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After Navigation
Home Money Management Risk Management How Does an HSA Work
  • Contents
  • What Is an HSA and How Does It Relate to a High Deductible Health Plan?
  • How Do HSAs Work?
  • Is an HSA Right for You?
  • What Are the Eligibility Requirements for an HSA?
  • How Much Should You Put in an HSA?
  • How Do You Withdraw Funds From an HSA?
  • Final Words About HSAs and a High Deductible Health Plan

How Does a HSA Work

Penny Redlin
By Penny Redlin
Updated on February 13, 2025
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Managing healthcare costs can be challenging, no matter where you’re at in life. A smart way to take control is by combining a high deductible health plan with a health savings account (HSA). This powerful duo makes it easier to handle medical expenses, giving you a budget-friendly approach and more peace of mind along the way.

What Is an HSA and How Does It Relate to a High Deductible Health Plan?

To be more in charge of your finances, you should learn about health savings accounts, sometimes called HSAs, and high deductible health plans (HDHP), which have lower monthly premiums than many plans by having higher deductibles (the amount you have to pay before your insurance plan will pay anything).

An HSA is a special type of savings account that allows you to put aside funds on a pre-tax basis so to cover certain medical expenses that qualify. You can only have an HSA if you also have an HDHP. Funds from your HSA can be used for copayments and deductibles, as well as some other qualified expenses.

How Do HSAs Work?

To have an HSA, you need an HSA-compatible HDHP. Once you have that, you can set up an HSA. When needed, you can withdraw from your HSA for expenses not covered by your HDHP.

HSAs primarily save you tax money. Deposited funds are not taxed, and healthcare withdrawals are also tax-free. Additionally, you can earn tax-free interest on your HSA investments.

Another benefit is that any remaining funds in your HSA at the end of the year roll over. Essentially, an HSA functions similar to a 401(k) for healthcare expenses.

You can use HSA funds for yourself, your spouse, and dependents. This means your entire family can benefit from having an HSA.

Is an HSA Right for You?

Deciding if an HSA suits you and your family is a personal choice. While it offers numerous benefits, it may not resonate with everyone. Nevertheless, an HSA proves valuable for those with medical expenses. It provides flexibility as the funds in your account can be withdrawn or invested according to your needs. Moreover, these funds are yours to keep, rolling over annually and remaining accessible even if you switch jobs or change insurance plans.

What Are the Eligibility Requirements for an HSA?

To obtain an HSA, you first need to make sure that you are eligible. While HSAs are available to many, there are some things that can prevent you from qualifying for one. A prerequisite for getting an HSA is already being covered under an HDHP. As well as having one of these plans, you have to make sure that you are not covered by any other non-HDHP healthcare, like Medicare.

You also cannot have received any health care benefits from the Indian Health Service or the VA, which is not connected to a service-related disability, within three months prior. You cannot be enrolled in TRICARE or be able to be claimed as a dependent on someone else's tax returns.

How Much Should You Put in an HSA?

Choose your investment wisely for your Health Savings Account (HSA). Understand the limits for 2023: $3,850 for individuals and $7,750 for families. If you have a big family or expect high medical costs, consider depositing more into your HSA. This can also help if you have regular medical expenses, whether it be prescription drugs or more. Take advantage of a well-funded HSA.

How Do You Withdraw Funds From an HSA?

You can withdraw funds from your HSA at any time. However, keep in mind that withdrawing funds and using them for something other than health expense means that those funds can be taxed.

Once you have an HSA, you will be provided with an HSA debit card to pay for your medical costs. You can also use the card at ATMs to withdraw cash. Getting special checks to pay your medical bills is another possibility, but they may cost extra.

Final Words About HSAs and a High Deductible Health Plan

Managing your health-related finances can sometimes feel like a struggle, especially if you have lots of costs to deal with. On the upside, there are options such as an HSA and a high deductible health plan that can provide affordable coverage.

 

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Insurance covers part of your financial liability for several incidents, from medical costs to a car accident, to damage to your apartment. No one ever knows what surprises life will bring next. Some are good, but some are not. It’s never too early to review your insurance options to provide peace of mind.
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What is a Deductible
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Your plan’s deductible is the amount you pay for covered medical expenses before your health insurance will start paying for them. You need to reach the full amount of a deductible in order for a carrier to begin processing and paying claims. 
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