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Health Savings Accounts

When doing tax planning, one of the options we recommend people consider is opening a Health Savings Account, or HSA.  HSAs are similar to IRAs - they let you put money aside for future use, and receive special tax benefits.

An IRA allows you to put money aside that you are not taxed on now, but that you pay taxes on once you access the money.  With a Roth IRA you pay taxes on the money now, but not later when you withdraw the funds.  With an HSA, if the money is only spent on qualified medical expenses, you never pay taxes on deposits or withdrawals.

How HSAs Work

HSAs may only be opened and funded if you have a qualifying high deductible health insurance plan.  These plans have deductibles between $1100 and $5500 for individuals, and between $2200 and $11,000 for families.  If you purchase your own health insurance, make sure to ask your agent about HSA-qualified plans.  If you are covered by an employer, see if they make these plans available.  Many employers will also help you fund the HSA.

Those who qualify are allowed to deposit into their account up to $2850 per year for individuals, and $5650 per year for families.  The contribution is 100% deductible on your 1040, and most states also give a tax-deduction.

Tax Savings

In addition to the immediate tax savings, one of the biggest advantages of retirement accounts like HSAs are that the funds are allowed to grow without being taxed each year.  This can dramatically increase your return.  For example, if you are in the 33% tax bracket, you would need a 15% return on a taxable investment to match a tax-deferred yield of only 10%.

As another example, if you are in a 33% tax bracket and were to invest $5,650 each year in a taxable investment that yielded a 15% return, you would have $312,149 after 20 years.  If you put that same money in a tax-deferred investment vehicle like an HSA, you would have $558,317 - over $240,000 more.

Saving for Retirement

The biggest reason more people don't retire before age 65 is lack of health insurance, and many Americans reach age 65 woefully unprepared for the medical expenses they'll face once they do retire.  One of the most important long-term reasons for establishing an HSA is to build up some money for medical expenses incurred during retirement.

Fidelity Investments reports that the average couple retiring in 2006 will need $200,000 just to cover medical expenses during retirement.  HSAs are, without exception, the best way to build up money to pay for medical expenses during retirement.  Because only Health Savings Accounts allow you to make withdrawals tax-free to pay for medical expenses, you should maximize your HSA contribution before you contribute any money to your traditional IRA, or 401 (k).  You can take these distributions anytime before or after age 65.

Your HSA contributions won't affect your IRA limits -- $3,000 per year or $3,600 for those over 55.  It's just another tax-deferred way to save for retirement, with the added advantage being that you can withdraw funds tax-free if they are used to pay for medical expenses.

For early retirees who are healthy, a Health Savings Account can also be a smart option to help lower their health insurance costs while they wait for their Medicare coverage.  The older someone is, the more they can save with an HSA plan.  For many people in their 50's and 60's who are not yet eligible for Medicare, HSAs are by far the most affordable option.

Lower Insurance Premiums

Because they have higher deductibles, HSA plans are usually much less expensive than traditional co-pay plans.  Individual health insurance plans are individually underwritten, so pre-existing health conditions could prevent you from qualifying or result in a rate-up or having exclusions placed on your policy.  To get an instant quote on available plans, fill in your zip code below.

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