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Health Savings Accounts
A health savings account (HSA) gives eligible individuals and families the opportunity to make tax-deductible contributions to savings at compounding interest rates while also reserving them the ability to pay for qualifying medical costs tax-free. All health savings accounts come with IRS-enforced eligibility requirements that include being covered by a high deductible health care plan (HDHP), not being enrolled in Medicare, and not being claimed as a dependent on someone else’s tax return.
Benefits of a Health Savings Account
For individuals and families who are unable to obtain health insurance plans with low deductibles, an HSA could be a helpful way to cover the increased out-of-pocket expenses (potentially) created by higher deductibles. Opening a health savings account could be a great financial planning strategy, as well. Because high-deductible health care plans usually come with the lowest monthly premiums available, you could save a sizable amount in premium costs each month and add them to your HSA.
HSA Tax Implications
As far as the tax implications go, every contribution you make to a health savings account (HSA limits allow up to $3,275 for an individual and $6,550 for a family in 2014) may be deducted from adjusted gross income on your tax return. Any contributions withdrawn before the age of 65, and for non-qualifying reasons, are taxable and must be reported as income. Also, any contributions made to the account in excess of the maximum amounts noted above cannot be deducted and will be included to gross income. Earnings from interest that accumulate on the funds in a health savings account are taxed-deferred and thus not included in gross income (unless used for non-medical, and thus non-qualifying, purposes).
Employer Health Plans
Many employers offer several health care options to their employees as a part of benefit packages. Some offer a high deductible health plan and include an offer to pay into a separate health savings account owned by the individual employee. A lot of employers are reluctant to do this, however, as the employee is able to take all contributions with them if they were to leave the company. Instead, employers offering a high deductible health plan option will contribute some amount into a health reimbursement account, which enables them to hang on to any contributions not used by the employee at the time he or she leaves the company.