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Frequently Asked Questions...
 

Q) What is an HSA?
A Health Savings Account (HSA) is a tax-favored saving account that is used in conjunction with a high-deductible HSA-eligible health insurance plan to make healthcare more affordable and to save for retirement.

HSAs are similar to IRAs, but even better:
  • Pre-tax money is deposited each year into an HSA and can be easily withdrawn at any time with no penalty or taxes to pay for qualified medical expenses. Withdrawals can also be made for non-medical purposes, but will be taxed as normal income and are subject to a 10 percent penalty if done prior to age 65.
  • Any HSA funds not used each year remain in the account, and earn interest tax-free to supplement medical expenses at any time in the future.
  • Like an IRA, the account belongs to you, not your employer. But unlike an IRA, your employer CAN contribute to your HSA.

Q) Why should I get an HSA?
You can save money in the short and long term by:
  • Deducting 100% of your HSA contributions from your taxable income

  • Having the money in your HSA accrue interest and/or gains on a tax-free basis

  • Paying no penalties or taxes when you use your HSA to pay for qualified medical expenses

  • Having a high-deductible HSA-eligible health insurance plan, which typically has a lower premium than a plan with a lower deductible
Note: Some HSAs charge a small monthly maintenance fee.
Q) What are qualified medical expenses?
HSAs can be used to pay for many types of medical expenses, even some that are often excluded on health insurance plans. These include:
  • Health insurance plan deductibles, copayments, and coinsurance

  • Prescription and over-the-counter drugs

  • Dental services, including braces, bridges, and crowns

  • Vision care, including glasses and lasik eye surgery

  • Psychiatric and certain psychological treatments

  • Long-term care services

  • Medically-related transportation and lodging
Typically HSAs cannot be used to pay health insurance premiums, although there are exceptions for:
  • Health insurance premiums if you are receiving federal or state unemployment benefits
  • Premiums for COBRA qualified health insurance
  • Long-term care insurance premiums

  • Premiums for a health plan (other than a Medicare supplemental policy) for an individual age 65 or older
Note: You must establish an HSA before incurring any expenses or the expenses will not qualify.

Q) What insurance plans are HSA-eligible?
In order to have a Health Savings Account, you must get an HSA-eligible health insurance plan. This type of insurance plan is often referred to as a High Deductible Health Plan, and is typically less expensive than plans with lower deductibles.
A health insurance plan must meet the following criteria to be considered HSA-eligible:
  • The health insurance plan must have an annual deductible of at least $1,000 for individuals and at least $2,000 for families.

  • The sum of the annual deductible and the other annual out-of-pocket expenses required to be paid under the plan (other than premiums) does not exceed $5,000 for individuals and $10,000 for families.
You can find these plans by visiting eHealthinsurance.com. The HSA-eligible plans are identified on the site with the symbol shown below:
HSA Plans will be indicated by this symbol at eHealthInsurance.com

Note: If you have other health insurance coverage (such as coverage under a spouse's employer-sponsored plan) in addition to your HSA-eligible health insurance plan, then the other plan must 1) also be HSA-eligible in order to contribute to an HSA or 2) the other plan cannot cover any benefits provided under your HSA-eligible plan.

Q) How much can I contribute to my HSA?
Maximum yearly contributions (and associated tax deduction) are determined as follows:
  • For individuals, it is the lesser of:
    a) $2,600
    b) Your health plan's annual deductible*


  • For families, it is the lesser of: a) $5,150
    b) Your health plan's annual deductible*
You do not have to contribute the maximum each year, although some HSAs require a small minimum monthly contribution. Note: If you are between the ages of 55 and 65, you can make an additional annual "catch up" contribution (of up to $500 in 2006.) *If you enroll in an HSA-eligible health plan in the middle of the calendar year, your maximum contribution for the first year will be prorated based on the number of months you have the HSA-eligible health plan. For example, if your individual health plan's annual deductible is $3600, and you enroll in the HSA-eligible plan on June 1st, then your maximum contribution for the first year can be up to $2100 (i.e. 7/12 of $3600). If you are enrolled for all twelve calendar months, then you can contribute the amount of the deductible up to the annual maximum allowed ($2600 in Year 2006).

Q) Is my money safe?
Funds in an HSA are held in a trust and are administered by a bank, insurance company, or other approved Trustee.


Funds in your HSA are invested at your discretion. Typically an HSA will allow you to choose from the following options:
  • Interest-bearing account
  • CDs
  • Money market funds
  • Mutual funds
If you are looking to minimize your investment risk, you may want to consider an interest-bearing account; these accounts are FDIC insured. On the other end of the spectrum, mutual funds may provide a greater return, but are more risky, and are not FDIC insured.

Q)How do I use my funds in my HSA?
Using funds in your Health Savings Account is easy:
  • Typically an HSA will provide you with a checkbook or debit card. When you pay for a qualified medical expense, use the debit card or check to make the payment.

  • You do not need to get approval from the HSA administrator when you use funds in your account.

  • You do not need to submit receipts to the HSA administrator, although you should save them just as you keep receipts for other items that are deducted from your taxes.
NOTE: You must establish the HSA before you incur medical expenses otherwise the expenses will not qualify.

Q) How do the tax savings work?

HSAs make it easy to save on your taxes:
  • At the end of each year, you will be sent a statement showing the amount you contributed to your HSA that year. You can deduct this amount provided it is less than or equal to the maximum allowable contribution.

  • Much like an IRA, HSA deductions are "above-the-line" and thus can be taken even if you do not itemize.

  • If you are self-employed, in addition to deducting your HSA contributions, you may be able to deduct 100% of your health insurance premiums, provided that:
    • You are not eligible to participate in a subsidized health plan offered by an employer or your spouse's employer.

    • The deduction does exceed the amount of net income from your business.
Q) Why Should I get my HSA through eHealthInsurance? Q) How can I get an HSA?
HSAs are available to any person in the U.S. under the age of 65 who has an HSA-eligible health insurance plan. So, to get an HSA, you need to do the following:

IT'S EASY!

1) Visit eHealthinsurance.com to shop for an HSA-eligible health insurance plan. These plans will be identified with this symbol:

HSA Plans will be indicated by this symbol at eHealthInsurance.com
2) Start the online health insurance application process by clicking the "Apply" button for the insurance plan you select.

3) After completing the health insurance application process, fill out the HSA enrollment form that will be presented to you online.


The information above is provided for general purposes only and is not tax advice. eHealthInsurance urges you to consult with your accountant or tax advisor before opening a health savings account to determine if it is appropriate specifically for you.



HSA Calculators
TAX SAVINGS CALCULATOR
Contributions to HSA (per year)  
Marginal Income Tax Rate (Federal)  
Marginal Income Tax Rate (State)  
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RETIREMENT SAVINGS CALCULATOR
Contributions to HSA (per year)  
Withdrawals for medical expenses (per year)  
Years until retirement  
Expected annual return from HSA investments  
Amount available at retirement    ???



>>U.S. Department of the Treasury HSA Information
A comprehsive guide to Health Savings Accounts provided by the U.S. Department of the Treasury. Guide includes: Directory of Organizations and Offices, Frequently Asked Questions, online resources and definitions.

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