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Writer's pictureMark Fonville, CFP®

How to Use an HSA for Retirement

Updated: 7 days ago

How to Use an HSA for Retirement

Imagine this: You're sitting on a sun-drenched patio, sipping your morning coffee, and enjoying your well-earned retirement.


Suddenly, an unexpected medical bill arrives in the mail. Instead of panic, you feel a sense of calm wash over you.


Why?


Because you've mastered the art of using a Health Savings Account (HSA) for retirement.


Man relaxing because he has a health savings account (HSA)

In today's world of rising healthcare costs and economic uncertainty, planning for a secure retirement has never been more crucial.


One often overlooked tool in the retirement planning arsenal is the Health Savings Account. This powerful financial instrument can be a game-changer for those looking to maximize their retirement savings while minimizing their tax burden.


Even with our free retirement cheat sheets, knowing how to use an HSA for retirement is hard.


Here's what you need to know.


Key Takeaways


  • HSAs offer triple tax advantages: tax-deductible contributions, tax-free growth, and tax-free withdrawals for qualified medical expenses.

  • Using an HSA as a long-term investment vehicle can significantly boost your retirement savings.

  • HSAs can be used to pay for a wide range of medical expenses in retirement, including Medicare premiums.

  • Proper HSA strategy can lead to substantial tax savings and increased financial flexibility in retirement.

  • HSAs have no required minimum distributions, allowing for continued tax-free growth throughout retirement.





Table of Contents



What is an HSA?


A Health Savings Account (HSA) is a tax-advantaged savings account designed to help individuals cover medical expenses.


However, when used strategically, it can become a powerful tool for retirement planning.


Scott Hurt, CFP®, CPA at Covenant Wealth Advisors in Richmond, VA, explains,


"An HSA is like a secret weapon in retirement planning. It's the only account that offers triple tax advantages, making it an incredibly efficient way to save for both healthcare costs and retirement."

The Triple Tax Advantage


Health Savings Accounts (HSA) have a triple tax benefit


  1. Tax-deductible contributions: Money you put into an HSA reduces your taxable income for the year.

  2. Tax-free growth: Any interest or investment gains in your HSA grow tax-free.

  3. Tax-free withdrawals: When used for qualified medical expenses, withdrawals from your HSA are completely tax-free.


HSA Eligibility and Contribution Limits


To be eligible for an HSA, you must be enrolled in a High Deductible Health Plan (HDHP). For 2024, the IRS defines an HDHP as a plan with a minimum deductible of $1,600 for individuals or $3,200 for families.


Contribution limits for 2024 are:


  • $4,150 for individuals

  • $8,300 for families

  • An additional $1,000 catch-up contribution for those 55 and older


It's important to note that once you enroll in Medicare (typically at age 65), you can no longer contribute to an HSA. However, you can continue to use the funds in your account for eligible expenses.


The Power of an HSA in Retirement Planning


Many people make the mistake of using their HSA as a short-term savings account for current medical expenses.


While this approach can provide some benefits, it misses out on the true power of an HSA as a retirement planning tool.


The Long-Term Investment Approach


Instead of spending your HSA funds each year, consider treating your HSA like a retirement account. By investing your HSA funds in a diversified portfolio of mutual funds or ETFs, you can potentially grow your balance significantly over time.


Let's look at a hypothetical example:


Sarah, age 35, starts maxing out her HSA contributions each year ($3,850 in 2023, adjusted for 2% inflation in future years). She invests these funds in a diversified portfolio earning an average annual return of 7%. By the time she reaches age 65, her HSA could potentially grow to over $400,000, all of which can be used tax-free for medical expenses in retirement.


Bridging the Gap to Medicare


One of the most challenging aspects of early retirement is managing healthcare costs before Medicare eligibility at age 65. An HSA can be a valuable tool in bridging this gap.


Adam Smith, CFP® at Covenant Wealth Advisors in Reston, VA, says:


"For those considering early retirement, an HSA can be a lifeline. It allows you to set aside tax-advantaged funds specifically for healthcare costs, giving you more flexibility in your retirement planning."

Maximizing Your HSA Benefits


How to build your HSA for retirement

To get the most out of your HSA for retirement, consider these strategies:


  1. Max out your contributions: If possible, contribute the maximum amount allowed each year to take full advantage of the tax benefits.

  2. Invest for the long term: Don't let your HSA funds sit idle in a low-interest savings account. Invest them in a diversified portfolio for potential long-term growth.

  3. Pay medical expenses out of pocket: If you can afford to, pay for current medical expenses out of pocket and let your HSA balance grow. You can always reimburse yourself later, even years down the line.

  4. Keep your receipts: Save all receipts for medical expenses you pay out of pocket. You can use these to reimburse yourself tax-free from your HSA at any time in the future.

  5. Use it for Medicare premiums: In retirement, you can use your HSA to pay for Medicare Part B, Part D, and Medicare Advantage premiums tax-free.

  6. Estate planning: If your spouse is the beneficiary of your HSA, they can inherit it as their own HSA, maintaining all tax advantages. For non-spouse beneficiaries, the account becomes fully taxable upon your death, so consider this in your estate planning.


HSA Savings, Withdrawals, and Taxation: Meet John and Lisa


Understanding HSA withdrawals and taxation

John and Lisa, both 55, have been diligently saving for retirement. They've maxed out their 401(k)s and Roth IRAs, but they're concerned about potential healthcare costs in retirement. Their financial advisor suggests they start maximizing their HSA contributions as an additional retirement savings strategy.



Over the next ten years, John and Lisa contribute the family maximum plus catch-up contributions to their HSA, investing the funds in a diversified portfolio. By the time they retire at 65, their HSA has grown to over $150,000.


In retirement, John and Lisa use their HSA to pay for:


  • Medicare premiums

  • Long-term care insurance premiums

  • Other qualified expenses such as prescription medications and dental work not covered by Medicare


By using their HSA for these expenses, they're able to preserve their other retirement accounts, potentially reducing their overall tax burden in retirement.


However, if John and Lisa withdrawal HSA savings for non medical expenses in retirement before age 65, they will incur a 20% tax penalty plus income tax on the amount withdrawn. After age 65, withdrawals for non medical expenses would incur income tax only.



Frequently Asked Questions


  1. Can I use my HSA for non-medical expenses in retirement? Yes, after age 65, you can use your HSA for non-medical expenses without penalty. However, you'll pay ordinary income tax on these withdrawals, similar to a traditional IRA.


  2. What happens to my HSA if I switch jobs? Your HSA is yours to keep, regardless of job changes. You can continue to use the funds for qualified medical expenses, even if you're no longer enrolled in an HDHP.


  3. Can I contribute to an HSA if I'm on Medicare? No, once you enroll in Medicare, you can no longer contribute to an HSA. However, you can continue to use your existing HSA funds for qualified medical expenses.


  4. Is an HSA better than a Flexible Spending Account (FSA)? For most people, an HSA offers more flexibility and long-term benefits than an FSA. HSA funds roll over year to year and can be invested, while FSA funds typically must be used within the plan year.


  5. Can I have both an HSA and a 401(k)? Yes, you can contribute to both an HSA and a 401(k). In fact, maximizing both can be an excellent strategy for comprehensive retirement planning.


Conclusion


Using an HSA for retirement is a powerful strategy that combines the immediate benefits of tax-deductible contributions with the long-term advantages of tax-free growth and withdrawals.


By treating your HSA as a long-term investment vehicle rather than a short-term savings account, you can potentially accumulate a significant sum to cover healthcare costs in retirement.


Remember, healthcare is likely to be one of your largest expenses in retirement. An HSA provides a tax-efficient way to prepare for these costs while offering flexibility and potential growth.


As with any financial strategy, it's important to consider your individual circumstances and consult with a financial advisor to determine the best approach for your unique situation.


Do you want to retire without running out of money? Contact us today for a free retirement assessment to see how we can help you.



 

Mark Fonville Financial Planner Richmond VA

Author: Mark Fonville, CFP®


Mark is a fiduciary and fee-only financial advisor at Covenant Wealth Advisors specializing in helping individuals aged 50 plus plan, invest, and enjoy retirement without the stress of money.


Forbes nominated Mark as a Best-In-State Wealth Advisor* and he has been featured in the New York Times, Barron's, Forbes, and Kiplinger Magazine.


 


Disclosures: Covenant Wealth Advisors is a registered investment advisor with offices in Richmond, Reston, and Williamsburg, VA. Registration of an investment advisor does not imply a certain level of skill or training. Past performance is no guarantee of future returns. Investing involves risk and possible loss of principal capital. The views and opinions expressed in this content are as of the date of the posting, are subject to change based on market and other conditions. This content contains certain statements that may be deemed forward-looking statements. Please note that any such statements are not guarantees of any future performance and actual results or developments may differ materially from those projected. Please note that nothing in this content should be construed as an offer to sell or the solicitation of an offer to purchase an interest in any security or separate account. Nothing is intended to be, and you should not consider anything to be, investment, accounting, tax, or legal advice. If you would like accounting, tax, or legal advice, you should consult with your own accountants or attorneys regarding your individual circumstances and needs. This article was written and edited by a CERTIFIED FINANCIAL PLANNER™ professional with the assistance of AI. No advice may be rendered by Covenant Wealth Advisors unless a client service agreement is in place. Hypothetical examples are fictitious and are only used to illustrate a specific point of view. Diversification does not guarantee against risk of loss. While this guide attempts to be as comprehensive as possible but no article can cover all aspects of retirement planning. Be sure to consult an advisor for comprehensive advice.

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