Tax Secrets – Health Savings Accounts (HSAs)

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Tax Secrets – Health Savings Accounts (HSAs)

By Susan M. Graham, Certified Elder Law Attorney, Senior Edge Legal, Idaho

What is a “Health Savings Account” and why would you want one? [1]

HSAs are tax-advantaged individual-owned accounts that let you save pre-tax  dollars for future“qualified medical expenses.”  You can invest the funds in interest bearing accounts or other investments such as mutual funds tax-free.

There is no tax for the HSA funds going into an account and the funds grow tax-free.  There is no tax on withdrawals that are used to pay eligible health expenses.

Many people have high deductible health insurance plans.  A family may have a $5,000 deductible per family and $2500 per individual.  The problem then becomes how to pay the deductible portion when health expenses occur.

What are some allowed “qualified medical expenses”?

Alcoholism, ambulance, artificial teeth, capital expenses [ramp for your home, support bars, modify hardware on doors, and more], eye exam, eyeglasses, chiropractor contact lenses, hearing aids, long term care services, long term care insurance contract, nursing services, oxygen, transportation for medical services, weight-loss programs and wheelchairs.  See IRS Publication 502.

Some of the tax savings for an HSA are:

  • No taxes paid on the funds going into an HSA account
  • HSA funds are not subject to income or capital gains taxes.
  • HSA funds may be used to reimburse an individual for “qualified medical expenses” that were paid by that individual from out-of-pocket funds, so long as the individual can show receipts, even if it is years later.

If you have a Health Savings Account as part of your personal safety net and your estate plan, it can be used in more ways to help than you imagined.

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[1] “Tax Secrets of Health Savings Accounts,” Laura Saunders, Wall Street Journal, September 30, 2022

Susan M. Graham

Susan M. Graham is founder of Senior Edge Legal (known previously as The Graham Law Office, P.A.). An authority on estate planning and elder law, Ms. Graham is a widely acclaimed speaker and seminar leader in the field of estate planning. Ms. Graham’s journey into estate planning stems from personal experience, witnessing the profound challenges faced by loved ones left without a plan.