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Health Savings Accounts - HSA Plans - Help & Information

HSA Accounts or HSA plans allow you to save money to pay for future medical expenses on an income tax-free basis.

Do you need an HSA qualified High Deductible Health Plan (HDHP)?
We have a selection of group and individual HSA Plans available in some states.

Do you need to set up an HSA savings account at a custodial bank?
HSA Bank specializes in HSA accounts and has a large selection of investment options.

We offer individual and group HSA plans in Oregon, Washington and Arizona. You can find local agents in other states by searching The National Association of Health Underwriters Database

HSA Custodial Banks   Health Reinbursement Arrangements   Flexible Spending Accounts

Health Savings Accounts - US Treasury Department Guidance

Health Savings Accounts – 2021 HSA Cost–Of–Living Adjustments

HSA Individual High Deductible Health Plan (HDHP) Requirements
Individual Family
Minimum Deductible $1,400 $2,800
Maximum Contribution $3,600 $7,200
Age 55 to 65 Catch-Up Contribution $1,000 $1,000 Each
Maximum Out-Of-Pocket Expenses $7,000 $14,000

Health Savings Accounts – 2020 HSA Cost–Of–Living Adjustments

HSA Individual High Deductible Health Plan (HDHP) Requirements
Individual Family
Minimum Deductible $1,400 $2,800
Maximum Contribution $3,550 $7,100
Age 55 to 65 Catch-Up Contribution $1,000 $1,000 Each
Maximum Out-Of-Pocket Expenses $6,900 $13,800

Health Savings Accounts or HSA Plans for Individuals and Employee Groups

HSA Accounts or HSA plans allow you to save money to pay for future medical expenses on an income tax-free basis. Any individual, who has an approved High Deductible Health Plan (HDHP) and who is not covered under another disqualifying health plan, can participate in an HSA. An employer can also offer Health Savings Accounts to his employees and both the employer and employees are allowed to contribute funds to the HSA. If offered in conjunction with a qualified Flexible Spending Account (FSA) commonly referred to as a cafeteria plan, savings in FICA and FUTA taxes as well as income taxes can be achieved.

An Insurance Policy and a Special Savings Account

An Health Savings Account is really a combination of a health insurance policy meeting minimum US Treasury policy design requirements called a High Deductible Health Plan (HDHP) and a separate custodial savings account for future medical expenses called a Health Savings Account (HSA). Congress created the HSA as a way to cover your future medical expenses, and it is subject to IRS regulations and guidelines. A health insurance company or an insurance plan usually provides the qualified health insurance policy. A licensed HSA administrator and financial services company, such as a bank, usually acts as the custodian and administers the savings account portion of the HSA.

The Health Insurance Plan Must Meet Certain Design Requirements

A qualified HSA plan usually has a single deductible called an Aggregate Deductible that applies to all medical expenses covered by the insurance policy whether you are insuring yourself or an entire family. This deductible must be satisfied each year before the insurance company pays on any medical claims. The single deductible for an individual must be a minimum of $1,350 and can be any deductible up to the maximum out-of-pocket limit of $6,750 (if the plan pays at the 100% level after the deductible) and the single deductible for a family must be at least $2,700 up to the maximum out-of-pocket limit of $13,500 (if the plan pays at the 100% level after the deductible) for the year 2019. Preventive care is provided without having to meet the deductible first. The limits on maximum out-of-pocket expenses include both the deductible and any shared expenses you are obligated for. These limits are subject to annual cost-of-living adjustments determined by the IRS, which will cause these values to change over time. You can exceed the out-of-pocket limits if you go outside the provider network on a preferred provider plan. The plan still qualifies.

Some plans are available with a separate individual deductible called an Embedded Deductible. Once a family member meets his or her embedded deductible, that members further claims will be paid by the insurance company in accordance with the policy. Claims for other family members are applied to the family or aggregate deductible which must be met before their claims are also paid.

Yearly Savings Allowed in HSA Accounts Based on Annual Limit and Age

You can save up to the maximum contribution limit of $3,500 for an individual HSA health plan and $7,000 for a family HSA health plan regardless of the HDHP deductible for 2019. These limits are also subject to annual cost-of-living adjustments. Amounts are no longer pro-rated if you start the plan mid-year. You can now make the full year's contribution even if you start as late as December 1st. Individuals age 55 to age 65 can contribute an additional $1,000. If both husband and wife are over 55, each can contribute the additional amount to an HSA. An HSA account is an individual account. With a family HSA health plan, both a husband and wife can set up separate HSA accounts, or one spouse can set up a single HSA account usually coupled with a beneficiary designation to the other spouse. Dependent children do not qualify to set up their own HSA. Other family members can contribute funds to an HSA account; however the owner of the account is the only one who can take a tax deduction for those funds. Total contributions cannot exceed the annual limit.

Other Types of Supplemental Coverage Are Permitted Along with HSA Accounts

You can have a policy covering a specific disease such as cancer, one providing a fixed payment for hospital coverage such as a daily benefit, or you can have one that provides supplemental accident, disability, dental, vision or long-term care benefits.

Use of HSA Funds to Pay Medical Expenses

Funds in an HSA account can be used to pay both medical expenses incurred in meeting the deductible and any required shared expenses you are responsible for each year tax-free. These funds can also be used to cover qualified medical expenses not covered by the health insurance plan such as vision and dental expenses. Funds in an HSA can be used for any family member's eligible medical expenses even though HSA accounts are individual accounts. See IRC Section §213 - Medical, dental, etc., expenses or IRS Publication 502 "Medical and Dental Expenses" for IRS rules on allowable expenses. You can no longer use funds to purchase over the counter medications.

Two Different Definitions of a Dependent

The Patient Protection and Affordable Care Act of 2010 (the new healthcare law) considers dependent children up to age 26 as dependents, but does not define the word child. The IRS defines a qualifying child dependent as follows:

  • Daughter, son, stepchild, sibling or stepsibling (or any descendent of these)
  • Has same principal place of abode for more than one-half of taxable year
  • AND not yet age 19 (not yet age 24 if student)
  • OR permanently and totally disabled

If you add a dependent child to your HSA qualified health plan that is over the age of 19 who is not attending school or over age 25 whether in school or not, you cannot use HSA funds to pay for their medical expenses. In these situations, the dependent child would not be considered a family member for purposes of using HSA funds to pay for medical expenses. Medical expenses would have to be paid from taxable funds outside the HSA

Savings Account Money Belongs to You and Can Be Accumulated

You own the HSA funds in your account. If you have an HSA as part of an employer sponsored health plan, you still own the funds, including any employer contributions, and can take them with you when you leave or retire. You can carry unused funds over from year to year until retirement, if you wish. Like an IRA, investment earnings accrue tax-free. If you withdraw funds prior to age 65 for non-medical expenses, you will be subject to a 20% income tax penalty in addition to any other income taxes you may owe on the accumulated funds. The 20% penalty is waived in the case of death or disability.

After age 65 you can continue to use the funds tax-free for medical expenses, long-term care expenses, Medicare Part B premiums, premiums on Medicare Advantage plans (not Medicare Supplements), Prescription Drug plans, long-term care premiums or you can withdraw the funds for other purposes subject to normal income taxes without a penalty. There are no requirements o start withdrawing funds at age 70 1/2 like required for an IRA.

Other Important Health Savings Accounts Contribution Considerations

If you also have an MSA Plan you total contribution to both plans cannot exceed the contribution limits discussed above for an HSA. Contributions are tax-deductible for the individual even if he does not itemize deductions on his tax return. Employer contributions are made on a pre-tax basis.

Transfer of Ownership to Spouse on the Death of An Individual

HSA ownership may transfer to an individual's spouse, upon death, on a tax-free basis.

Special One-Time Rollover Provisions

You are allowed a one-time rollover from a Health Reimbursement Arrangement (HRA) and Flexible Spending Account (FSA) into your HSA. You are also allowed a one-time rollover from an Individual Retirement Account (IRA) into your HSA.