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Yes years later, like 10-15 years later that money can be withdrawn from your account and be used to pay for previous medical expenses– This is your golden nugget to early retirement.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

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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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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? ›

Save: Prepare for health care needs in the future

Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

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? ›

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.

What is the disadvantage of HSA account? ›

"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."

Why use an HSA for retirement? ›

Unlike other types of tax-advantaged retirement accounts, HSA contributions and investment earnings are never taxed, provided you follow the rules when withdrawing from the account. That means you avoid paying income tax on your withdrawals, which, at current rates, is at least 10%.

How much money should I have in my HSA when I retire? ›

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 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.

When should you not use an HSA? ›

HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future. When you have a copay, you know how much it will cost to visit the doctor but it can be difficult to find out the cost of medical care when you are paying yourself.

Are HSA withdrawals tax-free after 65? ›

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.

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.

Should I prioritize my HSA or 401k? ›

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.

Who are HSA plans best for? ›

People who invest and grow their HSA dollars to pay for future medical costs further benefit from the tax-free growth of HSA dollars. Based on the tax merits alone, HSAs are more attractive than other retirement-savings vehicles like IRAs and 401(k)s.

Is an HSA worth the hassle? ›

Is an HSA worth it? An HSA is worth it if you expect to have any health expenses, ever, an HSA allows you to pay them with pretax dollars. Since almost everyone eventually faces health expenses, using an HSA to pay for them with pretax dollars can help your money go further.

Should I max out Roth IRA or HSA? ›

Should I max out my HSA or IRA first? HSAs and Roth IRAs are both tax-advantaged accounts. 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.

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 is a good amount to have in HSA in 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.

Why HSA is the best account? ›

A health savings account (HSA) can help you lower your taxes, pay for health care more easily and even save for retirement. HSAs are only available with high-deductible health plans. You can use HSA funds to pay for eligible health care expenses and for out-of-pocket costs your health plan doesn't cover.

Is it wise to invest your HSA account? ›

Account holders who don't invest their HSA contributions could be missing an opportunity to earn tax-free returns. We generally suggest keeping two to three years' worth of routine medical expenses in cash, cash investments, or similar low-volatility investments within your HSA.

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