Health Savings Accounts

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The Basics
 
Make your healthcare budget work harder - A Health Savings Account (HSA) is a great way to make your healthcare budget work harder for you and your family. HSA's are individually owned, tax-advantaged personal savings or investment accounts that may be established in combination with and HSA-eligible high -deductible health plan (HDHP). These accounts are portable and may be accumulated over the years and distributed on a tax-free basis to pay, or reimburse, qualified medical expenses.

HSA ComponentsAccording to congressional analysts over 40 million HSA (Health Savings Accounts) will be established in the next 10 years. First available January 1, 2004 Health Savings Accounts were made available thanks to an innovative, permanent federal law designed to make healthcare affordable and allow for the accumulation of tax-free money in the process. The HSA (Health Saving Account) is combined with a qualifing high deductible health insurance plan to provide major medical protection and at the same time help you realize a savings on your health insurance premiums.

Health Savings Accounts (HSAs) are a new way for consumers to pay for medical expenses. Almost anyone with a qualified high-deductible health plan can also have a Health Savings Account. HSAs can save you money on your medical care now as well as provide a good way to save for future medical expenses. HSA funds can pay for expenses before you meet your deductible as well as helps pay for services not covered by your health plan, COBRA coverage during periods of unemployment, medical expenses after retirement and long-term care expenses.

All About HSA'sYour high-deductible health plan can be one you get through your employer or a policy you buy on your own. Even if you get your high-deductible health plan or even your HSA account through your employer, you own your account. You decide how much to contribute, how much of the account to use for medical expenses, and which medical expenses you will pay from your account. You also choose whether to pay for medical expenses from the account or save it for future use. Even if you change jobs, your Health Savings Account is still yours.

You can keep the account even if you move to another state, and you can continue to keep it as you grow older. Regardless of where you get your health insurance plan, whether on your own (individual plan) or through your employer, your Health Savings Account funds are yours. Unlike some other types of accounts, you don't lose HSA funds at the end of the year. Unspent balances remain in your account earning interest until you spend them on medical care. This provides a strong incentive for you to spend wisely on your medical care, just like you do on other items you purchase. The incentive to shop around for the best value for your health care dollars is yours.

Contribution Limits for 2007 - Annual contribution limits for 2007 are capped at either the high deductible or $2,850 for an individual and $5,650 for family - whichever amount is less. The annual maximum HSA contribution will change each January 1st based on the CPI. There are no maximum limits on the account accumulation. The legislation provides for an additional contribution (and tax deduction) for those who turn age 55 before the end of the tax year. The additional contribution amount is $800 for 2007 and increases annually to an additional $1,000 in 2009.

Health Savings Account QuoteClick Here for 2005 contribution limits

High Deductible Health Plan (HDHPs) Defined: (Source - Department of the Treasury)

You must have coverage under an HSA-qulaified "high deductible health plan" (HDHP) to open and contribute to an HSA. Generally, this is health insurance that does not cover first dollar medical expenses. Federal law requires that the health insurance deductible be at least (in 2007):

  • $1,100 -- Self-only coverage
  • $2,200 -- Family coverage

In addition, annual out-of-pocket expenses under the plan (including deductibles, copays. and co-insurance) cannot exceed:

  • $5,500 -- Self-only coverage
  • $11,000 -- Family coverage

Are HSAs and HDHPs the same? No. Health insurance companies provide HDHPs. HSAs are offered through financial institutions. Consumers who enroll in an HDHP may be eligible to open an HSA. Clients should consult with a financial advisor to determine if they meet HSA-eligibility criteria and whether or not an HSA/HDHP is a good fit for them financially.

So What are Eligible Expenses:

Eligible Medical Expenses (For HSA Distributions)
  • Abdominal supports
  • Abortion
  • Acupuncture
  • Air conditioner (when necessary for relief from difficulty in breathing)
  • Alcoholism treatment
  • Ambulance
  • Anesthetist
  • Arch supports
  • Artificial limbs
  • Autoette (when used for relief of sickness/disability)
  • Birth Control Pills (by prescription)
  • Blood Tests
  • Blood transfusions
  • Braces
  • Cardiographs
  • Childbirth/Delivery
  • Chiropractor
  • Christian Science Practitioner
  • Contact Lenses
  • Contraceptive devices (by prescription)
  • Convalescent home (for medical treatment only)
  • Crutches
  • Dental Treatment
  • Dental X-rays
  • Dentures
  • Dermatologist
  • Diagnostic fees
  • Drug addiction therapy
  • Drugs (prescription)
  • Elastic hosiery (prescription)
  • Eyeglasses
  • Fees paid to health institute prescribed by a doctor
  • FICA and FUTA tax paid for medical care service
  • Fluoridation unit
  • Guide dog
  • Gum treatment
  • Gynecologist
  • Hearing aids and batteries
  • Hospital bills
  • Hydrotherapy
  • Insulin treatment
  • Lab tests
  • Lead paint removal
  • Legal fees
  • Lodging (away from home for outpatient care)
  • Metabolism tests
  • Neurologist
  • Nursing (including board and meals)
  • Obstetrician
  • Operating room costs
  • Ophthalmologist
  • Optician
  • Optometrist
  • Oral surgery
  • Organ transplant (including donor's expenses)
  • Orthopedic shoes
  • Orthopedist
  • Osteopath
  • Oxygen and oxygen equipment
  • Pediatrician
  • Physician
  • Physiotherapist
  • Podiatrist
  • Postnatal treatments
  • Practical nurse for medical services
  • Prenatal care
  • Prescription medicines
  • Psychiatrist
  • Psychoanalyst
  • Psychologist
  • Psychotherapy
  • Radium Therapy
  • Registered nurse
  • Special school costs for the handicapped
  • Spinal fluid test
  • Splints
  • Sterilization
  • Surgeon
  • Telephone or TV equipment to assist the hard-of-hearing
  • Therapy equipment
  • Transportation expenses (relative to health care)
  • Ultra-violet ray treatment
  • Vaccines
  • Vasectomy
  • Vitamins (if prescribed)
  • Wheelchair
  • X-rays
Eligible Over-the-Counter Drugs (For HSA Distributions)
  • Antacids
  • Allergy Medications
  • Pain Relievers
  • Cold medicine
  • Anti-diarrhea medicine
  • Cough drops and throat lozenges
  • Sinus medications and nasal sprays
  • Nicotine medications and nasal sprays
  • Pedialyte
  • First aid creams
  • Calamine lotion
  • Stop-smoking programs
  • Wart removal medication
  • Antibiotic ointments
  • Suppositories and creams for hemorrhoids
  • Sleep aids
  • Motion sickness pills
Ineligible Medical Expenses
  • Advancement payment for services to be rendered next year
  • Athletic club membership
  • Automobile insurance premium allocable to medical coverage
  • Boarding school fees
  • Bottled water
  • Commuting expenses of a disabled person
  • Cosmetic surgery and procedures
  • Cosmetics, hygiene products and similar items
  • Funeral, cremation, or burial expenses
  • Health programs offered by resort hotels, health clubs, and gyms
  • Illegal operations and treatments
  • Illegally procured drugs
  • Maternity clothes
  • Non-prescription medication
  • Premiums for life insurance, income protection, disability, loss of limbs, sight or similar benefits
  • Scientology counseling
  • Social activities
  • Special foods and beverages
  • Specially designed car for the handicapped other than an autoette or special equipment
  • Swimming pool
  • Travel for general health improvement
  • Tuition and travel expenses a problem child to a particular school
  • Weight loss programs
Ineligible Over-the-Counter Drugs
  • Toiletries (including toothpaste)
  • Acne treatments
  • Lip balm (including chapstick or carmex)
  • Cosmetics (including face cream and moisturizer)
  • Suntan lotion
  • Medicated shampoos and soaps
  • Vitamins (daily)
  • Fiber supplements
  • Dietary supplements
  • Weight loss drugs for general well being
  • Herbs
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