Key Points About Health Savings Accounts


When you enroll in a High Deductible Health Plan, you have the ability to contribute to a Health Savings Account to help cover the deductible expenses.

Advantages

  • Money you contribute is deducted from your pay before taxes are withheld. This can save you money on taxes.
  • You can use your account to pay for unexpected health care expenses.
  • No need to use the money in your account by the end of the year. The "use-it-or-lose-it" rule doesn't apply.
  • If you leave your job or retire, your account and the money in your account are yours to keep.
  • You may be able to invest the money in your account once it reaches a certain balance. In general, you don't pay taxes on interest earned until you make a withdrawal.
  • There's an annual contribution limit. But starting the year you reach age 55, you can make catch-up contributions above the annual limit.

Special Rules

  • You must be enrolled in a High-Deductible Health Plan to have a Health Savings Account. You and your dependents can't be enrolled in any other type of medical plan.
  • You can't have a Health Savings Account if you have Medicare.
  • If you have a Health Savings Account and a Health Care Spending Account (HCSA), you can use your HCSA for only dental, vision, and preventive care expenses.
  • Your annual contribution is deducted from your pay in equal increments throughout the year. When using your account, the amount you can spend is limited to the account balance.
  • Some states tax Health Savings Account contributions.