Health Savings Account-Health Savings Account Info

Americans spend over $30 billion each year on complementary and alternative therapies, mostly out of their own pocket. That is because few health insurance plans cover expenses like homeopathy, acupuncture, or Chinese medicine. But if you own a Health Savings Account, these expenses are 100% tax deductible.

Health Savings Accounts allow you to set up a tax-deductible account to pay for medical expenses that are not covered by your health insurance. These include expenses to cover your deductible, and other medical expenses like dental and eyeglasses. But many don’t realize that HSA funds can be used to pay for virtually any type of medical service, as long as it pertains to the treatment or prevention of a specific health condition.

Because money withdrawn from a health savings account to pay medical expenses is tax-free, anyone who has an HSA can funnel all alternative medical expenses through their HSA and get a tax write-off. This could include biofeedback, naturopathy, Ayurvedic medicine, aromatherapy, magnetic healing, reflexology, and the list goes on.

People who use complementary therapies are often very health conscious, and go to traditional physicians less often. So it does not make sense for them to be paying a high premium for a traditional health insurance plan with a co-pay, particularly when their medical treatments are not covered anyway. Instead, many are choosing a low cost high-deductible HSA plan.

Alternative Therapies Becoming Mainstream

Many hospitals are now offering complementary treatments. The website for the Memorial Sloan-Keating Cancer Center states that complementary therapies are used to “help alleviate stress, reduce pain and anxiety, manage symptoms, and promote a feeling of well-being.”

Some group health insurance plans are beginning to cover more complementary expenses, but there is still very little coverage for these expenses in individual or family plans. Those that cover chiropractic limit coverage to 12 – 20 visits per year, and a few will cover a limited amount of acupuncture. But very few if any cover hypnotherapy, Reiki, iridology, or faith healers.

Why Complementary Medicine

The conventional medicine practiced by most MDs is called allopathic medicine. The philosophy of this system is to treat disease and injury using counteractive methods. For instance, if you have a fever you may take aspirin to make it go down, if your cholesterol is elevated you may take a statin to reduce it, if you have heartburn you may take an antacid. The thinking is mostly focused on removing the symptoms of disease, and the primary treatment modalities are surgery and prescription drugs.

But there are other ways to look at things. Naturopathic medicine is based on the belief in the body’s own healing powers, which can be strengthened through the use of certain foods, vitamins, herbs, or other “natural” treatments. Traditional Chinese Medicine (TCM) is based on ancient Chinese theories about the balance of yin and yang. Ayurvedic medicine is based on principles of movement, metabolism, and structure.

Part of the growing use of complementary therapies is a reaction to the costs, side effects, and philosophy of conventional allopathic medicine. Physicians get much of their continuing education from the pharmaceutical industry, and they work in an environment where the insurers and the patients are both looking for a quick fix. The result is that the average 60 year old is now taking 5 regular medications, yet there is little expectation that those drugs will ever cure the health problems for which they’re being used. Many consumers see this, and instead are using other methods to try to get to the root of their illness.

What is Considered a “Qualified HSA Expense”

Qualified medical expenses have been partially defined in IRS Publication 502, and through various federal court rulings. There is no definitive list, but there are really very few restrictions as long as the procedure is for the treatment or prevention of a specific health condition. For instance, you could not use your HSA funds to pay for a relaxing massage for your own personal pleasure. But if your doctor recommends you get a massage for specific medical reasons, this is considered a qualified expense. Yoga would not normally be considered a qualified medical expense, but it would be if it was recommended as a physical therapy following some sort of accident.

Some may question why the government would give a tax deduction for someone to use some crazy energy vibration machine to cure their cancer. But this is as it should be. No one but you should be able to decide what type of treatment you will use for your own illnesses. By empowering individuals to manage their health as they see fit, HSAs encourage personal responsibility and help loosen the monopoly on healthcare that conventional medicine has had for the past few decades.



By: Wiley Long

About the Author:

Lori

 

The December 1st deadline is drawing near to secure substantial savings on your current year taxes. With the upheaval in our economy, there has been quite a surge in the number of people applying for HSA-qualified health insurance. HSAs, or Health Savings Accounts, allow you to put aside pre-tax money to cover future medical expenses. Anyone that has a plan in effect no later than December 1st is qualified to make a tax deductible contribution to their HSA during the current year, and may be able to reduce the taxes they owe on April 15th by $1900 or more.

 

While conventional co-pay plans continue to be popular, there has been a large increase in the number of people choosing to invest in health plans that work with Health Savings Accounts. HSA plans have become a better choice for many because these plans have premiums that are usually quite a bit lower than conventional co-pay plans. HSA plans also come with the added incentive that any money deposited into the HSA is tax deductible, which will directly lower the plan holder’s taxable income. A growing number of people are finding that a Health Savings Account is both a wise investment and a valuable way to meet their health insurance needs.

 

In addition to reducing their premiums and lowering their taxes, HSA holders are also able to begin building a tax-deferred medical retirement account. These accounts have proven their value for people who have built their accounts and later experienced unexpected medical issues. Rather than having a large amount of out-of-pocket expenses, these people were able to make a withdrawal on their HSA tax-free to cover the unexpected medical bills. Any growth to this account is tax-deferred and if a withdrawal is made for just about any kind of medical expense, that withdrawal is made tax-free.

 

If you have seriously considered making changes to your current health care arrangements, now is the time to act. At the very least, you could start your own investigation to see if an HSA would be a wise decision for you and your family. You must have your HSA-qualified health insurance in force no later than December 1, in order to take advantage of an HSA contribution and receive the accompanying tax reduction during the current year. Due to the fact that the underwriting process can sometimes take a few weeks, most insurance experts recommend that you apply for a plan as early as possible.

 

Anyone who does have a HSA insurance plan in place before December 1 will be able to contribute to their Health Savings Account up to $2900 as an individual, or up to $5800 as a family. People over the age of 55 can also make an additional contribution of up to $900 to their account. All money placed in these accounts, up to the limits just stated, is not subject to taxes. Someone in a 28% tax bracket who makes a $5800 contribution to their HSA will reduce their April 15th tax bill by $1624-even more when they count the savings on their state income taxes.

 

If you are paying for your own health insurance, now is the time to investigate a Health Savings Account. Online insurance agencies make comparing premiums and applying for coverage simple, and the lower premium and reduced taxes could add up to $4000 or more in annual savings.



By: Wiley Long

About the Author:

Taylor Blaskovich

2009 Health Savings Account Plans:  This article announces the new & improved 2009 annual contribution allowances for Health Savings Account insurance plans.  Please refer my other article (s) that explains in far greater detail about the many specific benefits of HSA Health Savings Plans.

Firstly, if you are still considering an HSA medical plan, you are on the right track.  Wth a Health Savings Account plan, you’ll save significant amounts of money annually on taxes, health insurance premiums, & retirement savings all at the same time. And this can be accomplished without decreasing your real insurance protection or choices of doctors & specialists.  Exercising your financial wisdom and becoming informed is a great decision on your part.

• For 2009, the maximum annual HSA contributions for an eligible individual with self-only coverage is $3,000.  (Get more info on our recommended Health Savings Administrators)

• For family health coverage, the maximum annual HSA contributions is $5,950.

• Catch up contribution for individuals who are 55 years or older has been increased by law to $1,000 for 2009 & all years thereafter.

• Individuals who are eligible (meaning they have an HSA qualified high deductible insurance plan or HDHP) on the first day of the last month of the taxable year (December for most taxpayers) are allowed the full annual contribution (plus catch up contributions, if 55 years of age or older by year end), regardless of the number of months the individual was eligible during the year. For individuals who are no longer eligible on that date, both the maximum HSA contributions and catch up contribution are pro-rated based on the number of months of the year that the taxpayer was eligible.

New Amounts for out-of-pocket spending on HSA-Compatible (HDHP) high deductible health insurance plans:

• For 2009, the maximum annual out-of-pocket amounts for HDHP self-coverage increases to $5,800 and the maximum annual out-of-pocket amount for HDHP family coverage is twice that, $11,600.

Minimum Deductible Amounts for HSA-Compatible HDHPs:

• For 2009, the minimum deductible for HDHPs increases to $1,150 for self-only coverage and $2,300 for family coverage.

Additionally, a fiscal year plan that satisfies the requirements for a high deductible health insurance plan on the first day of the first month of its fiscal year may apply that deductible for the entire fiscal year. Please contact us for no cost advice & expert assistance. See our contact information below in the “about the author” section.

Regardless of income level, if you are paying for health insurance, you owe it to yourself to carefully consider the benefits of an HSA health savings plan versus the traditional health plan you are probably used to.  The expert advisers at http://www.HSA-Health-Savings.com are on a mission because millions of folks and their families are not yet receiving tremendous financial benefits that are so readily attainable TODAY.   We are thrilled as the benefits of health savings plans can literally transform the financial portfolio of people like YOU.



By: Andy Devore

About the Author:

Thomas

The healthcare industry in the United States is dominated by the culture of conventional Western medicine. And health insurance caters to those who control the industry: medical doctors and hospitals. There is a long history of prejudice against chiropractic by medical doctors, which is one reason that chiropractic care is not often covered by health insurance.

Many research studies have shown that chiropractic care is beneficial and that it is more cost effective in the treatment of low back pain and other common musculoskeletal conditions than traditional Western medicine is. Chiropractic also lowers health care costs by focusing on prevention, was well as on treatment.

It is surprising that health insurers choose not to cover treatment that is as beneficial and cost effective as chiropractic care is. Studies have continually shown that individuals who seek the care of a chiropractor on a regular basis are healthier and, generally, spend less on health care than those who do not.

Chiropractic Care and Consumers

What is not surprising is that consumers are wise enough to see the advantages of chiropractic care. Many people prefer to see a chiropractor simply because they see tangible benefits from the care they receive. Many others are disillusioned with traditional Western medicine and the healthcare system, and they look for alternatives such as chiropractic care.

It is clear, both from patient testimonies and from clinical research that consumers benefit from chiropractic care. Unfortunately, they may have difficulty affording chiropractic care because it’s often excluded from healthcare insurance policies.

Health Savings Accounts can help consumers afford chiropractic care, even when it is excluded from their health insurance policy. They can pay for chiropractic care and other alternative medicine with pre-tax dollars by using a Health Savings Account.

Many chiropractors keep their costs as low as possible in order to make chiropractic care more available to consumers. They can, however, only absorb so much of the cost of providing that care. Another way chiropractors can help clients gain access to chiropractic care is to encourage the use of Health Savings Accounts.

Health Savings Accounts and Consumer Choice

The combination of a Health Savings Account and a High Deductible Health Plan (HDHP) is supposed to encourage individuals to become thoughtful, wise consumers of health care. The individual is spending more of his or her own dollars on healthcare, so she will be more concerned about how those dollars are spent.

Health Savings Accounts give consumers more choice in how their healthcare dollars are spent. Money in the HSA must be spent on approved medical expenses, but there are really very few restrictions on what kind of healthcare you choose. More and more chiropractic patients are discovering that having an HSA is saving them money on their medical expenses.

Traditional health insurance has gatekeepers and controls. Even when chiropractic care is covered (not typical on individual plans), the individual requesting chiropractic care may be required to go see their family physician (or gatekeeper) and get a referral. Not all medical doctors will refer to chiropractors. If chiropractic care is covered on the health insurance plan, and if you can get a referral (which amounts to permission to see the chiropractor), there may be limits to the number and types of treatments you can receive.

Using a Health Savings Account to pay for chiropractic care gives you, the consumer, more choice. You can choose what type of medical treatment to get, where you will get that treatment, and how many treatments you will get. You can spend HSA dollars on preventive care as well, and actually have the government give you a tax deduction for keeping your family well.



By: Wiley Long

About the Author:

Dustin Omtiveros

Having a Health Savings Account makes all of your HSA qualified medical expenses tax-deductible, so read this article carefully to make sure you aren’t over paying on your taxes. Remember, there is no virtue in paying more taxes than you really owe.

Qualified Medical Expenses

The main purpose of your HSA is to enable you to pay for qualified medical expenses with tax-free dollars. Qualified medical expenses are defined under Section 213 of the IRS Code (See IRS Publication 502: Medical and Dental Expenses). Most people remember to pay for doctor visits and prescription drugs from their HSA (or save the receipts and reimburse themselves later), but there are many medical expenses that people simply pay for, without realizing that because they own an HSA the expense is tax deductible. These are the most common:

Over-the-counter medications. Remember, your medicine does not necessarily have to be prescribed to be considered a qualified medical expense. Any time you buy a bottle of aspirin, cough syrup, bandages, or zit medicine for your teenager – save the receipt, so you can reimburse yourself from your HSA.

Dental expenses. Dental fees are typically the most expensive item that people forget to pay for from their HSA. From cleanings, to crowns, to dentures, all of your medically necessary dental work is eligible to be paid from your HSA.

Eye glasses and contacts. Annual eye exams along with prescription glasses, contact lenses, and other prescription eye glass expenses can be paid from your HSA tax-free. Also, prescription sunglasses are considered to be an HSA qualified medical expense.

Physical therapy. Most individual and family health insurance plans have very limited coverage for physical therapy. So you can pay for those expenses out of out of your available HSA funds.

Medical massage therapy. Yes, you can use funds from your Health Savings Account to pay for a massage, as long as your health care practitioner recommends it as treatment for a particular health condition.

Chiropractor visits. Remember that your HSA can be used for medically necessary expenses. If you go to your chiropractor due to a particular injury or functional problem, it is a qualified expense. The chiropractor’s charges would NOT be eligible as an HSA expense if you are getting adjustments for general health maintenance.

Mental Therapy

In some circles, seeing a therapist is reason for embarrassment, whereas in other parts of the country people brag about seeing their therapists. The reality is that mental therapy should be neither a symbol of shame nor a status symbol – it is simply another mode of treatment that can help people live healthier and happier lives.

Psychiatry, psychology, psychoanalysis, and psychotherapy – all of these modes of treatment can be paid for from your HSA. Keep in mind that qualified expenses are those that pay for treatment or prevention of a medical condition. If you are seeing a therapist strictly in order to save your marriage or improve your business skills, these would not be qualifying expenses.

Alternative Medicine

More and more people are disillusioned with the way conventional medicine is practiced. The focus often seems to be on treating symptoms rather than reaching the root cause. Many physicians are very quick to prescribe the latest drug, when less expensive, safer, and often more effective natural remedies may work better.

However, the people who do rely on alternative medical treatments rarely receive reimbursement from their health insurance for these expenses. This is one of the reasons that HSA plans have become so popular among people who do favor natural and/or alternative medical treatments. Here is just a very small sampling of the types of treatment that would be considered a Health Savings Account qualified expense:

Acupuncture. Some think the beneficial results of acupuncture are strictly due to the placebo effect. My veterinarian wife would tell you differently. Though she mostly practices conventional veterinary medicine, she does do a good bit of acupuncture on dogs and cats, and gets some amazing results.

Homeopathy. Though controversial, approximately one out of 50 Americans currently uses homeopathy. Whether using the services of a professional, or simply buying homeopathic remedies from the natural food store, remember that these expenses can be paid for from your HSA.

Traditional Chinese Medicine. Chinese medicine has been practiced for thousands of years, and is becoming ever more popular in the United States. Of course, treatment modalities that originated in other countries, such as Ayurveda (from India), would also be considered a qualified expense.

Faith healing, shamanism, energy medicine, and other (perhaps) far out stuff. Yep, almost any type of treatment could be considered an eligible expense. Keep in mind that the procedure must be related to the treatment or prevention of a specific health condition. Services designed to raise your chi, balance your chakras, or strengthen your aura might be more than the IRS will allow.

Every Dollar Counts

Every medical expense you incurred counts, so don’t forget to save your receipts. If you don’t, it’s like paying an extra 25% each time. Even some retailers like Target are starting to mark on your receipts which items are health related. That should make it even easier to get every tax break you deserve.



By: Wiley Long

About the Author:

Fransisca Milanese

Healthy children are easier on the household budget unfortunately not everyone is so blessed so what do you do? When considering the family budget and being a good parent, providing quality healthcare at a reasonable price is right up there with the mortgage payment, car payments and college tuition.

Health Savings Accounts can be simple and easy to understand. A Health Savings Account is a tax-favored savings account combined with a qualifying high-deductible health insurance plan. Health Savings Accounts allow you to legally avoid federal income tax by depositing 100% of the health plan’s deductible, up to $2,850 for singles or $5,650 for families, into your Health Savings Account. Health Savings Accounts, (HSA) touted as a way to lower health-insurance costs and broaden coverage, have fallen short of their promise. They are gaining popularity because they allow individuals, rather than an HMO or the government, to take charge of their health care. Also, they’re an excellent option for individuals and families without employer-sponsored health insurance. Health Savings Accounts are becoming quite popular for people who are generally healthy and they’re leading the way in this transition.

Savings can be used to help pay the deductible and for non-covered medical expenses, such as dental and vision. Savings reduce or eliminate annual out-of-pocket exposure. Savings not spent remain in the HSA tax-deferred. Savings and investments unlike premiums, unused HSA dollars remain in the HSA until you use them later. Day-to-day expenses come out of the health savings account, while catastrophic expenses are covered by insurance. Health Savings Accounts are gaining popularity because they allow individuals, rather than an HMO or the government, to take charge of their health care. A Health Savings Account combined with a High Deductible Health Insurance Plan gives individuals an economic incentive to become better consumers of health care services because they are now spending their own money up to the level of their high deductible. Health Savings Accounts are an excellent option for individuals and families without employer-sponsored health insurance.

If your employer offers a high-deductible health insurance policy, you may be able to make pretax contributions, like you would with a flexible-spending account. Legislation passed by Congress December 9, 2006, will let you make a one-time transfer of funds tax free from a flexible-spending account to an HSA. You cannot have an HSA if you use a flexible-spending account to pay health-care costs or if you have other medical coverage (say, through a spouse’s policy). You can keep the money in an HSA account even after you leave that job, similar to a 401(k). Keep in mind that you can continue to withdraw money from the account tax-free for qualified medical expenses after age 65. You can’t make new HSA contributions after age 65, but you can still use the money in your account tax-free for medical expenses at any age.

Deposits to an HSA may be made by any policyholder of a qualified High Deductible Health Plan (HDHP), by an employer on behalf of a policyholder, or any other person. Previously, the annual maximum deposit to an HSA was the lesser of the HDHP deductible or specified IRS limits. As of 2007 plan years, Congress has abolished the lower limit based on the deductible, and the maximum contribution will simply be the statutory limit. These include deductibles and coinsurance as well as many other expenses not covered under medical plans, such as dental, vision and chiropractic care; durable medical equipment such as eyeglasses and hearing aids; purchase and use of qualifying over-the-counter medications; and transportation expenses related to medical care. Contributions are deductible, the account accumulates tax-free, and withdrawals used for medical expenses are tax-free. Contributions and gains can be rolled from year to year – there’s no “use it or lose it”. Contributions to the HSAs are tax-deductible at the federal and state level.

Healthcare is the number one issue facing many individuals and companies in America. Now with the release of Michael Moore’s new movie, SICKO, the debate on healthcare in the USA in on. Many well-meaning people believe that a government take-over of healthcare coverage, called a “single-payer” system, is the answer. Health Savings Accounts are combined with a High Deductible Health Plan (HDHP) to offer a more affordable approach to healthcare. They were created to help give control back to consumers and lower healthcare costs. While most healthcare insurance clients say they are satisfied with their current plans, the landscape changes when major illnesses start. Alternatively, your HSA balance can be used to cover your post-age-65 healthcare costs including Medicare Part A and B premiums, Medicare HMO premiums, garden-variety health premiums, insurance deductibles and co-payments, prescriptions, long-term care insurance premiums, and so forth. But what about the person who lives pay check to pay check or the single parent trying to provide healthcare for themselves and children. Combine a tax-favored Health Savings Account (HSA) and an HSA-eligible health insurance plan to save money tax-free for healthcare costs.

Health Savings Account Plans help you take control of your health care expenses with a tax-favored savings account and quality medical coverage. Health Savings Account (HSA) Plans are an excellent choice for individuals and families who want to control their health insurance costs by combining a lower cost high deductible health insurance plan with a tax advantaged savings account and network discounts. Learn how to take advantage of the money-saving benefits of a Health Savings Account. By allowing you to deposit tax-deductible funds into a health savings account that you can use to cover medical costs, Health Savings Accounts enable you to take control of your own health care decisions. Once your insurance policy has become effective, you may begin to fund your Health Savings Account. Please note: To obtain the maximum tax benefit from your Health Savings Account in 2008 as well as lock in 2007 rates, you must have your HSA-qualified insurance plan effective no later than December 31. There are about 10 million people enrolled in “consumer-driven health plans,” and about 6 million of those are Health Savings Accounts. To really maximize your savings pair up a Discount Health Plan, for the everyday savings on you health care, with your HSA and HDHP. You may want to read my other article on Healthcare and the Family Budget – How to Get the Biggest Bang for Your Buck!



By: Linda Shute

About the Author:

Ann

The Medicare Trust Fund will soon be out of money, and there will be no practical way for the government to continue to provide the level of benefits that current Medicare recipients receive. The result will be serious rations, waiting periods, and a reduction in benefits. If you wish to maintain your medical freedom, and have access to a high level of medical service, you must be prepared to pay for it yourself. The best strategy is to take good care of your health, and to build up medical retirement funds as large as possible by using Health Savings Accounts.

The Coming Medicare Insolvency

The total federal debt is now over $10 trillion. But if you also include the current unfunded liabilities of social security, Medicare, and other programs, the total federal debt is at least $54 trillion. This number has been confirmed in three separate studies – by the American Enterprise Institute, the National Center for Policy Analysis, and the Brookings Institution.

It is difficult to get a grasp of a number that big. That’s $180,000 per person currently living in the United States. It is four times the U.S. Gross Domestic Product, the measure of the final value of all goods and services produced in this country in the course of a year.

As the program is currently structured it is unsustainable, and the fund is expected to be depleted by 2018. That is a mere 11 years from now. The shortfall in Social Security and Medicare revenues will continue to increase as the years go by – it will exceed $2 trillion by 2030. At that point, half of all tax dollars will have to go to Social Security and Medicare.

That clearly can’t happen. Instead, the system will face massive cuts in benefits, probably in addition to large tax increases.

Who Will Pay Your Medical Expenses During Retirement?

So will Medicare be there for you? It depends on how old you are. Unless you are retiring in the next couple years, I certainly wouldn’t count on it, particularly if you want to insure that you have access to high quality medical care during your retirement years.

Last year Fidelity Investments reported that the average couple retiring in 2006 would need $200,000 just to cover medical expenses during retirement. That estimate did not include the cost of over-the-counter medications, most dental services and, long-term care, if needed. And it did not include the charges that are currently paid by Medicare.

If we cannot depend on Medicare to be there for us, the only smart solution is to save as much money as possible. This will ensure that you can obtain the quality care you need. If you are not currently putting as much money as possible aside to pay for these expenses yourself, you are making a serious mistake.

What Is Your Solution?

As most readers already know, the very best tool for accumulating funds for future medical expenses is a Health Savings Account. An HSA is the only investment that provides a tax deduction when you deposit the money, yet never taxes the money if it is used to pay for qualified medical expenses.

Therefore, you should put as much money as possible into your HSA, and withdraw as little as possible. The contribution limit for 2007 is $2,850 for an individual, and $5,650 for families. Those over 55 can also contribute an $800 catch-up contribution. Making the maximum contribution each year will help you build a medical retirement fund that can be used to pay future medical expenses, tax-free.

Rather than withdrawing money from your account to pay for medical expenses as they occur, you should pay for medical expenses that are not covered by your health insurance, out of your own pocket. Save your receipts (for doctor visits, eye glasses, aspirin, etc), and leave your money in the account to grow tax-deferred. There is no time limit before you have to reimburse yourself, so you can make the most of this tax-free investment.

As soon as possible, you may also want to transfer some of the money into mutual funds. While some HSA administrators are paying interest rates as high as 5%, the only way you are going to really grow the account is to get a much higher return on your money. Many HSA administrators offer a discount brokerage option, so you can place your funds in virtually any stock or mutual fund.

For a family that contributes the maximum contribution each year, it is quite reasonable to assume an HSA account value well over $1 million after 25 or 30 years. Medicare may be broke, but at least you won’t be.

“Medicare HSAs?”

The solution to the pending Medicare meltdown is very complicated, but it is clear that government-run medical programs don’t work. The dismal results can be seen everywhere, from the former Soviet-bloc countries, to the broken down national healthcare systems of Canada and Europe. Medicare must be transformed into a program where seniors have an ownership interest in the money they are spending.

Replacing the government’s obligation to provide benefits with a voucher that seniors could use to purchase health insurance from competing private insurers, and/or deposit into a “Medicare Health Savings Account,” would bring market efficiencies and competition into the picture. This idea is endorsed by both the American Medical Association and the American Hospital Association.

Retirement HSAs may or may not ever come to fruition. But fortunately, HSA plans are available to those under age 65. If you do not yet have an HSA, get signed up for one now. You will lower your health insurance premiums, and can begin putting money aside for medical expenses you will almost inevitably incur during your older years.



By: Wiley Long

About the Author:

Josh Parker

Health Savings Accounts can be an important part of an individuals tax and money-management strategy. Not only can you reduce your health insurance premiums, but when you fund your account you get a nice tax break. If you stay healthy, your money grows tax-deferred like an IRA, and can amount to a lot of money in retirement.

Every year around this time you should assess your finances and see what you need to do to optimize your situation. Making the most of your HSA is one area that can really make a difference. Here are the key things you need to know to get the greatest tax reduction and the most growth out of your Health Savings Account.

Maximizing Your Contribution May Reduce Your Taxes By $1836 or More

If you own an HSA-qualified health insurance plan that has an effective date no later than December 31, 2007, you qualify to make a tax deductible contribution to your Health Savings Account. This will immediately reduce your tax bill come April 15.

The contribution limit is not pro-rated based on the number of months in 2007 in which you had coverage, as it was in the past. However, you do need to remain an HSA-eligible individual throughout 2008, or the extra amount contributed will be counted as income and subject to an additional 10 percent tax.

The maximum Health Savings Account contribution in 2007 is $5650 for families, and $2850 for individuals. If you are 55 or older, you may also contribute an additional $800.

Your HSA contribution is deductible on your federal income taxes, and every state (except AL, CA, NJ, and WI) also gives a deduction on state income taxes. So by maximizing their HSA contribution a family in a 28 percent tax bracket, paying 4.5 percent state income taxes, will reduce their April 15 tax burden by $1836.25.

Though your HSA-qualified health insurance must be in place before the end of the year, you do have until April 15 to make your 2007 contribution. Though you cannot put any more 2007 money in if you miss this deadline, you can reimburse yourself in later years for qualified expenses incurred in 2007, even if you do not currently have the money in your account.

Strategic Withdrawals

You can withdraw money from your HSA at any time to pay qualified medical expenses. Keep in mind that this includes over-the-counter medications such as aspirin or cough syrup, dental and vision expenses, and even alternative care such as acupuncture or homeopathy.

One strategy that many of our members take is to save their medical receipts, but to delay reimbursement from the HSA so that the funds have the opportunity to grow tax-deferred. There is no time limit in which you must withdraw the money. Since most people will face larger medical bills during their retirement, it is quite likely that the withdrawals would never be subject to taxes.

If you are not fully funding your Roth, another strategy would be to reimburse yourself for medical expenses from your HSA, and to deposit it in your Roth. Your HSA reimbursement is tax-free, and placing it in your Roth would also give you tax-free growth while enabling you to withdraw the money in retirement tax-free for any reason, including non-medical expenses. You would also avoid any extra state taxes in the states that currently tax HSAs.

Remember to Keep Good Records

You should keep a record of any qualified medical expenses you incur. This will ensure that you have documentation substantiating any tax-free withdrawal you make from your HSA. In order to pay for a medical expense from your HSA, it must be a qualified expense.

You can go old school and put receipts in a file, or get a little more organized and track your records online.

2008 Contribution Limit and Deductible Changes

In 2008 the maximum annual HSA contribution limit will again go up, this time to $2900 for individuals and $5800 for families. Those over age 55 will be allowed to contribute an additional $900 to their accounts.

The maximum deductibles will be going up next year to $5600 for individuals, and $11,200 for families. If you’ve now got some money socked away in your HSA, it might make sense to move to a higher deductible to further reduce your premiums.

Health Reimbursement Arrangements

If you are currently set up as an S-corp, you should strongly consider setting up a Health Reimbursement Arrangement (HRA). A Health Reimbursement Arrangement enables your S-corp to reimburse you as a tax-free fringe benefit for the cost of your individual health insurance. This is the only way an S-corp can legally pay for individual health insurance, and is saving our average S-corp member over $3000. The HRA must be established by December 31st in order to take advantage of it in 2007.

It may also be beneficial to set up an HRA if you have a spouse who works in your business. Also, many small businesses use an HRA to reimburse their employees for individual health insurance premiums (which is much less expensive than getting group coverage). More information and a simple online application is available on our Health Reimbursement Arrangement page.

What to Do Now

Here are the steps you should take now:

1. To maximize the potential growth of your funds, you should try to fund your account as early in the year as possible. Every month of tax-deferred growth does add up over time. You can keep the money in a savings account, or invest it in stocks or mutual funds.

2. If you have your health insurance in place but do not yet have your Health Savings Account set up, you can do so online or possibly your local bank.

3. If you do not yet have an HSA-qualified health insurance plan, you should apply for coverage as soon as possible. Your plan must be effective before January 1 in order for you to qualify for the 2007 tax deduction. By getting your Heath Savings Account qualified health insurance in place by January 1, not only will you be able to maximize your tax benefits, but you also may be able to lock in 2007 rates for the next 12 – 24 months.

4. If you have a small business with employees, are set up as an S-corp, or have a spouse who works in the business with you, you should set up an HRA.

Through HSAs and HRAs, individuals who pay for their own health insurance have some powerful tax reduction strategies at their disposal. December 31st is the deadline for obtaining 2007 tax deductions, so you should act quickly if these ideas make sense for your situation.



By: Wiley Long

About the Author:

Billie Fujimoto