Health Savings Accounts (HSA) Cheat Sheet

Overview

Health Savings Accounts (HSAs) provide a tax-advantaged way to save for medical expenses. They offer triple tax benefits: tax-deductible contributions, tax-free growth, and tax-free withdrawals for qualified expenses.

2025 HSA Contribution Limits

Coverage Type Contribution Limit Catch-Up (Age 55+)
Individual $4,300 +$1,000
Family $8,550 +$1,000

Eligibility Requirements

  • Must be enrolled in a High Deductible Health Plan (HDHP).
  • Cannot be enrolled in Medicare.
  • Cannot be claimed as a dependent on someone else's tax return.

Tax Benefits of HSAs

  1. Tax-Deductible Contributions – Reduces taxable income.
  2. Tax-Free Growth – Earnings from investments grow tax-free.
  3. Tax-Free Withdrawals – No taxes on qualified medical expenses.

Qualified Medical Expenses

  • Doctor visits & hospital care.
  • Prescription medications.
  • Dental & vision expenses.
  • Long-term care services.
  • Some over-the-counter medications.

Non-Qualified Withdrawals

  • Subject to income tax + 20% penalty if under age 65.
  • No penalty after age 65, but withdrawals are taxed as income.

Tax Planning Strategies

  1. Maximize Contributions – Reduce taxable income while saving for healthcare.
  2. Invest HSA Funds – Grow savings tax-free for future medical expenses.
  3. Use for Retirement Healthcare – HSAs can cover Medicare premiums after age 65.

Common Pitfalls & How to Avoid Them

  • Not Using Funds for Qualified Expenses – Leads to penalties.
  • Ignoring Contribution Limits – Excess contributions may be taxed.
  • Failing to Invest HSA Funds – Misses out on tax-free growth.

Tools & Resources

  • IRS guidelines on HSA tax benefits.
  • Tax calculators for estimating savings.
  • Financial advisors for personalized tax strategies.