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Yes years later, like 10-15 years later that money can be withdrawn from your account and be used to pay for previous medical expenses– This is your golden nugget to early retirement.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

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.

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  • 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 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? ›

Most people think of HSAs as a way to save to cover current medical costs not covered by such plans. But if you can pay for these costs out-of-pocket, the triple tax-free nature of an HSA makes it a powerful vehicle for retirement savings.

Is HSA a better investment than 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).

Should I max out my 401k or HSA first? ›

Using an HSA and a 401k together

First off, most experts would recommend maxing out HSA contributions before maxing out 401(k) contributions because of the tax advantages that come with the HSA. There's no minimum age for HSA fund distributions, so when you need it to spend money on health care, it's got your back.

What are the disadvantages of a HSA? ›

- Requires detailed tracking of transactions and receipts. - IRS regulations can complicate expense tracking. - Accounts can be invested to grow over time. - Risks of penalties and taxes for non-qualified expenses.

Is it better to max out HSA or IRA? ›

The IRS sets a limit on how much you can contribute to both each year. As we said above, HSA may be a better option to max out first since it offers potentially more savings power.

What happens to your HSA when you turn 65? ›

Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA.

At what age can you withdraw from HSA without penalty? ›

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

Does HSA reduce Social Security? ›

For contributions that you make to an HSA on a pre-FICA-tax basis (i.e., contributions made as payroll deductions, rather than money going from your checking account into an HSA), yes, they do reduce your Social Security wages for the year.

What is 1 potential downside of investing in an HSA? ›

The main downside of an HSA is that you must have a high-deductible health insurance plan to get one.

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.

How to use an HSA to build wealth? ›

One of the most effective ways to use an HSA to build wealth is by maximizing your contributions each year. The IRS sets annual contribution limits, and by contributing the maximum amount, you not only reduce your taxable income but also allow more money to grow tax-free in your account.

What is the triple tax advantage of an HSA? ›

An HSA has a unique triple tax benefit: Your contributions reduce your taxable income. Any investment growth within the account is tax-free. Qualified withdrawals (that is, ones used for medical expenses) are tax-free.

When should I stop investing in my HSA? ›

The specific date to stop your HSA contributions will depend on when you apply for Medicare. Once you apply for Medicare, you can no longer receive new HSA deposits from your employer. However, you can use your existing HSA funds to pay for Medicare costs even after you enroll.

Can I transfer money from 401k to HSA tax free? ›

Accounts You Cannot Use to Fund Your HSA

You cannot transfer money from a 401(k), 457 or other type of retirement plan, but you may still have another option.

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.

Why is HSA better than PPO? ›

HSAs offer triple tax benefits (deductible contributions, tax-free growth, and tax-free withdrawals for medical expenses). PPOs do not provide the same tax advantages, but they offer more predictable costs and lower upfront expenses.

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