Make the Most of Health Savings Accounts: A Simple Path to Tax Savings
Chris Peden, CPA, CMA, CFM
I help small business owners grow their profits, cash flow and reduce their taxes by understanding their financials and creating an action plan to get there. Free Financial Assessment available (Link in “About” below).
When it comes to saving money on your taxes, Health Savings Accounts (HSAs) are a powerful but often overlooked tool. HSAs not only help you cover healthcare expenses but also come with significant tax advantages. If you’ve ever felt like you’re paying too much in taxes and want a practical way to save money while securing your healthcare needs, this article is for you. I'll explain how HSAs work, their benefits, and how you can use them to save money. Plus, I’ll share an example based on my experience helping clients maximize this incredible tax-saving opportunity.
What Are Health Savings Accounts (HSAs)?
Think of an HSA as a tax-friendly piggy bank for your healthcare expenses. It’s a savings account specifically designed to help you pay for healthcare costs not covered by insurance, like deductibles, co-pays, and even some over-the-counter medications. The beauty of HSAs lies in their triple tax benefits:?
1. Contributions to an HSA are tax-deductible.
2. The money in your HSA grows tax-free.
3. Withdrawals for qualified medical expenses are also tax-free.
To qualify, you need to be enrolled in a high-deductible health plan (HDHP). These plans typically have lower monthly premiums but require you to pay more out-of-pocket before your insurance kicks in. An HSA is meant to bridge this gap by allowing you or your employer to set aside pre-tax dollars for healthcare costs.
Who Can Open an HSA?
Not everyone can open an HSA, so it’s important to ensure you meet the following requirements:
1. HDHP Coverage: You must be enrolled in a high-deductible health plan. For 2024, the minimum deductible is $1,300 for singles and $2,600 for families, with out-of-pocket limits of $6,550 and $13,300, respectively.
2. No Other Health Coverage: You can’t have additional health coverage that isn’t an HDHP.
3. Not on Medicare: If you’re eligible for Medicare, you can’t open or contribute to an HSA.
4. Not a Dependent: You can’t be claimed as a dependent on someone else’s tax return.
Once you’ve confirmed you’re eligible, the next step is understanding how contributions work.
How Much Can You Contribute?
HSAs have generous contribution limits, allowing individuals to save up to $3,450 and families up to $6,900 annually. If you’re 55 or older, you can contribute an additional $1,000 as a “catch-up” contribution. Contributions can be made any time during the tax year, and you even have until the following April 15 to make contributions for the previous year.?
For example, if you want to maximize your 2024 contributions, you can deposit funds anytime from January 1, 2024, to April 15, 2025. However, your HDHP must be in place by December 1 of the tax year for you to qualify.
Using Your HSA Wisely
The real magic of HSAs is in how you use them. You can withdraw funds tax-free for a wide range of “qualified medical expenses.” These include doctor visits, prescriptions, dental work, vision care, and even certain long-term care premiums. You can also use HSA funds for COBRA continuation coverage, health insurance during unemployment, and Medicare premiums—though not Medigap policies.
It’s important to note that if you use HSA funds for non-medical expenses, those withdrawals are subject to income tax and a hefty 20% penalty. This penalty is waived once you turn 65, but the withdrawals will still be taxable if they’re not used for qualified medical expenses.
An Example To Illustrate
Let’s say you are a self-employed consultant, frustrated with rising healthcare costs and tax bills. You are enrolled in a high-deductible health plan but aren’t taking advantage of an HSA. You can set up an HSA and maximized your contributions for the year. You can then use your HSA to pay for routine medical expenses like prescription glasses and dental work, saving hundreds in taxes.?
Later, you can shift your strategy to let your HSA grow. Instead of spending the funds immediately, you can start paying out-of-pocket for smaller expenses and allowed your HSA to grow tax-free. By the time you retire, can have a sizeable nest egg you can use for Medicare premiums and long-term care, all tax-free. Your HSA can be a key part of your retirement plan, giving you peace of mind and substantial tax savings.
Maximizing Your HSA for Long-Term Savings
HSAs are more than just a way to pay for medical bills—they can also be an excellent retirement savings tool. Funds in your HSA can be invested in stocks, bonds, or mutual funds, allowing them to grow tax-free over time. Many people overlook this investment potential, but it’s a great way to prepare for healthcare costs in retirement.
For example, if you’re in your 30s and contribute the maximum amount each year while investing in low-cost index funds, your HSA could grow into a six-figure account by the time you retire. Unlike other retirement accounts, there’s no required minimum distribution (RMD) for HSAs, giving you greater flexibility in how and when to use the funds.
Tips for Getting Started with an HSA
If you’re ready to take advantage of an HSA, here are some steps to get started:
1. Check Your Health Plan: Confirm that your current health insurance qualifies as a high-deductible health plan.
2. Open an HSA Account: Many banks and financial institutions offer HSAs. Look for one with low fees and investment options.
3. Contribute Regularly: Set up automatic contributions to your HSA to ensure you’re maximizing the tax benefits.
4. Keep Records: Save receipts for all medical expenses paid with HSA funds. You’ll need them to prove your withdrawals were for qualified expenses if audited.
5. Plan for the Future: Consider investing your HSA funds to take full advantage of their long-term growth potential.
Action Items for You
If you’re not already using an HSA, now is the time to start. Review your health insurance plan to see if you’re eligible, and set up an account before the end of the year. Contribute as much as you can afford and keep an eye on your long-term savings goals. Don’t let this tax-saving opportunity slip through your fingers.
If you would like some help with your tax situation, you can set up a call with me here:? https://calendly.com/pedenaccounting/30min
Navigating the complexities of taxes can be a daunting task for small business owners. Check out my tax guide designed to demystify the tax process and provide actionable insights to help entrepreneurs manage their tax obligations effectively: https://businesstax.pedenaccountingservices.com/