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How to Make the Most of Your HSA and FSA for Healthcare Savings

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    David Botha

How to Make the Most of Your HSA and FSA for Healthcare Savings

Healthcare costs can be a significant drain on your finances. Thankfully, there are powerful tools designed to help you save on medical expenses: Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). But simply having one isn’t enough – you need to understand how to use them effectively. This guide will help you get the most out of your HSA and FSA in 2020.

What are HSAs and FSAs?

  • Health Savings Account (HSA): An HSA is a tax-advantaged savings account specifically designed to be used with a high-deductible health plan (HDHP).
    • Tax Benefits: Contributions are tax-deductible (or pre-tax if made through payroll deduction), earnings grow tax-free, and withdrawals for qualified medical expenses are also tax-free.
    • Triple Tax Advantage: This is what makes HSAs so appealing.
  • Flexible Spending Account (FSA): An FSA is a pre-tax account set up to pay for qualified medical expenses. However, unlike an HSA, FSAs typically have a "use-it-or-lose-it" rule.

Key Differences & Considerations

FeatureHSAFSA
Health PlanRequires HDHPCan be used with any health plan
Use-it-or-Lose-itNoTypically Yes
CarryoverYes, unused funds roll overOften No, unless specific rules apply
OwnershipYou own the accountEmployer owns the account

Making the Most of Your HSA

  1. Eligibility: To contribute to an HSA, you must be covered under a qualified HDHP. (Check the IRS website for current HDHP requirements.)
  2. Contribution Limits: For 2020, the HSA contribution limits are:
    • Individual: $3,550
    • Family: $7,100
    • (These limits can change annually – always check the IRS website).
  3. Catch-Up Contributions: If you're age 55 or older, you can make an additional $1,000 catch-up contribution.
  4. Invest Your HSA: Don't just let your HSA funds sit in a low-interest account. Many HSAs offer investment options, allowing you to grow your savings over time.
  5. Treat it Like a Retirement Account: Start saving early and regularly to take advantage of the long-term growth potential.

Maximizing Your FSA – A Strategic Approach

  1. Understand the “Use-it-or-Lose-it” Rule: Most FSAs require you to spend the money within the plan year. If you don’t, you typically forfeit the funds.
  2. Estimate Your Expenses: Carefully assess your anticipated medical expenses (co-pays, prescriptions, dental, vision, etc.) to ensure you can utilize the full amount.
  3. Carryover (If Available): Some FSAs allow for a limited carryover of funds to the next year. Confirm your plan’s rules.
  4. Communicate with Your Employer: Discuss your FSA options and potential expenses with your HR department to ensure you're making informed decisions.
  5. Consider a Healthcare Spending Account (HSA-linked FSA): Some employers offer a hybrid account that combines the benefits of both HSAs and FSAs.

Resources:

Disclaimer: This information is for general guidance only. Consult with a qualified financial advisor before making any decisions about your healthcare savings.