Health Savings Accounts: Don’t Overlook the Tax Benefits

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WSJ Your Money Briefing 8 min 3 speakers 6 chapters transcribed 2 months ago
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ReliaQuest Advertiser 0:00
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J.R. Whalen 0:30
Here's your Money Briefing for Wednesday, October 19th. I'm J.R. Whelan for The Wall Street Journal. For millions of Americans, open enrollment for company-provided health insurance begins in November. But an additional, yet often overlooked option, is a health savings account.

What is a Health Savings Account (HSA) and who qualifies for one?

J.R. Whalen 0:50
And HSA can do all sorts of things to ease the financial burden of medical costs.
Laura Saunders 0:54
Allowable reimbursements are much broader than what insurance reimburses. The reimbursements can be anything that's allowed as a medical expense deduction by the IRS. It could be co-pays to drug costs to acupuncture, contact lens solution, prosthetic limbs, a wig after chemotherapy, even Band-Aids and things like that.
J.R. Whalen 1:17
But the benefits of HSAs go beyond just reimbursements. Coming up, our tax reporter Laura Saunders will have more on how HSAs work, including little-known but substantial tax benefits, and how you can reap the benefits of an HSA even if you never use the funds for medical expenses. That's after the break.
ReliaQuest Advertiser 1:34
This podcast is brought to you by ReliaQuest. Cyber criminals are constantly attacking. They want your data. They want your identity. They want your innovation. ReliaQuest fortifies your business with agentic defense, AI that detects, contains, and eliminates cyber threats in minutes. It helps your security team move faster at the work that matters most to protect the business now and delivers insights to help them predict what's next. ReliaQuest, agentic defense for the enterprise. Learn more at ReliaQuest.com. That's R-E-L-I-A-Q-U-E-S-T.com.
J.R. Whalen 2:11
When signing up for company-provided health insurance in November, you might come across the option to open a health savings account, or HSA. But an HSA's benefits as a savings tool is just one part of the equation. Wall Street Journal tax reporter Laura Saunders joins us to discuss the significant tax benefits of signing up for an HSA. Laura, thank you very much for being with us.

How do HSA tax rules create a triple tax advantage?

Laura Saunders 2:31
Well, thanks so much for having me.
J.R. Whalen 2:33
So first of all, Laura, I want to make sure we have all the basics covered here. What is a health savings account, and how do workers qualify for one?
Laura Saunders 2:39
Well, HSAs are tax-free savings accounts that are paired with qualified, high-deductible health insurance plans. Many employers offer this coverage. Sometimes they even subsidize it, and individuals can purchase it as well, say if they have a Schedule C business or something like that. Now, the savings account part of it means that money goes in with a tax deduction, pre-tax, and it grows tax-free and it can come out tax-free if it's used to cover unreimbursed medical expenses.
J.R. Whalen 3:13
Now, why would someone consider signing up for one?
Laura Saunders 3:15
Well, think about the triple tax-free advantage, especially if your employer contributes part of the amount. The money is tax-free going in, it grows tax-free, and it's tax-free coming out if you use it for the right things. Allowable reimbursements are much broader than what insurance reimburses.

What types of medical expenses can you reimburse with HSA funds?

Laura Saunders 3:34
The reimbursements can be anything that's allowed as a medical expense deduction by the IRS. It could be co-pays to drug costs to acupuncture, contact lens solution, prosthetic limbs, a wig after chemotherapy, even Band-Aids and things like that. And so you could use this money for those expenses if you want to. and you could leave it in for 20 or 30 years. You could put it in when you're young and healthy and pay your expenses out of pocket yourself, and it could grow and grow and grow and come out to pay Medicare premiums and things like that.

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