be withdrawn from your account and be used to pay for previous medical expenses– This is your golden nugget to early retirement.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

Related

  • Early retirement and the 4% rule

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.

Related

  • Roth Vs Traditional IRAs and the early retirement trick

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.

Related articles:

  • 13 Things you are Wasting Your Money on
  • The complete guide to early retirement
  • Best investment companies for beginners
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 an HSA a good way to save for retirement? ›

While the amount you can contribute each year to an HSA is lower than that of 401(k)s and IRAs, it still gives a nice boost to your retirement planning. Catch-up contributions are also available for HSAs beginning at age 55, when you can contribute an additional $1,000.

Which is better HSA or 401k? ›

Comparing HSAs and 401(k)s

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).

Which is better HSA or IRA? ›

Key Points. HSAs offer more tax breaks than traditional IRAs and 401(k)s. HSAs also give you access to your money sooner if needed, and they work like traditional IRAs and 401(k)s once you turn 65.

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.

What are the downsides of HSA? ›

"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."

What are the disadvantages of HSA? ›

Cons of Using HSA Accounts
  • High-Deductible Requirements One of the biggest drawbacks of enrolling in an HSA account is the requirement to have a high-deductible health plan for insurance coverage. ...
  • Potential for Misuse Another potential drawback of using an HSA account is the risk of misuse.
Oct 26, 2023

What happens to your HSA when you turn 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.

Should I max out my HSA every year? ›

Contribute as much as you can afford to an HSA. The tax advantages of a health savings account (HSA) are unique, even better than any IRA or 401(k) plan. As a result, an HSA is like a “super IRA,” and you should contribute as much as you can afford, subject to IRS limits on HSA contributions.

How do you build wealth with an HSA? ›

Investing through an HSA

Think of your HSA as a home for your medical money. Just like a brokerage account or an IRA, you'll need to put money into the account before you buy investments. Then, after you fund the account, you can start investing.

Who is an HSA best for? ›

These accounts were designed for consumers who have high deductible health plans (HDHP) to be able to save for upcoming medical expenses. However, HSAs have evolved from a place to save money for upcoming medical expenses to also being an account where you can grow your nest egg for retirement.

Who are HSA plans best for? ›

HSAs Are Great If You Never Get Sick

So even if you're the model of perfect health right now, you can invest that money for 30-40 years and use it when you're retired. Money in your HSA can even be applied to deductibles, coinsurance, and copays if you decide to switch back to a traditional plan in the future.

Which HSA bank is best? ›

Best Health Savings Accounts (HSAs) Of April 2024
CompanyForbes Advisor RatingAnnual Percentage Yield
Consumers Credit Union HSA4.90.55% to 1.16%
Lively HSA4.90.01% to 0.10%
First Tech Federal Credit Union HSA4.81.00%
Lake Michigan Credit Union HSA4.70.15% to 0.30%
1 more row
Jan 24, 2024

How much should I have in my 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 happens to unused HSA funds at retirement? ›

Unlike some other health plans where unused funds are forfeited at the end of the year, the money in your HSA is yours to keep. This feature provides flexibility and peace of mind, allowing you to save for future medical expenses or use the funds for other purposes when needed.

Can I 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)

Is an HSA worth the hassle? ›

HSAs Are Great If You Never Get Sick

So even if you're the model of perfect health right now, you can invest that money for 30-40 years and use it when you're retired. Money in your HSA can even be applied to deductibles, coinsurance, and copays if you decide to switch back to a traditional plan in the future.

Top Articles
Latest Posts
Article information

Author: Jonah Leffler

Last Updated:

Views: 6103

Rating: 4.4 / 5 (45 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Jonah Leffler

Birthday: 1997-10-27

Address: 8987 Kieth Ports, Luettgenland, CT 54657-9808

Phone: +2611128251586

Job: Mining Supervisor

Hobby: Worldbuilding, Electronics, Amateur radio, Skiing, Cycling, Jogging, Taxidermy

Introduction: My name is Jonah Leffler, I am a determined, faithful, outstanding, inexpensive, cheerful, determined, smiling person who loves writing and wants to share my knowledge and understanding with you.