|
High Deductible Qualified Health Plans and Health Savings Accounts
The concept of Health Savings Accounts combines an affordable qualified High Deductible Health Plan (HDHP) and a tax-favored health savings account (HSA). The combination results in savings through lower health care premiums and a reduction in taxable income. The HSA grows tax-deferred, and if you use your HSA funds for eligible medical expenses, you never have to pay taxes on those funds!
With HSAs, you control your health care decisions!
There are two parts to an HSA...

|
|
What is an HSA?
Introduction
A Health Savings Account, or HSA, is a tax-exempt account with a financial institution in which funds accumulate to pay for medical expenses. They were created in response to the rising cost of health care with the intent to give the consumer back the control of their health care costs as part of a movement towards consumer-driven health-care. HSAs also give financial incentives for employers of all sizes to provide health insurance and individual consumers to have health insurance. HSAs allow you to enjoy tax reductions while having affordable health insurance premiums.
Overview
There are two parts to the HSA concept. Before a health savings account can be opened, a qualified High Deductible Health Plan (HDHP) must be in place to cover the individual or family. An HDHP provides health coverage for an individual or family with an affordable premium. The guidelines for an HDHP are determined by the Internal Revenue Service each year. To determine if your plan qualifies, please contact your health plan representative. The current requirements of an HDHP are as follows:
|
Deductible Requirements |
Minimums for Tax Year 2006: $1,050 for Single $2,100 for Family |
|
Maximum Out-of-Pocket |
Maximums for Tax Year 2006: $5,250 for Single $10,500 for Family |
Eligibility
Any individual/employee is able to have an HSA so long as their HDHP meets the IRS requirements to be a qualified HDHP.
Contributions
- Contributions can be made by:
- Accountholders / Individuals - Employers - Any other third party
- Contributions are tax-deductible for the accountholder. Employer contributions and employee contributions through a Section 125 Plan are pre-tax.
- Contributions made to an accountholderýs account belong to the accountholder until the funds are used (please see the Distributions section below).
- Employer contributions must be made on a comparable basis.
- Contributions are limited to the lesser of 100% of the deductible or the IRS Contribution Limit.
Distributions
- Funds can be used tax-free at any time for eligible medical expenses.
- As of age 65, funds can be used for non-eligible medical expenses subject to ordinary income tax without any IRS penalty.
- Prior to age 65, funds can be used for non-eligible medical expenses subject to ordinary income tax and a ten percent IRS penalty.
- Upon the accountholder's death, the assets in the HSA become the property of their named beneficiary. If there is no beneficiary named, the assets go to the accountholderýs estate.
- If the beneficiary is a spouse, the HSA may be treated as their own account. - If the beneficiary is a non-spouse, the HSA must be treated as ordinary income for taxation purposes.
Comparisons
|
Question |
HRA |
FSA |
HSA |
|
Do the funds belong to the employee? |
No |
Yes |
Yes |
|
Can the money be invested and the employees earn interest? |
No |
No |
Yes |
|
Can the employees use the funds for things other than medical expenses? |
No |
No |
Yes |
|
Can the employee take the money with them if they switch employers? |
No |
No |
Yes |
|
Do the funds rollover year-to-year? |
Generally, NO |
No |
Yes |
|
Who can contribute to the account? |
Employers |
Employee Possibly, Employer |
Employers and / or Individuals |
Contributions
Health Savings Accounts (HSA) provide tax benefits for the funds that you contribute. However, the Internal Revenue Service limits the amount you are able to contribute to an HSA for each tax year. If you contribute more than the IRS allows, you could incur tax penalties. To avoid making excess contributions, coordinate your contributions with any other contributions that are being made to your account by an employer or another third-party.
What are Limits?
The Internal Revenue Service (IRS) reviews and determines the HSA contribution limits on an annual basis. An accountholder is able to contribute 100% of their qualified HDHP deductible up to the IRS contribution limit. The limits for 2006 are listed below. An additional catch-up contribution is available to individuals over the age of 55 who are not enrolled in Medicare.
2006 IRS Contribution Limits
An accountholder is able to contribute 100% of their qualified HDHP deductible up to the IRS contribution limit. This limit is subject to change each year. |
|
|
Single Policy |
$2,700 |
|
Family Policy |
$5,450 |
|
Catch-up (55 or Older) |
$700 | | |
Tax Advantages
Health Savings Accounts create unique tax benefits for accountholders/individuals.
- Contributions are 100% tax-deductible
- Funds grow on a tax-deferred basis, and if the funds are used for an eligible medical expense, the funds are tax-free
- Funds roll over from year to year, and funds used after age 65 are able to be used tax-free for eligible medical expenses or at your normal tax rate for any other reason
Over the life of your Health Savings Account, you could save thousands of dollars in taxes.
Example: If you had a deductible of $3,000, contributed your maximum amount ($3,000) each year, estimate you will use $500 each year on medical expenses, fell in the 28% tax bracket, have a state sales tax of 5%, you were 40 years old, planned to contribute to your HSA until you were 65 years old and anticipated a three percent average interest rate, you could expect a tax savings of $9,453.89.
Federally qualified Health Savings Accounts are tax-deductible, tax-deferred and tax-free.
Tax-deductible Contributions to your HSA are able to be deducted from your gross income.
Tax-deferred HSA funds grow without being subject to taxes until they are used for non-eligible medical expenses.
Tax-free The funds in an HSA are completely tax-free when used for eligible medical expenses.

Federal vs. State Tax Benefits Health Savings Accounts are made available through the federal government on a tax favored basis. To determine if your state also provides tax benefits for Health Savings Accounts, please visit our state page or contact your state tax resource.
Eligible Medical Expenses
Eligible medical expenses are defined as those expenses paid for care as described in Section 213(d) of the Internal Revenue Code. Additionally, the IRS has allowed some over-the-counter drugs to qualify as eligible medical expenses. ý
HSA Banký has created the following lists to help you determine whether an expense is eligible or not. The lists are provided with the understanding that Medequote is not engaged in rendering tax advice. These lists are to serve as a quick reference. For more detailed information, please refer to IRS Publication 502 or contact a tax professional. |
|
|
- Abdominal supports
- Abortion
- Acupuncture
- Air conditioner (when necessary for relief from difficulty in breathing)
- Alcoholism treatment
- Ambulance
- Anesthetist
- Arch supports
- Artificial limbs
- Autoette (when used for relief of sickness/disability)
- Birth Control Pills (by prescription)
- Blood Tests
- Blood transfusions
- Braces
- Cardiographs
- Childbirth/Delivery
- Chiropractor
- Christian Science Practitioner
- Contact Lenses
- Contraceptive devices (by prescription)
- Convalescent home (for medical treatment only)
- Crutches
- Dental Treatment
- Dental X-rays
- Dentures
- Dermatologist
- Diagnostic fees
- Drug addiction therapy
- Drugs (prescription)
|
- Elastic hosiery (prescription)
- Eyeglasses
- Fees paid to health institute prescribed by a doctor
- FICA and FUTA tax paid for medical care service
- Fluoridation unit
- Guide dog
- Gum treatment
- Gynecologist
- Hearing aids and batteries
- Hospital bills
- Hydrotherapy
- Insulin treatment
- Lab tests
- Lead paint removal
- Legal fees
- Lodging (away from home for outpatient care)
- Metabolism tests
- Neurologist
- Nursing (including board and meals)
- Obstetrician
- Operating room costs
- Ophthalmologist
- Optician
- Optometrist
- Oral surgery
- Organ transplant (including donor's expenses)
- Orthopedic shoes
- Orthopedist
- Osteopath
|
- Oxygen and oxygen equipment
- Pediatrician
- Physician
- Physiotherapist
- Podiatrist
- Postnatal treatments
- Practical nurse for medical services
- Prenatal care
- Prescription medicines
- Psychiatrist
- Psychoanalyst
- Psychologist
- Psychotherapy
- Radium Therapy
- Registered nurse
- Special school costs for the handicapped
- Spinal fluid test
- Splints
- Sterilization
- Surgeon
- Telephone or TV equipment to assist the hard-of-hearing
- Therapy equipment
- Transportation expenses (relative to health care)
- Ultra-violet ray treatment
- Vaccines
- Vasectomy
- Vitamins (if prescribed)
- Wheelchair
- X-rays
| |
|
|
- Antacids
- Allergy Medications
- Pain Relievers
- Cold medicine
- Anti-diarrhea medicine
- Cough drops and throat lozenges
|
- Sinus medications and nasal sprays
- Nicotine medications and nasal sprays
- Pedialyte
- First aid creams
- Calamine lotion
- Stop-smoking programs
|
- Wart removal medication
- Antibiotic ointments
- Suppositories and creams for hemorrhoids
- Sleep aids
- Motion sickness pills
| |
|
|
- Advancement payment for services to be rendered next year
- Athletic club membership
- Automobile insurance premium allocable to medical coverage
- Boarding school fees
- Bottled water
- Commuting expenses of a disabled person
- Cosmetic surgery and procedures
- Cosmetics, hygiene products and similar items
|
- Funeral, cremation, or burial expenses
- Health programs offered by resort hotels, health clubs, and gyms
- Illegal operations and treatments
- Illegally procured drugs
- Maternity clothes
- Non-prescription medication
- Premiums for life insurance, income protection, disability, loss of limbs, sight or similar benefits
- Scientology counseling
- Social activities
|
- Special foods and beverages
- Specially designed car for the handicapped other than an autoette or special equipment
-
- Swimming pool
- Travel for general health improvement
- Tuition and travel expenses a problem child to a particular school
- Weight loss programs
| |
|
- Toiletries (including toothpaste)
- Acne treatments
- Lip balm (including chapstick or carmex)
- Cosmetics (including face cream and moisturizer)
|
- Suntan lotion
- Medicated shampoos and soaps
- Vitamins (daily)
- Fiber supplements
|
- Dietary supplements
- Weight loss drugs for general well being
- Herbs
| |
|
|
Health Insurance may not be purchased with HSA Funds. There are four situations which are exceptions whereby HSA funds can be used to pay for:
A health plan during any period of continuation coverage required under any federal law.
- A qualified long-term insurance contract
- A health plan during a period in which the individual is receiving unemployment compensation under federal or state law
- For individuals over age 65, premiums for Medicare Part A or B, a Medicare HMO and/or the employee share of premiums for the employer-sponsored health insurance, including premiums for employer-sponsored retiree health insurance.
How do I apply for a Qualifying High Deductible Health Plan (HDHP)?
You must have a qualifying High Deductible Health Plan (HDHP) before you can open a Health Saving Account (HSA) to compare quotes between various providers and get quotes on HDHP qualifying plans simply click the link below or give us a call at 1-800-391-7469. |

How do I open a HSA Savings account?
You must have a qualifying High Deductible Health Plan (HDHP) before you can open a Health Saving Account (HSA) Just click below and go to HSA Bank to open an account online, or give them a call at (800) 357-6246 once you have purchased a qualifying High Deductible Health Plan (HDHP) from Medequote.

|