HSA Information

HSA Information

Learn why a Health Savings Account might be the right move for you:

  • Save 40% to 50% On Your Health Insurance
  • Make Your Medical Expenses Tax Deductible
  • Cut Your Taxes By Up To Approximately $2,195

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How Health Savings Accounts Work

A Health Savings Account is a tax-favored savings account combined with a qualifying HSA insurance plan, or an HSA-qualified healthshare (currently only offered by Sedera). By allowing you to deposit tax-deductible funds into a savings account that you can use to cover medical costs, Health Savings Accounts enable you to take control of your own health care decisions.

First you must have a high-deductible health insurance plan that qualifies to be partnered with an HSA.  These plans are available through various insurance companies, depending in what part of the country you live. 

For 2019, HSA plans annual deductibles remain unchanged at $1,350 for individual coverage or at least $2,700 for family coverage. Annual out-of-pocket expenses (including deductibles and copayments, but not premiums) are capped at $6,750 for individuals or $13,500 for families.

All HSA plans and some non-HSA plans have an aggregate deductible rather than an embedded deductible. With an aggregate deductible, one or all family members contribute and work towards meeting a single deductible. Family plans with embedded deductibles have individual deductibles each individual member works towards or a family deductible that all family members works towards.

You have until April 15, 2020 to make the full 2019 allowable contribution to your HSA and claim it on your 2019 tax return.

Once your insurance policy has become effective, you may fund your HSA account.  You can establish your HSA with any bank or HSA administrator.  Click here to see a list of banks we recommend.

HSA Health Plans Offer Tax Deductible Contributions

Health savings accounts allow you to legally avoid federal income tax by saving up to $3,500 for singles or $7,000 for families, into your HSA health plans account for 2019.*

There is no minimum deposit (it can be $0 if you want), but whatever you deposit into your account by April 15 is an "above the line" tax deduction for the previous year's income taxes. This means that you get a federal income tax deduction for money you put in even if you take the standard deduction and don’t itemize deductions. This tax deduction is available to everyone, with no limitations on the amount or source of income.

If you cancel your HSA-qualified health insurance before you've had the coverage for a full 12 months, your maximum contribution amount is pro-rated based on the number of months you had your coverage in force.

A one-time roll-over from your IRA (Individual Retirement Account) or FSA (Flexible Spending Account) is allowed.  

If your employer makes an HSA contribution for you, it is “excluded” from income, and not subject to any income tax or FICA.  Either way, this will immediately reduce your federal income tax due for the year.  Most states also allow you to take a state income tax deduction for HSA health plans contributions.  To see if your state offers tax deductions, please see our HSA State Income Tax page.

IMPORTANT REMINDER for 2018 Taxes: An individual has until April 15, 2019, to deposit $3,450 into an HSA-qualified account. A family can deposit $6,900 into an HSA-qualified account. You can deposit as little or as much as you’d like and all funds will be an “above the line” tax deduction for your 2018 taxes.

* Individuals age 55 and over may deposit into their account (and take a tax deduction on) an additional catch-up contribution of $1,000.

Tax-Subsidized Medical Expenses

Even though you have received a tax deduction by putting your money into this account, the money is still yours to spend tax free, as long as you spend it on qualified medical expenses.  Since you have a high-deductible plan, this would of course include any expenses you incur from going to the doctor, purchasing prescription drugs, or paying other expenses toward your deductible.  Once your deductible is met, the health insurance covers your medical expenses as defined in the policy.

In addition to being able to withdraw your money tax free to cover these types of expenses (which might otherwise be covered by a traditional low-deductible high-premium policy), you can use your HSA health plans account to cover other costs that would not normally be covered by a health insurance policy.

These include:

  • Dental expenses.  Individuals can typically only purchase dental discount plans, or fairly expensive dental policies with a limited choice of dentists.  Coverage for braces is normally very limited.  However, any of these medically necessary procedures can be paid for from your HSA account.
  • Mental therapy.  This includes the charges of psychiatrists, psychologists, psychoanalysts, and psychotherapists.
  • Physical therapy.  This could include hydrotherapy, chiropractor services, or medical massage therapy.
  • Alternative treatments.  This could include acupuncture, Ayurvedic Medicine, aromatherapy, homeopathy, Traditional Chinese Medicine (TCM), nutritional consulting, or even healing services provided by a Christian Science Practitioner or other type healer.
  • Transportation and lodging expenses, when related to health care
  • Charges incurred as part of a preventive health program.  This could include vaccines, blood tests, metabolism tests, and other lab tests, and even fees paid to a health institute or vitamins if prescribed by a doctor.
  • Special fees incurred by handicapped individuals, including wheelchairs, telephone or TV equipment to assist the hard-of-hearing, the cost and care of guide dogs, or special school costs for the handicapped
  • Maternity expenses that are not covered by your health insurance policy
  • Insurance premiums to pay for qualified long-term care (See our Long Term Care page for more information.)

Also note that your HSA health plans account can be used to pay these expenses for any spouse or dependent member of the family including same sex and domestic partners,even if they are not covered under the insurance policy.

More complete information can be seen on our HSA Qualified Expenses page.

Premium and Tax Savings

Health Savings Accounts can help you save money on both your insurance premiums, and your income taxes. Because Health Savings Accounts must be paired with a high-deductible health plan, your health insurance premiums are normally much lower than a typical plan that has a $500 deductible. And there is no other investment that offers a tax deduction today along with a tax-deductible withdrawal tomorrow. The savings from the lower premiums along with the tax-free deductions could be $4,000 or more every year.

Below is an example comparing how much a typical Non-HSA plan might cost, compared to a typical HSA plan. This example is based on the average health insurance premium of an individual with a family of four living in a metropolitan area, covered medical expenses totaling $1,800, and $550 in expenses for dental care, contacts and eyeglasses. This shows what would happen if the HSA holder is in a 28% federal tax bracket and 5% state tax bracket, and deposits $6,900 (which is the maximum contribution allowed in 2018) into his HSA.

Let's see what you could save

Typical Non-HSA Plan
Individual deductible: $500
Coinsurance: 80% - 20%
Typical HSA Plan
Aggregate Family deductible: $6,900 Coinsurance: 100%
Premium Paid
- $15,363
- $12,655
Your share of medical expenses ($1,800 claim)
- $860
$500 for deductible,
$360 for coinsurance
- $1,800
Non-covered medical expenses
- $550
- $550
(dental and eye wear expenses)
Expenses Subtotal
= - $16,773      
= - $15,005   
Federal Tax Savings*
+ $0
+ $1,932
State Tax Savings*
+ $0
+ $34550
Net Expenses
(out-of-pocket minus savings)
- $16,773
- $12,728
Total Net Savings with HSA Plan
  = +$4,045.00    

This example is based on the average health insurance premium of an individual with a family of four living in a metropolitan area, covered medical expenses totaling $1,800, and $550 in expenses for dental care, contacts and eyeglasses. Health insurance premiums vary substantially based on age, geographic location and other variables. Federal tax savings calculations assume that contributions are deducted from federal taxes. Withdrawals for nonqualified expenses prior to the age of Medicare eligibility are subject to a 20% penalty by the IRS.

* Health insurance premiums vary substantially based on age, geographic location and other variables.  Federal tax savings calculations assume that contributions are deducted from federal taxes.  Withdrawals for nonqualified expenses prior to the age of Medicare eligibility are subject to a 20% penalty by the IRS.  Most states allow for state tax deductions on Health Savings Accounts.

HSA for America and its affiliates are not engaged in rendering tax, investment or legal advice.  Federal and state tax regulations are subject to change.  If tax, investment or legal advice is required, seek the services of a licensed professional.

Long-Term Savings

A particularly appealing aspect of Health Savings Accounts is that they encourage individuals to stay healthy.  Any money from your HSA account that is not used to pay medical expenses is yours to keep.  The money grows in the account free from federal taxes and remains free from federal tax when you take it out if it is used for qualified medical expenses.  If you withdraw funds for non-medical expenses, you pay taxes on the amount withdrawn.

There is a 20% penalty if the funds are withdrawn before age 65 for a non-medical expense, but after age 65 they can be withdrawn penalty-free for any reason (you do pay income tax on the money withdrawn).

Because all your deposits that are not used to pay medical expenses grow tax-deferred, the investment opportunity is tremendous.  Potential return depends upon the interest rate at which your investment grows, and on how much of your deposit is used to pay medical bills.  Investments can be placed in savings accounts paying 1 - 4%, or in stocks, bonds, or mutual funds with higher potential returns.

For most Americans, out-of-pocket medical expenses are a relatively small expense each year.  This chart shows one group’s estimate for annual medical expenses back in 2004.  Though the numbers have changed some since then, the fact remains that most healthy people are unlikely to incur large medical expenses in any given year.

Money Spent on Medical Care Annually
Percentage of U.S. Population
No Medical Expenses - $0
$1 - $500
$501 - $1,000
$1,001 - $2,000
$2,001 - $5,000
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
$50,001 - $100,000
$100,001 - And Up


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.

Long Term Savings Chart 

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

Note:  These savings are based on 4% and 10% interest rates.  Your interest rate will of course vary depending on your investment and the prevailing market conditions.  There are many companies that can administer your Health Savings Account.  Some offer a fixed interest rate, while others allow you to place your investment into stocks, bonds, or mutual funds.  You can visit our HSA Administrators page for complete details.

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.

How to Choose an HSA

First, review all the information on this 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 coverage, and how to set up your HSA.

HSA for America - Additional Benefits

Health Savings Accounts are meant to get the consumer more involved in their healthcare decisions.  By encouraging consumers to shop their healthcare, Health Savings Accounts encourage competition among providers and lead to lower costs.  To assist our clients and visitors in reducing their medical expenses and income taxes and maximizing their Health Savings Accounts, we have put together an exclusive package of money-saving benefits.  Learn how to reduce your costs for prescription drugs, lab fees, hospital bills, and more:  HSA for America Additional Benefits.

Overall Impact of Health Savings Accounts

We truly believe that Health Savings Accounts are one of the best things to come out of Washington in a long time.  They encourage several things that are positive for America's future:

  • Health Savings Accounts put market competition back in the healthcare arena.  Ever since most first-dollar expenses have been paid for by a third party (insurance companies), medical expenses have soared.  We believe that individual consumers are better able to decide how and where to spend their health-care dollars than are insurance companies.  People who buy medical services using their personal HSA funds will shop around for the best value for their dollars, and health care providers will feel pressure to charge competitive rates to attract patients.  In other words, doctors will shift their focus from serving the insurance companies back to serving their patients.
  • Health Savings Accounts encourage people to stay healthy.  By making many preventive expenses eligible for coverage through HSA accounts, and by letting people keep any money they don't use, Health Savings Accounts provide a powerful incentive for people to take a more proactive approach to their own healthcare.
  • Health Savings Accounts let consumers choose how to spend their own health-care dollars.  Only by giving individuals the freedom to make their own choices can we as a society learn of the best solutions.  By allowing the use of HSA funds to pay for alternative, holistic, and preventive treatments, innovation and investment will be encouraged in areas where the current system has failed to find solutions.  And people will be able to use the type of medicine that works for them.  The end result should be a healthier populace with access to a wide choice of treatment options.
HSA for America
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