HSA Retirement Savings

Using Your Health Savings Account to Build a Retirement Savings

Health Savings Accounts are an excellent way to build a second retirement account.  These tax-favored accounts, which have only been available since January of 2004, can be opened by anyone with a qualifying high-deductible health insurance plan.  Once you open an HSA account, you can place tax-deductible contributions into it, which grow tax-deferred like an IRA.  You may withdraw money tax-free to pay for medical expenses at any time.

Health Savings Accounts:  A Tax-free Medical Investment Fund and
Additional Retirement Account

The biggest reason more people don't retire before age 65 is lack of health insurance, and many Americans reach age 65 woefully unprepared for the medical expenses they'll face once they do retire.  One of the most important long-term reasons for establishing an HSA is to build up some money for medical expenses incurred during retirement.

Fidelity Investments reports that the average couple retiring in 2008 will need $225,000 just to cover medical expenses during retirement.  This estimate, up an average of 5.8 percent a year since 2002, includes the cost of Medicare Part B and Part D premiums, co-payments, deductibles and excluded benefits, and of out-of-pocket costs for prescription drugs.  It does not even include the cost of over-the-counter medications, most dental services and, if needed, long-term care.  Add those, and the Employee Benefit Research Institute reports that you’ll need over $295,000.  This assumes life expectancies of 15 years for the husband and 20 years for the wife.

Since medical costs are rising more than three times faster than salaries, Americans "should be calculating and factoring life-long health-care expenses into their overall financial planning," says Brad Kimler, a Fidelity executive.

Health Savings Accounts are, without exception, the best way to build up money to pay for medical expenses during retirement.  You should not contribute any money to your traditional IRA, 401 (k), or any other savings account until you have maximized your contribution to your HSA.  This is because only health savings accounts allow you to make withdrawals tax-free to pay for medical expenses.  You can take these distributions anytime before or after age 65.

Your HSA contributions won't affect your IRA limits. It's just another tax-deferred way to save for retirement, with the added advantage being that you can withdraw funds tax-free if they are used to pay for medical expenses.

For early retirees who are healthy, a health savings account can also be a smart option to help lower their health insurance costs while they wait for their Medicare coverage.  The older someone is, the more they can save with an HSA plan.  For many people in their 50's and 60's who are not yet eligible for Medicare, Health Savings Accounts are by far the most affordable option.

How Much Can You Save with an HSA?

Any money you deposit in your health savings account is 100% tax-deductible, and the money in the account grows tax-deferred like an IRA. The maximum contribution for a single person is $3,500. For families, the maximum contribution is $7,000 for 2019. If you're 55 and older, you can put in an extra $1,000 catch-up contribution.

Future Value of Your HSA Account

How much you accumulate in your HSA will depend on how much you contribute each year, the number of years you contribute, the investment return you get, and how long you go before withdrawing money from the account.  If you regularly fund your HSA, and are fortunate enough to be healthy and not use a lot of medical care, a substantial amount of wealth can build up in your account.

Individual's Savings HSA Growth Over 30 Years. Based on a maximum yearly
contribution of $3,500
Family's Savings HSA Growth Over 30 Years. Based on a maximum yearly contribution of $7,000
Medical Expenses
Per Year
4% Annual
10% Annual
Medical Expenses
Per Year
4% Annual
10% Annual


To calculate the future value of your own HSA based on your deposits, investment return, and number of years until retirement, please use our HSA Future Value Calculator.

HSA Investment Options

Health savings accounts are self-directed, meaning that you have almost total control over where you invest your funds.  There are numerous banks that can act as your HSA administrator.  Some offer only savings accounts, while others offer mutual funds or access to a full-service brokerage where you may place your money in stocks, bonds, mutual funds, or any number of investment vehicles.  See our HSA Administrators page for a list of options.

How Tax-deferred Growth Accelerates Your Retirement Account Growth

One of the biggest advantages of retirement accounts like Health Savings Accounts are that the funds are allowed to grow without being taxed each year.  This can dramatically increase your return.  For example, if you are in the 33% tax bracket, you would need a 15% return on a taxable investment to match a tax-deferred yield of only 10%.

As another example, if you are in a 33% tax bracket and were to invest $7,000 each year in a taxable investment that yielded a 12% return, you would have $347,626 after 20 years. If you put that same money in a tax-deferred investment vehicle like an HSA, you would have $564,891 - a little more than $210,000 more.

Strategies to Maximize your HSA Account Growth

If your objective is to maximize the growth of your HSA in order to build up additional funds for your retirement, there are three important strategies you should implement.

Strategy #1: place your money in mutual funds or other investments that have growth potential.  Though this is riskier than placing your money in an FDIC-insured savings account, it is the only way to really take advantage of the tax-deferred growth opportunity that an HSA provides.

Strategy #2: delay withdrawals from your account as long as possible.  Though you may withdraw money from your HSA tax-free at any time to pay for qualified medical expenses, you do have the option of leaving the money in the HSA so that it continues to grow tax-free.  As long as you save your receipts, you can make medical withdrawals from your account tax-free at any future date to reimburse yourself for medical expenses incurred today.

As an example, let's say a 45 year old couple places $7,000 per year in their HSA over a period of 20 years, they have $2,000 per year in qualified medical expenses, and they get a 12% return on their investments. If they withdraw the $2,000 from their HSA each year, they'll have a net contribution of $5,000 per year into their account, and they'll have $403,493.68 in their account when they begin their retirement years.

If on the other hand they delay withdrawing that money, they will have $564,891.15 in their account at age 65. If they choose they can withdraw the $40,000 to reimburse themselves tax-free for the medical expenses incurred during that 20 year period, and still have $524,891.15 in their account - over $120,000 more than if they had withdrawn the money each year.

Strategy #3: make the maximum allowable deposit to your HSA at the beginning of each year.  Even though you are allowed until April 15 of the following year to make deposits to your HSA, you should take advantage of the tax-free growth in your account by funding it as soon as possible.  The extra interest you can earn by contributing to your account on January 1 of each year rather than the next April 15 can amount to over $40,000 in a 20 year period, and over $100,000 in 30 years.

How to Maximize Your HSA Contributions

Because catch-up contributions are allowed only for people age 55 and older, if one or both of you are over age 55 you should each establish your own HSA.  This will allow you to capitalize on the expanded HSA contribution limits for people in this age range by both making catch-up contributions.

Using Your HSA to Pay for Medical Expenses during Retirement

When you enroll in Medicare, you can use your account to pay Medicare premiums, deductibles, copays, and coinsurance under any part of Medicare.  If you have retiree health benefits through your former employer, you can also use your account to pay for your share of retiree medical insurance premiums.  The one expense you cannot use your account for is to purchase a Medicare supplement insurance or "Medigap" policy.

Though Medicare will pay for the majority of health expenses during retirement, there many be expenses that Medicare will not cover.  Nursing home expenses, un-conventional treatments for terminal illnesses, and proactive health screenings are all examples of medical expenses that will not be paid for by Medicare, but that you can pay for from your HSA.

Long-term care is assistance with the activities of daily living, such as dressing, bathing, or feeding yourself.  It can be provided in your home, a retirement community, or a nursing home.  Long-term care expenses can be paid for using funds from your HSA, and long-term care insurance can even be paid for from the HSA up to the following maximum annual amounts:

  • 40 or less $ 420
  • More than 40 but not more than 50 $ 780
  • More than 50 but not more than 60 $1,560
  • More than 60 but not more than 70 $4,160
  • More than 70 $5,200

How to Establish an HSA

To establish a health savings account, you must own an HSA-qualified high deductible health insurance plan.  First, review all the information on the HSA Info page and check out our Q & A section to familiarize yourself with Health Savings Accounts.  Then visit our "How to" Guide to learn how to choose the right plan, how to apply for health insurance coverage, and how to set up your HSA.

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