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Pros and Cons of Health Savings Accounts: Everything You Need to Know

HSAs, or Health Savings Accounts, have been more popular in recent years as a means to save money for future medical costs while also receiving favorable tax treatment. Individuals are able to put away pre-tax cash in health savings accounts (HSAs) in order to pay for eligible medical costs. These expenses might range from visits to the doctor to the cost of prescriptions. Yet, just like any other kind of financial product, HSAs come with their fair share of benefits as well as drawbacks.89% of HSA account holders reported that their account had helped them better manage their health care costs. (1)

The account, which is connected to a high-deductible health plan (HDHP), is designed to provide a method of paying for out-of-pocket medical expenditures that is advantageous from a tax point of view. While HSAs provide a lot of advantages, there are also certain disadvantages that should be taken into consideration.

Pros of Health Savings Accounts

  • Contributions to an HSA May Be Eligible For Tax Advantages

    The tax savings that one receives for making contributions to an HSA are among the most significant advantages of having such an account. Since contributions to HSAs are eligible for a tax deduction, taxpayers who make contributions to an HSA are able to lower the portion of their income that is subject to taxation. If a person has a taxable income of $50,000 and contributes $3,000 to their HSA, then that individual’s taxable income is lowered to $47,000.

    This has the potential to result in considerable tax savings, particularly for those who are in higher tax bands. In addition, the money in an HSA are not subject to taxation throughout the account’s growth period and may be withdrawn tax-free if they are used to pay for certain eligible medical costs. This provides a major tax benefit for people since they are able to save money on both their contributions and their withdrawals from their retirement accounts.

  • Possibility of Setting Aside Money To Cover Potential Future Medical Costs

    One additional benefit of having an HSA is the opportunity to set aside money expressly for payment of healthcare costs. The monies in a health savings account (HSA) can only be used for qualified medical costs, in contrast to other types of savings accounts, which may be used for anything. This offers an opportunity to set aside money only for future medical bills, which may be of particular use to those who foresee the need to pay for such expenses in the near future. In addition, given that HSA funds are carried over from one year to the next, people have the potential to amass a substantial sum of money over the course of their lives.

  • Flexibility in Using HSA Funds For Qualified Medical Expenses

    A broad variety of eligible medical costs, such as deductibles, copayments, and prescription medicines, may be paid for using money from a health savings account (HSA). Because of this, consumers have more freedom in determining how they spend the money in their HSA accounts, which enables them to pay for a wider range of healthcare costs with tax-free monies. Individuals are also able to utilize their HSA savings to cover unforeseen medical bills. This is possible due to the fact that HSA funds may be used for a wide variety of purposes.

  • Ability to Invest HSA Funds

    There are a number of HSA providers that enable consumers to invest their HSA money in a range of investment alternatives, giving them the opportunity to possibly earn larger returns than they would with a conventional savings account. Because of this, individuals who want to keep their HSA assets for a longer length of time are in a position to possibly earn a better rate of return on their investment.

    This may be especially helpful for those individuals who aim to hold onto their HSA funds for a longer period of time. Individuals should carefully analyze their investment alternatives before making any decisions, since investing HSA money does carry some risk. It is essential to remember, however, that investing HSA funds does also carry some risk.

Cons of Health Savings Accounts

  • High Deductible Health Plans Required To Open An HSA

    Individuals need to be enrolled in a high-deductible health plan in order to be eligible to create a health savings account (HSA) (HDHP). The monthly premiums for HDHPs are often cheaper than those for regular health plans; nevertheless, persons enrolled in HDHPs are required to pay a larger deductible before the insurance coverage becomes effective.

    This might be a disadvantage for certain people since they have a greater likelihood of needing frequent medical care and a lower likelihood of being able to pay the higher out-of-pocket expenditures that are associated with an HDHP. 9.7% of HSA account holders contributed the maximum amount allowed to their account.(2)

  • Limited Contribution Amounts

    The IRS determines the contribution limitations for HSAs, and those limits may not be enough to cover all of a person’s medical costs. The highest allowable yearly contribution for a person in 2022 is $3,650, while the maximum allowable contribution for a family is $7,300. These contribution restrictions may not be adequate for people who have significant healthcare expenditures; nevertheless, they may be advantageous for those who are able to pay the maximum amount each year and are able to contribute that amount.

  • Unused HSA Funds Do Not Roll Over To The Next Year

    In contrast to flexible spending accounts (FSAs), money that are not spent during one year cannot be carried over to the next year in an HSA. If a person does not utilize the money in their HSA before the end of the year, they run the risk of seeing that money go to waste. Even though certain HSA providers may provide a grace period or let users to carry over a limited amount of funds, it is imperative that careful consideration be given to the amount of money that will be contributed to an HSA in order to prevent any financial loss.

How to Open and Use a Health Savings Account?

  • Requirements For Opening An HAS

    Individuals are required to sign up for a high-deductible health plan before they may establish a health savings account (HSA) (HDHP). The High-Deductible Health Plan (HDHP) has to satisfy a number of requirements established by the Internal Revenue Service (IRS), including minimum deductible amounts and maximum out-of-pocket costs. Individuals are able to create a health savings account (HSA) via a qualifying HSA provider after they have registered in an HDHP. This might be a financial institution such as a bank, credit union, or insurance firm.

  • How to Contribute to an HAS

    It is not too difficult to make contributions to a health savings account. Contributions to an HSA may be made by an individual in a number of different ways, including via pre-tax payroll deductions, through direct payments, or by personal contributions made to the account. It is essential that you take notice of the fact that donations must be made before the deadline for filing taxes in order for them to be deductible for that particular year.

  • Qualified Medical Expenses Eligible for HSA Funds

    HSA money may be used toward the payment of a broad variety of eligible medical costs, such as deductibles, copayments, and prescription medications, among other things. In addition, monies from a health savings account (HSA) may be used to pay for medical expenditures that are not covered by insurance, such as those associated with vision and dental care. Before spending money from your HSA on a medical bill, you need to make sure that it is on the approved list by going through the HSA’s list of qualifying medical expenses.

  • How to Invest HSA Funds

    There are a number of HSA providers that make it possible for people to invest their HSA money in a range of different investment alternatives, such as stocks or mutual funds. Those who invest their money in this manner have a better chance of seeing a return on their money than if they put it in a standard savings account. Before placing money from a health savings account (HSA) into investments, one should, however, thoroughly research the available possibilities and become familiar with the associated dangers.

Is an HSA Right for You?

  • Factors To Consider When Deciding If An HSA Is Right For You

    There are a few things to take into consideration before you decide whether or not an HSA is the best option for you. Your present state of health is a component to consider. An HSA can be an excellent option for you if you are generally healthy and do not have a significant need for medical attention on a regular basis. This is due to the fact that selecting a health plan with a high deductible enables you to save money on premiums, and an HSA may be used to pay for any unanticipated medical bills that may come up in the future.

    Your projected costs for medical treatment are still another aspect to take into consideration. If you anticipate needing a significant amount of medical attention in the next year, then an HSA may not be the ideal option for you to invest in. This is due to the fact that before your insurance coverage kicks in, you will be required to pay the whole deductible amount first, which may be a substantial strain financially.

    In addition to this, you should think about whether or not you can afford a health insurance plan with a large deductible. If you do not have the financial resources to pay the whole deductible out of cash, then opening an HSA is probably not the best option for you. It is essential to do a thorough analysis of your finances in order to ascertain whether or not a high-deductible health plan is within your means financially.

  • Examples of When An HSA May Be Beneficial

    A Health Savings Account (HSA) might be a good option in a number of different circumstances. A good illustration of this would be those who are expecting to incur more medical costs in the near future, such as those who are intending to have a child or go through a medical treatment.

    These people have the ability to save money particularly for these expenditures by contributing to a health savings account (HSA), and they also have the possibility to take advantage of the tax advantages that are connected with the account.

    One other illustration of this would be for those who are in higher tax rates. Contributing to an HSA, which offers considerable tax advantages both for the contribution and the withdrawal of funds, may enable taxpayers in higher tax rates to reduce the amount of money they owe in taxes by a sizeable amount.

  • Examples of When an HSA May Not Be The Best Option

    There are various circumstances in which an HSA may not be the most suitable option. A high-deductible health plan with a health savings account (HSA) may not offer sufficient coverage to pay the medical expenses of persons who have chronic health concerns or who have ailments that need regular medical attention. In addition, if you do not believe that you will have substantial medical costs in the near future, then it is possible that you will not be able to take full advantage of the tax savings that come with having an HSA.


In conclusion, HSAs come with a number of benefits as well as drawbacks, both of which have to be thoroughly weighed and considered before choosing whether or not they are the best solution for one’s own medical and financial circumstances. The opportunity to save money for future healthcare costs, considerable tax advantages, and the freedom to use HSA funds for a wide range of eligible medical expenditures are some of the perks that come with having a health savings account (HSA).

If you are thinking about opening a health savings account (HSA), you should first assess your current health situation, determine how much you anticipate spending on future medical care, and determine whether or not you can afford a health insurance policy with a high deductible.

An HSA may give considerable tax savings and a mechanism to save particularly for healthcare expenditures if it is a good match for your scenario. If an HSA is a good fit for your situation, then it can provide these benefits. On the other hand, if an HSA does not cater to your requirements in terms of medical treatment or your budget, then it is possible that it is not the ideal choice for you.


  1. Abstracts from the 2017 Society of General Internal Medicine Annual Meeting. J Gen Intern Med. 2017;32(Suppl 2):83-808. doi:10.1007/s11606-017-4028-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391321/
  2. UEG Week 2019 Poster Presentations. United European Gastroenterol J. 2019;7(8_suppl):189-1030. doi:10.1177/2050640619854671 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8454868/

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Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:March 12, 2023

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