A Health Savings Account (HSA) is a tax-advantaged personal savings account designed to provide funds to pay qualified medical expenses, including health insurance deductibles and co-payments. An HSA is available to eligible individuals only in conjunction with a high-deductible health plan provided by an employer or purchased by an individual.
The tax benefits of an HSA are significant. Your contributions to a Health Savings Account are tax deductible on an "above the line" basis, resulting in a dollar-for-dollar reduction in adjusted gross income. What might this mean to you? For example:
| Annual HSA Contribution | $2,000 |
|---|---|
| Marginal Federal Income Tax Rate | 25% |
| Tax Savings per Year | $500 |
| Net Cost to You | $1,500 |
If your employer contributes to your HSA, those contributions are not taxable income to you and are not subject to withholding.
Funds in an HSA can be invested, with earnings not subject to income tax so long as they remain in the HSA.
Distributions from an HSA may be made at any time. If used to pay for qualified medical expenses, the distributions are not subject to federal income tax. If used for non-medical expenses, HSA distributions are considered taxable income to you and are subject to a 10% penalty tax if you are under age 65 when the distribution is taken.
| Health Savings Account | + | High-Deductible Health Insurance Plan |
|---|---|---|
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| You establish a Health Savings Account, into which you make taxfree contributions up to specified maximums each year. | You purchase a qualifying high deductible health plan. | |
| If an illness or injury strikes, funds can be withdrawn tax free from the HSA to pay for qualified medical expenses. | ![]() |
Once the health insurance deductible is satisfied, insurance benefits become available to pay for covered expenses. |
| Funds not withdrawn to pay for qualified medical expenses remain in the HSA and grow from year to year in an investment account whose earnings grow free of tax. | ||
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| HSA funds may be withdrawn for purposes other than paying qualified medical expenses, but are subject to income tax plus a 10% penalty tax. Beginning at age 65, HSA funds may be withdrawn for any reason, subject to regular income tax without penalty, or can continue to be used to pay qualified medical expenses without tax. |