What Is Health Savings Account (HSA)?

An HSA offers three distinct tax advantages: contributions are made pre-tax (or are tax-deductible if made directly), the account grows tax-free through investment, and withdrawals for qualified medical expenses are tax-free. For 2024, the contribution limits are $4,150 for individuals and $8,300 for families, with a $1,000 catch-up for those 55 and older. Unlike a Flexible Spending Account (FSA), HSA funds roll over indefinitely and are not 'use it or lose it.' After age 65, HSA funds can be withdrawn for any purpose without penalty (though non-medical withdrawals are taxed as ordinary income, similar to a traditional IRA). HSAs are only available to individuals enrolled in HSA-eligible HDHPs — defined as plans with a minimum deductible of $1,600 (individual) or $3,200 (family) for 2024. Many financial advisors recommend maximizing HSA contributions and investing the funds for long-term growth, treating the HSA as a secondary retirement account.

An HSA is one of the most tax-efficient financial tools available — yet many people use it only as a short-term medical expense account rather than a long-term investment vehicle. A financial advisor or tax professional can help you determine whether an HDHP/HSA combination makes sense for your situation and how to maximize the account's investment potential.