If you've been following the news lately, you've probably heard about the contentious issue of Health Savings Accounts, introduced by the Bush administration in 2003 through the Medicare Modernization Act. At that time the concept generated little buzz ? only recently has the debate heated up between critics and supporters of the initiative.
A Health Savings Account offers people a second choice when it comes to signing up for health insurance. It's not a replacement for health insurance, but instead, combines aspects of personal savings with the complete coverage offered by a health insurance plan. Many defenders of HSAs believe it offers the best of both worlds so that patients can have more control over their own healthcare needs and save money in the process.
But what exactly does a Health Savings Account entail? Basically, a Health Savings Account is a savings account (set aside for the purpose of paying future medical costs) in conjunction with a high-deductible health insurance policy. If your employer or insurance company offers HSAs, you are given the option to deposit money into the savings account, up to a set amount. The deposit remains tax-free, even when you withdraw, and gains interest over time ? just like a traditional savings account. The difference, of course, is that the money must be used to cover medical expenses you incur up to the deductible amount. So if you need to buy prescription eyeglasses, visit the doctor, or take an eye exam, you would withdraw funds from the HSA in order to pay those bills. HSAs can be used to pay for a wide range of healthcare expenses, not traditionally covered by health insurance.
The good news is that once you reach the deductible amount, your insurance coverage kicks in and you can use that to pay any additional medical bills you are responsible for during the rest of the year. Another positive aspect of a Health Savings Account is the fact that with a high-deductible insurance plan comes low monthly premiums. If you have little to no healthcare costs during the year, you will save a lot of money on premiums alone. At the same time, your savings account will gain interest and roll over to the next year. After several years, even if you need to make withdrawals to pay for certain medical expenses, you should have a significant amount of money set aside for a rainy day.
In addition, once you turn 65, you can withdraw any leftover funds to use for your retirement ? and the balance remains tax-free. You can use the money for medical expenses, of course, or for any other expenses you have during your retirement years.
Opponents of HSAs argue that only the healthy and wealthy can afford to take advantage of the opportunities Health Savings Accounts offer to the public, while proponents of the plan believe this type of health insurance has the potential to give the average person more power to make informed healthcare choices. Only time will tell whether or not Health Savings Accounts have the potential to revolutionize healthcare in America.
Health Savings Accounts Insurance
With each passing year the costs of health insurance sprint higher and higher. In recent years the annual increases in health insurance costs have outpaced wages, inflation, and the stock market, and there is reason to believe that this trend will continue in the coming years. As health insurance costs continue to place added strain on household budgets and the economy as a whole, some cost reducing strategies have emerged in order to combat this condition. One of those strategies is a High Deductible Health Plan in conjunction with a Health Savings Account.
A High Deductible Health Plan (HDHP) is a health insurance plan that has lower premium payments and a higher deductible than most conventional health plans. In short, a HDHP saves you a lot of money unless you become sick, in which case your out-of-pocket expenses can be thousands of dollars per year, or more. HDHPs generally provide coverage only for expensive, and usually serious, conditions.
It is for that reason that HDHPs are commonly referred to as catastrophic health insurance plans. While HDHP coverage in the event of a catastrophic condition is important, and can save a family from financial ruin, the insured are left unprotected in the event of less serious conditions. HDHPs do not insure you against the very real possibility of thousands of dollars in out-of-pocket expenses, so the Federal Government has provided a way to help individuals and families save money for that purpose. Those who participate in qualified High Deductible Health Plans are eligible to open a tax advantaged Health Savings Account.
Unlike traditional savings vehicles, a Health Savings Account allows taxpayers to make tax free contributions to the account. In other words, any funds contributed to the account are not subject to income tax. The tax advantages come at a cost, however, and account owners can only use the funds in the account to pay for qualified health expenses.
Contributions to a Health Savings Account come in the form of deposits from the account holder or, in many cases, from their employer as part of their compensation package. Under 2007 law, there is a statutory limit on deposits, and the maximum annual contributions to a Health Savings Account are $2850 for individuals, and $5650 for families.
Withdrawing money from a Health Savings Account is very similar to making a withdrawal from a traditional savings or checking account. In fact, some Health Savings Accounts provide checks or debit cards that can be used to pay for services at the point of sale. As long as the payments are used for qualified expenses then the funds will remain untaxed.
Examples of qualified payments are deductibles and co-payments, as well as expenses that are generally not covered by health insurance, including but not limited to things such as dental, vision, chiropractic, and many over-the-counter medications. Funds that are not used for qualified expenses become subject to income tax and also incur a 10% penalty. Disabled persons or persons over the age of 65 can withdraw funds from their Health Savings Account for any reason without penalty, although only funds used for health expenses will remain tax free.
The advantages to a Health Savings Account in conjunction with a High Deductible Health Plan are obvious, and together they can provide protection against catastrophic illness at an affordable premium rate. However, these accounts are not for everyone and interested parties should carefully consider their options before enrolling.
Everyone can appreciate the allure of lower premiums, but can you afford a $1000 or $2000 payment in order to have an important test or procedure done? It is the opinion of several prominent health associations that utilization of a Health Savings Account is likely to benefit only the young and healthy, and as people get older they are more likely to be harmed than helped.
In order for a Health Savings Account and HDHP to effectively protect you from loss while still serving your day-to-day health needs, it is imperative that you have funds available to help cover out-of-pocket expenses should you incur them. People who do not have available funds tend to delay treatment in fear of a medical bill that they may not be able to afford, and such delays can have an adverse effect on their long term health. That reality is the reason that a Health Savings Account is so important to people who subscribe to a High Deductible Health Plan, and it is the reason that the Federal Government has a vested interest in assisting those savings through tax advantages.
Both Lisa Ip & J. Lloyd are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Lisa Ip has sinced written about articles on various topics from Health Insurance, Dental Insurance and Health Insurance. Lisa Ip is president of Uniforce Insurance, which she founded in 1994, in Madison Heights, Michigan. For more information regarding health insurance in Michigan, visit
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