HSA’s Intended Purpose Backfiring, Pt.1 -- The Abusers
A radical recent alternative, intended to provide greater
flexibility to health insurance plans seems to have backfired.
The trendy Health Savings Accounts coupled with
high-deductible health insurance, which had a slow start are
finally taking off. They have risen some 35% from a year ago
(January ’07 to January ’08). What was looking like a great
success is now evolving into a giant tax loophole for the
wealthy at the expense of the most needy. Simone
Baribeau (TheStreet.com) reports that, a recent GAO (General
Accountability Office) report divulged that the average income
of those using HSAs was $139,000. This is more than twice the
income level of the many with health insurance who could use
them, but don’t. Over half of those eligible don’t
participate. A Congressional hearing of the House Ways
and Means Committee Subcommittee on Health has been set to
address these findings.
Rep. Xavier Becerra (D-Calif.) noted that those with health
insurance are already at a disadvantage because HSAs only
benefit those who can afford insurance. But the Ways and Means
Committee has found these insurance benefits are drawing more
and more of the very rich to be used as tax shelters after
they have maxed out their IRA’s and 401(K)s. The program
simply does not have sufficient oversight to monitor abuses.
These plans were set up and intended to complement High
Deductible health insurance plans as a reserve for
“catastrophic coverage plans”. These funds are only to
be used toward qualified health care expenses. It is only
permissible to save up to $2,900, tax-free, every year, and
that only to pay for medical expenses. Whatever funds that are
not used one year, roll over into an individual's account the
following year.
Continued…
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