High-Deductibles, Part 2 – Benefits and Risks
Because this health insurance benefit was fairly new and
not well-understood by many, HSA’s had a slow take-off. The
UnitedHealth Group found that last year about 40% of those who
could, did not take advantage of this generous offer. Not only
did they not enjoy immediate tax exemption, but many found
themselves strapped with high medical bills beyond what they
could pay (having not saved ahead). The public is now catching
on and HSAs are gaining popularity quickly. There are limits,
of course, to IRS’ generosity. Currently they are $2,900 for
individuals and $5,800 for a family. Note that, for those 55
and older, there is an additional "catch-up" allowance for
higher amounts. Also, the balances can be rolled over from one
year to the next. To use these funds tax-free, they must be
used for qualified medical expenses. They need not be only be
medically prescribed, but can even be used for
over-the-counter drugs. These accounts can even be rolled over
from job to job and be used into retirement.
Lastly, some final advice:
If available, feed the HSA as soon as possible. It’s highly
advisable to apply anything that has been saved by switching
from other plans. Don’t continually drain the account with
small stuff. Let it grow to the point you won’t be overwhelmed
by that sudden large expense. Hospital financing can be very
costly.
Count the cost. Consider how much you might have to pay in
a worst-case scenario for the year. Compare this against the
premium expense, the deductible and the maximum annual limits.
If the cost is too high, consider the lower deductible health
insurance instead.
Learn about alternative HSA plans that may be available
from the many institutions that also offer HSAs. You’re not
limited to only your employer’s health insurance plan. You may
benefit from better features like easy on-line access and more
friendly medical debit cards from these other institutions.
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