|
| |
HEALTH
SAVINGS ACCOUNTS
Request
Quote Now
Health Savings Accounts (HSAs) are
one of the most advantageous ways for millions of Americans to purchase their
medical insurance coverage. They are also one of the most misunderstood
and underutilized options available.
WHO SHOULD
CONSIDER AN HSA?
How they
work - With a Health Savings Account
(HSA) you divide the money you would normally spend for full coverage medical
insurance into two parts:
PART ONE: You purchase a high-deductible medical insurance
plan (defined by Federal law) to cover the large medical bills.
PART TWO: The remainder of the money you would normally spend
on medical insurance premiums can be put into a personal savings account. All
monies put into the savings account are tax deductible AND earn tax-exempt
interest. These funds are yours to use either for paying out-of-pocket
medical costs, or you can simply save it. The maximum amount of money you
can put into your savings account is determined by the Type of
Coverage, you've chosen, as follows:
|
TYPE OF COVERAGE |
MINIMUM ANNUAL DEDUCTIBLE* |
MAXIMUM ANNUAL HSA DEPOSIT** |
|
SINGLE |
$1,150.00 |
$3,000.00 |
| |
|
|
| FAMILY, or |
$2,300.00 |
$5,950.00 |
| HUSBAND/WIFE, or |
$2,300.00 |
$5,950.00 |
| PARENT + CHILD(REN) |
$2,300.00 |
$5,950.00 |
*NOTE: There is only ONE DEDUCTIBLE for
an entire family. It IS NOT a per person deductible!!
*Figures shown apply to new and existing
policies for the year 2009
**NOTE: Interest earned on the HSA
deposits is tax exempt!
How you Can use
accumulated MEDICAL SAVINGS ACCOUNT funds
-
Are all
Health Savings
Account Plans alike? NO. Some plans are restricted Medical
Savings HMO Plans which require the patient to only use the managed care
company's contracted doctors. The original intent was to have these
plans allow a patient freedom to control which providers they desired.
The HMO type HSAs were a later development. AIFSI only offers those
HSAs that allow total freedom of choice to the insured.
-
Can I go to the doctor of my
choice? YES. AIFSI only offers those
HSAs that allow
you to choose any physician you wish.
-
Can money from my
Health Savings Account be used on medical expenses that do not count as covered
expenses under my insurance policy? YES. This is one of the
big advantages of an HSA health plan. Most people spend a considerable
amount of money every year for medical expenses that are not paid by their insurance plan. Frequently this is because such expenses are
either 1) not a covered expense (e.g. routine physicals, dental work, vision
exams), 2) applied to deductibles and copayments, or 3) represent charges
exceeding the insurer's reasonable and customary limits. Unless your
employer provides Flexible Spending Accounts, these amounts
are being paid with AFTER-TAX dollars. With the HSA these expenses can
be paid with tax-free funds taken from your Health Savings Account.
-
What kind of medical expenses
qualify for the favorable tax treatment? Eligible medical
expenses under the Health Savings Accounts are all those permitted under the IRS code.
See
Publication 502:
Medical & Dental
Expenses.
-
Can I
use funds from my Health Savings Account for non-medical expenses? Yes, BUT any
money withdrawn prior to Age 65 and used for non-medical purposes is subject
to income taxes and a 15% federal excise tax.
-
What happens to any money
left in my Health Savings Account that is not spent? It simply
stays in your account earning tax-exempt interest!
-
If I'm able to accumulate a
lot of money in my HSA can it be used to supplement my retirement
income? YES. At age 65 your HSA will function much like an
IRA. You can simply withdraw money without penalty, paying only normal
income tax. After retirement, you can also withdraw the accumulated
HSA savings TAX-FREE to pay out-of-pocket medical expenses, including
nursing home care and expenses not covered by Medicare.
-
Can I
have a Health Savings
Account without the qualifying high-deductible medical insurance?
NO.
-
Do the deductible and/or
savings deposit maximums ever change? YES. By law, the
deductible limits must change each year to reflect changes in the Consumer
Price Index (CPI). These changes apply to both new and existing
policies. Maximum deposits to the Health Savings Account will also
change as a result.
-
When I first
start an HSA medical insurance plan can I immediately make a full years lump
sum contribution to my Health Savings Account? Generally
NO. If your medical insurance plan is effective January 1st, the
answer is yes, because there are 12 full months remaining in the calendar
year. However, this is rarely the case. The amount that can be
contributed to the Health Savings Account is pro-rated by the number of
months remaining in the calendar year; e.g. if your policy is effective July
1st, you could make a lump sum contribution for the year equal to the
maximum annual contribution divided by 12 months times 6 months remaining in
the calendar year.
-
Must I always
contribute to my Health Savings Account?
NO. You must always pay the premium
portion for your high-deductible medical insurance to keep it in-force, but
contributions to the Health Savings Accounts are totally discretionary.
However, some companies do require that contributions must be some minimal
amount, such as $500 if made in a lump sum, or $50 per month.
-
Can I change insurance
carriers for my high-deductible plan without affecting my Health Savings
Account? YES. If
you change insurance carriers, the funds in your Health Savings Account are
normally transferred to the new company without any penalty; i.e. similar to
the rollover of an IRA account.
-
If I do not qualify
for a Health Savings Account plan now, will they be available in the
future? That's not clear
at this point. The Internal Revenue Service established a pilot
program for HSAs that was due to expire, but has been extended several
times.
-
What happens to the
money in my Health Savings Account, if I die?
You name a beneficiary when the account
is established and all funds will go to that beneficiary. If the
beneficiary is your spouse, they can continue the HSA for themselves.
Any other beneficiary will be taxed on the value of the funds received.
-
If I was unable to
make my maximum contribution to the Health Savings Account by the end of
the calendar year can I go back and catch-up for a prior year?
YES. The IRS will allow you
until April 15th to fully fund your Health Savings Account for the prior
year.
|