Get to Know Health Savings Accounts

Pay for medical expenses and save for retirement using a tax-advantaged Health Savings Account.

Laura Adams, MBA
4-minute read
Episode #84

In today's episode I'm going to discuss how to pay for medical expenses and save for retirement using a tax-advantaged health savings account.

Health Savings Accounts are extremely flexible savings vehicles that offer many advantages. Called HSAs for short, these programs are available for United States taxpayers to provide a tax advantage that offsets our growing health care expenses.

First, I’ll discuss who is qualified to have an HSA, then I’ll explain more about the specifics of HSA’s, how you open one, and the benefits.


To qualify for a Health Savings Account, you must meet the following five requirements:

  1. You must be 18 years of age.
  2. You must have a high-deductible health plan, or HDHP (more details about these in a moment).
  3. You cannot have any general health coverage other than a high-deductible health plan.
  4. You must not be enrolled yet for Medicare benefits.
  5. You cannot be claimed as a dependent on someone else’s 2007 income tax return.

If you meet these five criteria, congratulations, you're eligible to have a Health Savings Account! And if you're not eligible right now, stay with me, because you might become eligible in the future.


So, what’s considered a high-deductible health plan? Well, it's exactly that--it has a higher than typical annual deductible. A deductible is the maximum amount of out-of-pocket medical expenses that you would pay during the year before your insurance takes over.

High deductibles mean lower monthly premiums. So high-deductible plans can be the logical choice for you or your employer as the cost of health insurance steadily rises.

Opening an Account

If you qualify to have an HSA, it's easy to open one up. This is done through a qualified HSA trustee which could be a bank, an insurance company, or anyone who is already approved by the Internal Revenue Service to be a trustee of IRAs.

Deposit Limits

You may be wondering how much you can deposit into a Health Savings Account each year. Well, the maximum amount that can be contributed for the 2008 tax year is $2,900 for an individual policy and $5,800 for a family policy. If you're age 55 or older, there is a catch up policy that allows you to contribute an extra $900 a year to either an individual or family policy.

Rollover Opportunity

If you're qualified to have an HSA, but still haven't opened one, I really want to encourage you to do it. The program offers a great once-in-a-lifetime funding opportunity to open your HSA using money you may already have saved in your IRA.

The trustee of your IRA simply transfers the money to the trustee of your new HSA. This distribution is not included in your income nor is it tax deductible. You can also rollover funds from other types of qualified medical savings accounts into HSAs.


There are many benefits you'll enjoy when you have an HSA. Consider the following 8 advantages:

  1. Contributions that you make to the account, up to the legal limit, are tax deductible
  2. Any contributions made by your employer are excluded from your gross income, so you get to spend them as pre-tax dollars
  3. All contributions remain in your account indefinitely, until you choose to use them -- there's no penalty if you don’t use the money
  4. Interest you earn on the account accumulates over the years tax-deferred, and if used to pay for qualified medical expenses is tax free
  5. Withdrawals used to pay qualified medical expenses for you, your spouse, and your dependents are never taxed
  6. The account is portable, which means that you'll always own the account even through life changes such as marriage, divorce, changing jobs, being unemployed, retirement, moving out of state or out of the country, changing your insurance provider, or even becoming uninsured
  7. Paying for qualified expenses directly from your HSA is very convenient; most institutions offer checks, a debit card, and even online banking
  8. And lastly, the money you save in your HSA will be there to pay for qualified expenses in the event of job loss, unexpected health needs, or to bridge the gap between retirement and the start of Medicare benefits.


About the Author

Laura Adams, MBA

Laura Adams received an MBA from the University of Florida. She's an award-winning personal finance author, speaker, and consumer advocate who is a frequent, trusted source for the national media. Money-Smart Solopreneur: A Personal Finance System for Freelancers, Entrepreneurs, and Side-Hustlers is her newest title. Laura's previous book, Debt-Free Blueprint: How to Get Out of Debt and Build a Financial Life You Love, was an Amazon #1 New Release. Do you have a money question? Call the Money Girl listener line at 302-364-0308. Your question could be featured on the show.