
Saving for Healthcare
Tax-advantaged accounts that allow you to save specifically for medical costs
Health Savings Account (HSA)
Triple Tax Benefits
A Health Savings Account is a type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses.
HSAs are only available to individuals enrolled in a qualified high-deductible health plan, and tax-free withdrawals require qualified medical expenses. Withdrawals for non-qualified expenses before age 65 are taxable and may be subject to a 20 percent penalty.
The "Health IRA"
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​​Funds may be used to supplement retirement savings, since unused balances stay in the account and can grow over time.
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Contributions can often be invested into funds
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No Required Minimum Distributions (RMDs)​​
Flexible
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​Uses include: copays, deductibles, etc.​
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Unused funds rollover to the next year
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You own it so it's portable​
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Flexible Spending Account (FSA)
​Flexible spending accounts come only as part of a benefits package from an employer. You cannot open one on your own. The medical expenses they can be used for are similar to those covered by an HSA.It is an arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars.
What to keep in mind
​What's the advantage to the employee?
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Contributions are pre-tax
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Can make incremental contributions, but can still use the full annual amount right away
What's the advantage for employers?
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Can choose to contribute or not
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Can choose to allow some unused money to rollover
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What are the Key Limitations?
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Funds generally must be used within the plan year, or they are forfeited.
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Employers may allow a rollover of up to $680 in 2026, or a short grace period, but they are not required to.
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An FSA cannot be paired with a Health Savings Account in most cases.
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Health Reimbursement Account (HRA)
Health Reimbursement Accounts (HRAs) are employer-funded group health plans from which employees are reimbursed tax-free for qualified medical expenses up to a fixed dollar amount per year.​ The employer funds and owns the arrangement.
What to keep in mind
​​What's the advantage to the employee?
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Employer contributions are not part of wages, so they are tax-free
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Unused money may rollover, employer decides how much
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What's the advantage for employers?
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Contributions are tax deductible
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Can choose which qualified medical expenses money can be used for
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Can choose if money rolls over at the end of the year
Setting up an HRA involves plan-design choices that affect both your tax situation and what your employees can reimburse. We can walk through the trade-offs with you.
