Written by Howard Yeh
Co-Founder, Chief Revenue Officer, Founding CEO at HealthCare.com
We want to help you make educated healthcare decisions. While this post may have links to lead generation forms, this won’t influence our writing. We adhere to strict editorial standards to provide the most accurate and unbiased information.
It’s no secret that HSAs have a “triple tax advantage.” It’s mentioned everywhere.
But what does a “triple tax advantage” actually mean? Should you invest in your HSA before investing in a 401(k) or an IRA? How do you maximize tax savings while avoiding trouble from the IRS?
Many people know HSAs are tax-advantaged. Fewer understand exactly how those benefits work or how to maximize them.
Today, we’re explaining everything you need to know about the three big tax advantages of an HSA.
HSA Contributions Are Tax-Deductible
The first tax advantage occurs when money goes into your account each payday.
If you contribute to an HSA using payroll deductions through your employer, those contributions are typically made pre-tax. That means the money isn’t included in your taxable income.
If you contribute directly on your own, meanwhile, you can generally deduct those contributions when filing your federal income tax return.
Either way, contributing to an HSA can reduce your current-year tax bill while helping you prepare for future healthcare expenses.
If you made $70,000 last year and contributed $4,000 to your HSA, then you effectively made $66,000, according to the IRS.
Employer Contributions Are Tax-Free
Some employers contribute to an HSA on your behalf – similar to how some employers match 401(k) contributions.
Unlike regular wages, employer HSA contributions are generally not subject to federal income tax.
As an employee, your employer’s HSA contribution is essentially free money. You can use it for healthcare costs today or save it for the future.
If your employer offers HSA contributions, it’s a valuable benefit of a high-deductible health insurance plan.
HSA Contributions Could Avoid Payroll Taxes
Payroll tax savings are a lesser-known benefit of HSAs.
When you contribute to an HSA through payroll deductions, you typically avoid federal income tax and the two major payroll taxes: Social Security and Medicare taxes.
For many workers, this creates an additional tax advantage that retirement accounts, like traditional IRAs, don’t offer.
Over a single year, avoiding payroll taxes may not seem like massive savings; however, they add up significantly over time.
Investments Grow Tax-Free
The second component of the triple tax advantage happens after the money is deposited.
Once the money is deposited into your HSA, you can typically invest it into ETFs, mutual funds, bonds, and other investment vehicles.
As your investment grows over time, your tax burden doesn’t increase: your money grows tax-free in an HSA.
Let’s say you make smart investments and your HSA grows from $100,000 to $5 million by the time you retire. You don’t pay capital appreciation tax on this growth.
Two Main Tax-Free Withdrawal Options
Investments grow tax-free in an HSA. As they grow, you have two main ways to withdraw those investments without incurring additional taxes (like income tax).
Tax-Free Withdrawal Option #1: For Qualified Medical Expenses
As long as withdrawals are used for qualified medical expenses, you won’t pay federal income tax on the money.
Medical devices, medical bills, over-the-counter drugs, and other common medical expenses are all considered “qualified medical expenses.”
If you spend $1,000 per year on healthcare costs, for example, then you can withdraw $1,000 per year tax-free from your HSA at any time.
Tax-Free Withdrawal Option #2: Wait Until 65
Once you turn 65, HSA rules become more forgiving.
You can continue using HSA funds tax-free for qualified medical expenses. In addition, non-medical withdrawals no longer face the additional penalty that applies before age 65.
In other words, HSA withdrawals are taxed as ordinary income after 65, similar to distributions from other retirement accounts. It’s like other retirement accounts, but with the added benefit of covering medical costs tax-free.
Because of this flexibility, HSA funds can serve multiple purposes in retirement, especially as healthcare costs tend to rise with age.
Future Reimbursement Potential
One of the best ways to use an HSA is to reimburse yourself later for healthcare expenses today.
Let’s say you spent $1,000 on healthcare bills this year. You could withdraw $1,000 from your HSA and pay for those healthcare costs today.
Or, you could track that amount in a spreadsheet, keep the receipt, and pay the $1,000 in cash today – then let the $1,000 grow in your HSA for decades before withdrawing it.
There’s no time limit on HSA withdrawals. If you spent money on legitimate healthcare costs, then you could withdraw the money from your HSA tax-free today or 50 years from now. In many cases, letting the money grow tax-free over time is a better choice.
Final Word: Why HSAs Continue to Be Popular
Health savings accounts offer something increasingly rare in the world of taxes: advantages at every step.
- Contributions can reduce your taxable income.
- Investments can grow without annual taxes.
- Qualified withdrawals can be taken tax-free.
Because of these three tax advantages, many financial experts consider an HSA to be one of the most valuable accounts for eligible individuals.
Compare today’s best HSA providers or check eligibility at HealthcareInsider.com today.
Prescription Savings Made Simple
Save at over 80,000 pharmacies nationwide with CareCard.
Get Started
