Many people use their Health Savings Account (HSA) to pay for medical expenses as they arise. But there are potential benefits in determining when to use it.
“An HSA provides a unique combination of tax benefits not available with any other account,” said Mary Ellen Hancock, a senior wealth strategist with PNC Wealth Management and Certified Financial Planner.
Through careful planning, you can create a pool of money to help manage health care expenses in your retirement years while using other funds to pay for current expenses.
Like 401(k) retirement plans and individual retirement accounts (IRAs), money in HSAs can be allocated to investment options. There are no federal taxes on the money you contribute through payroll deductions or on any investment earnings while the money is in the account. Unlike 401(k) plans and IRAs, there are no taxes on qualified withdrawals.
Medical costs can be a major roadblock for many who wish to retire before becoming eligible for Medicare coverage at age 65. Although you can't generally use your HSA money to pay for health insurance premiums other than Medicare, you can use HSA money for deductibles, co-pays and prescription drug costs associated with the health insurance plan you do obtain.
Once you become eligible for Medicare, you can use your HSA to pay premiums, deductibles, co-pays and medical expenses not covered by Medicare, such as hearing aids and most dental care. In some cases, maintenance and personal care services -- such as assistance with disabilities – also can be covered if they meet stringent qualifications.
The tax-free withdrawal feature of HSAs can be a particularly important income source in retirement. If you use IRAs and 401(k) plan accounts to pay for large expenses, such as medical costs, there may be financial implications beyond paying taxes on the withdrawal. These withdrawals are considered taxable income, which can lead to higher Medicare premiums, more Social Security benefit taxes and a higher tax bracket.
“If you incurred qualified health care expenses in prior years, you may reimburse yourself for these from your HSA, as long as the expenses were incurred when your HSA was established and you kept the receipts,” said Hancock. “Since you already paid for these expenses out-of-pocket in prior years and did not request reimbursement from your HSA until later, you may use the reimbursement you receive for other expenses, such as home repairs, a vacation or a new car.”
Two important considerations when making a withdrawal are the balance in the HSA and marital status.
“How you manage HSA withdrawals evolves over your lifetime,” said Hancock.
Upon death, HSA accounts pass to the living spouse and retain all tax features. However, when HSAs pass to non-spousal beneficiaries, the balance becomes taxable income to the beneficiary for the year of the HSA owner’s death.
In certain circumstances, it may make sense for a single person to reduce the balance of the HSA. For example, if there are qualified medical expenses in the year of your death, the HSA may be used to pay for those expenses before going to your non-spouse beneficiary.
On the other hand, if you are in a lower income tax bracket than your non-spouse beneficiary, you may consider naming your estate as the beneficiary of your HSA. The HSA’s value will then be included in your final tax return and will be taxed at your lower income tax rate instead of the non-spouse beneficiary’s higher income tax rate.
THINKING OF USING HSA FUNDS? CONSIDER:
Balancing When to Withdraw
Knowing when to use HSA money instead of other resources requires a well-planned, evolving strategy.
PNC Point of View
Real People. Real Perspective. Real Insights.
Read more POV Stories »
The article you read was prepared for general information purposes only and is not intended as legal, tax or accounting advice or as recommendations to engage in any specific transaction, including with respect to any securities of PNC, and do not purport to be comprehensive. Under no circumstances should any information contained in this article be used or considered as an offer or commitment, or a solicitation of an offer or commitment, to participate in any particular transaction or strategy. Any reliance upon any such information is solely and exclusively at your own risk. Please consult your own counsel, accountant or other advisor regarding your specific situation. Neither PNC Bank nor any other subsidiary of The PNC Financial Services Group, Inc. will be responsible for any consequences of reliance upon any opinion or statement contained here, or any omission. The opinions expressed in this article are not necessarily the opinions of PNC Bank or any of its affiliates, directors, officers or employees.
PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”)
Banking and lending products and services, bank deposit products and Treasury Management services for clients and/or customers are provided by PNC Bank, National Association, a wholly-owned subsidiary of PNC and Member FDIC.
Read a summary of privacy rights for California residents which outlines the types of information we collect, and how and why we use that information.