Health Savings Account (HSA)

benefits

Also known as: HSA, Health Savings Account

Updated · Written and reviewed by Konstantin Iakovlev

Detailed explanation

HSAs offer the only "triple tax advantage" in the U.S. tax code: contributions are deductible (even from FICA when via payroll), growth is tax-free, withdrawals for qualified medical expenses are tax-free. After age 65, non-medical withdrawals are taxed as ordinary income (similar to IRA) but no 10% penalty — making the HSA function as a "stealth IRA" in retirement. Most HSA providers (Fidelity, Lively, HealthEquity) let you invest beyond cash balance in mutual funds. To contribute, you must be enrolled in a qualified HDHP and have NO other disqualifying coverage (general-purpose FSA, Medicare, etc.).

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