What is an hsa account and how does it work

Health Savings Accounts (HSAs) are available to members who enroll in a high deductible health plan (HDHP), are enrolled in Medicare or another health plan, and are not claimed as a dependent on someone else’s Federal tax return.   The health plan passes through a portion of the health plan premium as a deposit to the HSA each month.  The pass through contribution amount is different for a Self Only enrollment than for a Self Plus One or Self and Family enrollment.   You have the option to make additional, voluntary tax–free contributions to your account, up to the maximum established by law.    Federal employees who are enrolled in HDHPs can make pre–tax allotments to their HSAs through their payroll provider or through their health plan’s HSA trustee..   The funds in your HSA can be used to pay for your cost share for your deductible or other qualified medical expenses.

Features of an HSA include:

  • Your own HSA contributions are tax–deductible or pre–tax (if made by payroll deduction). See IRS Publication 969.
  • Interest earned on your account is tax–free
  • Withdrawals for qualified medical expenses are tax–free
  • Unused funds and interest are carried over, without limit, from year to year
  • You own the HSA and it is yours to keep — even when you change plans or retire
  • Your HSA is administered by a trustee/custodian

Health Savings Accounts: How an HSA WorksAlicia Main2021-07-01T12:27:28-04:00

What is an hsa account and how does it work

What is an HSA and how does it work?

A health savings account (HSA) is like a 401(k) for health care. HSAs are tax-advantaged accounts that accumulate interest and can earn investment returns. The funds can be used to pay for qualified medical expenses today or can be saved for future expenses.

What is an hsa account and how does it work

DID YOU KNOW…?

HSA funds you don’t use stay put and roll over year after year.

Your health savings account is yours forever — even if you change jobs or health insurance plans.

HSA Eligibility Questions Answered

Who qualifies for a Health Savings Account?

You must be covered by a qualified High Deductible Health Plan (HDHP) to be able to take advantage of HSAs. An HDHP generally costs less than what traditional health care coverage costs, so the money that you save on insurance can then be put into the Health Savings Account.

You own and control the money in your HSA. Decisions on how to spend the money are made by you without relying on a third party or a health insurer. You also decide what types of investments to make with the money in the account.

What types of medical expenses are eligible under an HSA?

The rules for funding and accessing funds in an HSA are legislated by the IRS and are tax-free only if used for health care expenditures, but there are literally thousands of products and services that meet the approved health care expenditures requirements in Section 213(d) Medical Expenses as defined in the IRS code.

Qualified medical expenses under an HSA are defined as: medical copayments or coinsurance, long-term care costs, dental care costs, vision care costs, prescriptions medications and some over-the-counter medications. HSA funds can also be used to pay for some post-tax insurance premiums, COBRA and long-term care premiums.

For a list of approved health care expenditures, please refer to our Eligible Expenses page.

Can I use my HSA for my spouse?

Yes. Funds can be used to cover qualified medical expenses for the account holder as well as the account holder’s spouse and dependents.

Triple Tax Advantage of HSAs

  • Contributions made to an HSA are pre-tax, reducing overall taxable income

  • Money earned with investments and through interest payments are tax free

  • Use tax-free funds from an HSA to pay for qualified health care expenses

Make the Most Your of HSA

HSA contribution limits for 2022:

HSA Interest and Investments

Interest earnings – from day one!

Enjoy interest earnings on your HSA balance from the first day your HSA is active.

Investments – for the saver in you!

Consider investing HSA funds in nationally recognized mutual fund families. It’s simple to set up and manage online.

With a Optum Financial HSA, you can choose from a variety of world-class mutual funds covering a range of fund families and set up investments within minutes via our easy-to-use online platform.

Savings That Add Up

Say you contribute $3,000 a year to your HSA each year until retirement. Assuming you use $1,500 a year for medical expenses, earn 8% a year in interest and investments, and reinvest all earnings, your savings can really add up — based on estimates produced with the HSA Growth Calculator.

Starting AgeHSA Value at Age 65
25 $419,680
35 $183,523
45 $74,137
55 $23,469

Put Your HSA to Work

Resources & Tools

App

Download the App

Manage claims on the go with the mobile app — available in iTunes and Google Play

Portal

Manage Your HSA

Take control of all your Optum Financial benefits with the easy-to-use online portal

Customer Service

Get Help 24/7

Based in the US, our customer care experts are ready to help resolve any issue, any time

Calculator

Estimate Growth Potential

See how much contributing to an HSA now could pay off in the long term

Eligible Expenses

Find HSA-Eligible Items

Check out the eligible expenses list to see just how useful an HSA can be

Marketplace

Buy HSA-Eligible Items

We’ve launched Optum Financial Marketplace to help you make HSA-eligible purchases online

Blog

Get Helpful Tips

Our blog, Connections, is the perfect place to find helpful HSA articles

HSA Academy

Continue Learning

Learn more about HSAs and put your knowledge to the test with HSA Academy

FAQs

Get Answers

There’s a lot to know about HSAs, which is why we’ve put together these FAQs

The Optum Financial Difference

Not all health savings accounts are alike.

A Optum Financial HSA can come with many features that make it unique and optimized for account holders.

We also deliver a user experience that can help Optum Financial participants get the most from their HSAs.

  • HSA On Demand

  • HSA Save-It!

  • Enhanced Experience

  • Helpful Resources

  • HSA On Demand

HSA On Demand®

Your employer may elect to offer a special Optum Financial feature called HSA On Demand, which allows employees to access future contributions to your HSA – even before they are deposited into your account.

How it Works

  • If you have a health care expense early in the year and don’t have enough money in your account, you can use money from the your future contributions interest free.
  • HSA On Demand funds become available when you have a claim that exceeds your HSA balance.
  • Your future HSA contributions pay back the amount you used.

Check your company’s benefits information or talk to an HR representative to find out if HSA On Demand is enabled.

  • HSA Save-It!

HSA Save-It!

HSA Save-It! is a convenient tool that tracks your eligible expenses as you build your Health Savings Account (HSA) balance, then makes it easy to cash out funds – tax free – when you need them.

How it Works

  • Pay for eligible health care expenses using personal funds instead of your HSA.
  • Log those expenses online in HSA Save-It! and upload your receipt.
  • When you’re ready, request funds at any time with the click of a button.

Whether you cash out your HSA savings in 2 days or 20 years, making a withdrawal is fast and easy with HSA Save-It!

What is an hsa account and how does it work

  • Enhanced Experience

Having the right people and technology makes all the difference. We invest in both.

Manage everything online or on-the-go!

Easily manage your account and submit claims anytime, anywhere thanks to the advanced technology powering our participant website and mobile app.

Superior customer service

Our 24/7, U.S.-based customer service operation has earned outstanding satisfaction rates from employers and participants alike.

Payment Card convenience

For ease-of-use and automated recordkeeping, nothing compares to the convenience of a payment card. As simple as a credit card—with the added benefit of a tax-ready audit trail.

What is an hsa account and how does it work

  • Helpful Resources

Employee Communications

Helping people understand how to use the benefits program and leverage the speed of self-service reimbursements helps everyone in the process stay efficient and happy.

Our communications use plain language and talk to account holders as real people. We don’t believe in overloading people with technical language, acronyms, and jargon.

Check out some of the HSA blog posts below and HSA Academy to expand your account knowledge.

What is an hsa account and how does it work

Our Latest Resources

Our Latest Blog Posts

  • What is an hsa account and how does it work

  • What is an hsa account and how does it work

HSA and FSA Eligible Expenses for Mom, Baby, and Parents-to-be

By Alicia Main|May 6th, 2021|

Parenting and motherhood are some of the greatest joys in life, but it does require some financial planning! Thankfully, HSAs and FSAs exist to help parents offset the cost of medical expenses for their kids and themselves, and there is a long list of items and services that are eligible for every stage of childrearing. Check out all the eligible items in this post.

  • What is an hsa account and how does it work

Is putting money into an HSA worth it?

HSAs have substantial tax advantages, so much so that some use them as retirement plans, alongside their 401(k) or IRA accounts. Contributions to an HSA are made with pretax dollars. This means that you won't pay income tax on the money that you put directly into your HSA and you'll save on income taxes for the year.

What is the point of an HSA account?

A type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. By using untaxed dollars in a Health Savings Account (HSA) to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your overall health care costs.

Can you withdraw money from HSA?

Yes. You can withdraw funds from your HSA anytime. But keep in mind that if you use HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

How much money should I have in my HSA account?

The short answer: As much as you're able to (within IRS contribution limits), if that's financially viable. If you're covered by an HSA-eligible health plan (or high-deductible health plan), the IRS allows you to put as much as $3,650 per year (in 2022) into your health savings account (HSA).