Advertisement
HomeBenefitsHSA
Benefits

What Is an HSA? The Triple Tax-Advantaged Account Explained

An HSA (Health Savings Account) lets you save pre-tax money for medical expenses. It has three tax advantages: contributions are tax-deductible, growth is tax-free, and withdrawals for qualified medical expenses are tax-free. You must be enrolled in a High-Deductible Health Plan (HDHP) to contribute.

2024 HSA Contribution Limits

Coverage Type2024 LimitCatch-Up (Age 55+)
Self-only coverage$4,150+$1,000
Family coverage$8,300+$1,000
HDHP Requirements for 2024

To qualify for an HSA, your health plan must meet IRS minimums: minimum deductible of $1,600 (self) / $3,200 (family), and maximum out-of-pocket of $8,050 (self) / $16,100 (family).

Advertisement

What Can You Use HSA Funds For?

  • Doctor visits and copays
  • Prescription medications
  • Hospital stays and surgery
  • Mental health services
  • Physical therapy
  • Lab tests and X-rays
  • Medical equipment (crutches, blood pressure monitors)
  • Dental exams and cleanings
  • Fillings, crowns, and braces
  • Eye exams and prescription glasses
  • Contact lenses and solution
  • LASIK eye surgery
  • Acupuncture
  • Chiropractic care
  • Fertility treatments
  • Long-term care insurance premiums
  • Medicare premiums (after age 65)
  • COBRA premiums while unemployed

HSA as a Retirement Account

After age 65, you can withdraw HSA funds for any purpose without penalty — you just pay regular income tax (like a traditional IRA). This makes HSAs uniquely powerful: triple tax-advantaged for medical expenses, and IRA-like for everything else.

💡
Advanced Strategy: Invest and Let It Grow

Many HSA providers let you invest contributions in mutual funds or ETFs. Pay medical bills out-of-pocket now, save receipts, and reimburse yourself decades later — tax-free — after your investments have grown.

HSA vs. FSA Quick Comparison

FeatureHSAFSA
Requires HDHP?✅ Yes❌ No
Rolls over?✅ 100%⚠️ Up to $640
Invest funds?✅ Yes❌ No
Portable?✅ Yes❌ Usually forfeited
Available Jan 1?⚠️ Grows throughout year✅ Full amount
Use after 65 for anything?✅ Yes (taxed)❌ No