Bridging the Gaps with Health Savings Accounts

As often happens to investment vehicles created byUnlike flexible spending accounts, however, HSA
legislation, Health Savings Accounts (HSAs) havecontributions and gains can be rolled from year to
suffered under the complex regulations meant toyear--there's no "use it or lose it" requirement--and you
discourage misuse. However, the accounts haveretain ownership of the funds even if you terminate
potential to do more than simply allow investors toemployment. If your employer offers a flexible
save and pay for health-care expenses with tax-freespending account, you should take a description of the
dollars. They offer a potential way for individuals toaccount requirements and restrictions when you
bridge gaps in health insurance coverage that maydiscuss an HSA with your financial professional.
occur during times of unemployment or in retirement.Because you establish an HSA independent of your
The Medicare Modernization Act of 2003 createdemployer, these accounts can provide a health care
HSAs. Anyone younger than 65 can open an HSAexpense "safety net" should you terminate
after purchasing a qualified high-deductible healthemployment (voluntarily or involuntarily). They also
insurance plan. An individual can maintain an HSA andprovide retirees with another investment vehicle that
be covered under other insurance policies, as long asoffers tax deductions for contributions, tax-free growth
that person doesn't "double dip" and have medicaland tax-free withdrawals for medical expenses.
expenses paid by both insurance and the HSA.Withdrawals for nonmedical expenses after age 65
To be considered "qualified" the insurance plan mustare still taxable, and a 10% penalty applies for
have a deductible of at least $1,050 for individuals ornonmedical withdrawals before age 65.
$2,100 for family, and have a limit of $5,250 individualIf you plan to use HSA funds in the near term, a liquid,
and $10,500 family for out-of-pocket expenses.interest-bearing account like a savings account may be
Choosing a policy that qualifies can involve insuranceappropriate. However, if you don't anticipate an
and tax issues that should be discussed withimmediate need for all or part of your HSA funds, the
professionals in those fields.accounts are self-directed, allowing you to use other
Contribution caps are the lesser of the insurance planinvestment options. Your financial professional can help
deductible or the IRS maximum. For 2006, the IRS maxyou determine which investment vehicle best meets
is $2,700 for individuals and $5,450 for families.your needs.
Individuals 55 or older can make a $700 catch-upAccording to a 2006 survey by Watson Wyatt and
contribution in 2006.the National Business Group on Health, health care
Many employers offer flexibility spending accounts forinsurance premiums have been rising at two to three
medical expenses (and sometimes child care) thattimes the rate of inflation for the past five years.
allow employees to set aside pre-tax dollars forUnderstanding the complexities of health savings
medical expenses not covered by the company'saccounts may be one way to lessen the blow and
health insurance, including premiums and deductibles.prepare for the future.