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Health Savings Accounts (HSA)

 
These accounts, in conjunction with a specific type of health insurance plan, can result in SUBSTANTIAL REDUCTION of the cost of your health insurance. That goes for individual/family coverage as well as with group coverage.
 
A Health Savings Account (HSA) is an account you can use for qualified healthcare expenses.

Both you and your employer can put money in your HSA. Once money goes into the account, it's yours forever - the HSA is in your name, just like a personal checking or savings account.

 

Why use an HSA for healthcare expenses?

 

Because you fund the HSA with pre-tax money, you are using tax free funds for healthcare expense that you would normall pay for yourself out of pocket. Your HSA contributions do not count toward your taxable income for federal taxes. Note: self employed people may not be allowed to contribute to an HSA pre-tax. Consult with your tax advisor.

Another advantage is that your account can grow over time.

Since the money always belongs to you, even if you leave the company, and unused funds carry over from year to year, you never have to worry about losing your money. That means if you don’t use a lot of healthcare services now, your HSA funds will be there if you need them in the future – even after retirement.

The HSA also becomes an investment vehicle.

With most HSA accounts, your account can grow tax-free in an interest-bearing savings account, a money market account, a wide variety of mutual funds – or all three. Of course, your funds are always available if you need them for qualified healthcare expenses. You don't face penalties when the funds are used for qualified healthcare costs (but never for premiums).

To be eligible to contribute to an HSA, you need to get a certain kind of health plan called a High Deductible Health Plan.

Often you'll see this plan abbreviated as HDHP. In addition to the qualified High Deductible Health Plan requirement, the IRS has set other rules about participating in an HSA.

You cannot have an HSA if any of the following is true:

  • You're covered by other insurance that pays for medical services, like coverage under a spouse's plan.
  • You are enrolled for Medicare benefits.
  • You can be claimed as a dependent on another person's tax return.

Generally, you can put enough in your HSA to cover your entire deductible, and then the qualified High Deductible Health Plan helps you pay for healthcare after you meet the deductible. The annual contribution limit is based on IRS rules. In general, the total amount that goes in your account each year – from both you and your employer – can't be more than the IRS annual contribution limit. If you're age 55 or older, you're allowed to make extra contributions each year.

You can spend only the money that's actually in your HSA.

If your healthcare expense is more than your HSA balance, you need to pay the remaining cost another way, such as cash or personal check. You can request reimbursement after you have accumulated more money.

You can use your HSA for your spouse and dependents – even if they aren't covered by your High Deductible Health Plan.

You can use HSA funds for IRS-approved items

Examples include:

  • Doctor's office visits
  • Dental services
  • Eye exams, eyeglasses, contact lenses and solution, and laser surgery
  • Hearing aids
  • Orthodontia, dental cleanings, and fillings
  • Prescription drugs and some over-the-counter medications
  • Physical therapy, speech therapy, and chiropractic expenses
  • Health Savings Account funds cannot be used to pay insurance premiums

More information about approved items, plus additional details about the HSA, is available on the IRS Website at www.irs.gov.

Every time you use your HSA, save your receipt in case the IRS asks you to prove your claim was for a qualified expense. If you use HSA funds for a nonqualified expense, you'll pay tax and penalty on the ineligible amount.

The HSA may sound a little like a Flexible Spending Account (FSA). Even though both are tax-free accounts to help pay expenses your health plan doesn't cover, they differ in several important ways. If you have both accounts, you can only use the FSA for dental and vision care, as well as for certain preventive care services. This is called a "limited FSA."

How it works example - single coverage

Lucy enrolls in a High Deductible Health Plan. Her plan is effective January 1, 2009 and has the following features:

  • $1,500 single deductible
  • 80 percent coinsurance for in-network providers

She also has a Health Savings Account. Even though Lucy and her employer can put up to $3,000 in a Health Savings Account, Lucy funds the account up to the deductible ($1,500):

  • $500 from her employer
  • $1,000 from Lucy's tax-free paycheck deductions
Year 1

Lucy's healthcare costs are higher than usual because she breaks her leg. Her expenses for the year total $2,715:

  • Hospital doctor's services - $650
  • Hospital facility cost - $350
  • X-rays at hospital - $200
  • Specialist office visit - $315
  • Six physical therapy sessions - $1,050
  • Two prescriptions - $150
Here's how Lucy uses her HSA to pay for healthcare
HSA funds$1,500
Total cost of services$2,715
Lucy uses HSA to pay deductible$1,500
Balance of cost of services$1,215
PPO plan pays 80% of costs$972
Lucy pays remaining 20%$243
HSA funds remaining$0
Summary

When the accident happened, Lucy used the HSA dollars deposited so far to cover her deductible. She wrote a check for the rest and then got reimbursed from her HSA when more money went into the account. After Lucy used the HSA to meet her $1,500 deductible, her health plan kicked in to help her pay the remaining $1,215. The plan paid 80 percent coinsurance, and Lucy paid the other 20 percent out of pocket. Because she used all the money in her HSA, Lucy has a zero balance at the end of the year.

Year 2

Lucy's healthcare costs aren't as high as last year. She has an illness that requires two doctor's office visits and two prescriptions. Her expenses for the year total $435:

  • Two doctor's office visits - $200
  • Two prescriptions - $235
Here's how Lucy uses her HSA to pay for healthcare
HSA funds$1,500
Total cost of services$435
Lucy uses HSA to pay deductible$435
HSA funds remaining$1065
Summary

Because her healthcare expenses were only $435, Lucy didn't use all of her HSA funds. She also didn't have to use any of her take-home pay to cover out-of-pocket costs. At the end of the year, she has $1,065 left - all of the money she put in, plus part of her employer's contribution. She can use the money tax-free for healthcare expenses in the future and even invest it tax-free.

These examples are for the purpose of illustration only. The amounts will vary, depending on the plan selected and whether you have single or family coverage.

How it works example - family coverage

Doug chooses a High Deductible Health Plan that covers himself, his wife Tina, and their two children – four-year-old John and newborn Julie. Their plan is effective January 1, 2009 and has the following features:

  • $2,500 family deductible
  • 80 percent coinsurance for in-network providers

Even though Doug and his employer can put up to $5,950 in a Health Savings Account, Doug funds the account up to the deductible ($2,500):

  • For the first year, Doug's employer contributes $500, and Doug adds another $2,000 in tax-free paycheck deductions.
  • For the second year, Doug's employer contributes another $500. Doug adds $2,000 to the account through tax-free paycheck deductions. He also has the $1,725 left over from Year 1.
Year 1

Both children get sick once during the year. Not surprisingly, they spread the illness to their dad - but Tina manages to avoid it. Doug, John, and Julie each visit the doctor once. Doug and John need a prescription to treat the illness, and John also gets some lab tests. The family's expenses for the year total $775:

  • Three doctor's office visits - $300
  • # Lab tests - $100
  • # Three prescriptions - $375
Here's how Doug uses an HSA to pay for healthcare
HSA funds$2,500
Total cost of services$775
Douguses HSA to pay deductible$775
HSA funds remaining$1,725
Summary

Because the family's healthcare expenses were only $775, Doug didn't use all of his HSA. He spent his employer's $500 contribution, plus $225 of the money he put in tax-free. At the end of the year, he's spent none of his take-home pay on out-of-pocket costs, and he still has $1,725 left to use for future healthcare expenses.

Year 2

This year, John is injured – leading to X-rays, a three-day hospital stay, knee surgery, and two prescription drugs. On top of that, both Tina and Julie get sick and have to go to the doctor. The family's expenses for the year total $7,710:

  • Hospital care - $3,000
  • X-rays - $250
  • Surgeon and anesthesiologist - $4,000
  • Two doctor's office visits - $200
  • Two prescriptions - $260
Here's how Doug uses an HSA to pay for healthcare
HSA funds$4,225
Total cost of services$7,710
Doug uses HSA to pay deductible$2,500
Balance of cost of services$5,210
PPO plan pays 80% of costs$4,168
Doug pays remaining 20% with HSA$1,042
HSA funds remaining$683
Summary

Doug used the $2,500 in his HSA to meet the plan's deductible, leaving $1,725 in his account. After meeting the deductible, the family's health benefits kicked in to pay 80% of the remaining healthcare costs. Doug paid the other 20 percent with his HSA. He didn't have to use any of his take-home pay to cover out-of-pocket costs, and he still has $683 left to use for future healthcare expenses.

These examples are for the purpose of illustration only. The amounts will vary, depending on the plan selected and whether you have single or family coverage.


Information provided on this website is for informational purposes only, and does NOT substitute for proper tax advice from a professional tax advisor.

Real Life with

an HSA

 

Your health insurance premiums (monthly cost) are through the roof. Your deductible higher than you'd like. What can an HSA do for me?

 

Well, quite simply it is very possible that by changing your health insurance plan design to one with an appropriate High Deductible Health Plan (HDHP), you can often reduce your premiums so greatly that even with the out of pocket costs that you bare, the savings will be MORE than you have to pay for any out of pocket issues.

 

Example with current plan:

 

Current Plan

 Monthly Premiums:$1100
Deductible:$1000
Out of pocket maximum:$5000 

 

 

New Plan

 Monthly

Premiums

$377
Deductible:$9000
Out of pocket maximum:$9000 

Annual Savings:

$8676 

 

At first glance, you might think "Wait a second, my deductible went up so high that it makes difference, right?" WRONG!

 

The original plan still has an out of pocket maximum AFTER the deductible is satisfied. So if you had a major medical event, you would still be paying even after your deductible.

 

So the real difference between the out of pocket exposures (the possibility of YOU paying some of the medical expenses) is only $4000. You are saving $8676. So even if you end up in the hospital you still come out ahead $4676 for the year. This is why these HSA plans with High Deductible Health Plans (HDHP) are SO INCREDIBLE!!

 

Confused? Don't be. Call the Jason Ross Insurance Agency and talk with us.Our phone number is 888-414-5678.

 


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