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HEALTH

How can high deductible health plans and Health Savings Accounts reduce my costs?

Considering high deductible health plans and health savings accounts could lower your health care costs. Find out more about how they can save you money.

Hombre consultando al médico (Getty Images)

High Deductible Health Plans (HDHPs) and Health Savings Accounts (HSAs) are components of a healthcare strategy that can potentially reduce your healthcare costs while offering certain tax advantages.

Here’s how they work and how they can help you save money.

High Deductible Health Plans

  • Lower premiums: HDHPs typically have lower monthly premiums compared to traditional health insurance plans like Preferred Provider Organizations (PPOs) or Health Maintenance Organizations (HMOs). This means you’ll have lower monthly costs.
  • Higher deductibles: HDHPs do come with higher deductibles (as the name clearly states), which is the amount you must pay out of pocket before your insurance coverage kicks in for most services.
  • Catastrophic coverage: HDHPs are designed to provide coverage for major medical expenses, such as hospitalizations and surgeries, while requiring you to cover smaller routine healthcare costs on your own.
  • Preventive care: Despite the high deductible, many HDHPs offer full coverage for preventive services such as vaccinations, screenings, and wellness visits, helping you stay healthy without extra costs.
  • In-network benefits: Sticking to in-network healthcare providers can further reduce your out-of-pocket costs, as insurance plans often negotiate discounted rates with these providers.

Health Savings Accounts

  • Triple tax advantages: HSAs offer unique tax benefits. Contributions are tax-deductible, meaning they reduce your taxable income for the year. The funds grow tax-free, and withdrawals are tax-free if used for qualified medical expenses.
  • Savings for future costs: HSAs allow you to set aside money specifically for medical expenses, although there are limits for these deposits. This can be particularly helpful for covering deductibles and other out-of-pocket costs.
  • Portability: Unlike Flexible Spending Accounts, HSAs are not use-it-or-lose-it accounts. The money you contribute rolls over from year to year, allowing you to accumulate savings for future healthcare needs.
  • Investment opportunities: Some HSAs allow you to invest your contributions in various investment options, potentially leading to higher returns over time.
  • Withdrawal flexibility: You can use HSA funds for qualified medical expenses at any time. If you withdraw for non-medical expenses before age 65, you’ll pay taxes plus a penalty. After 65, you can withdraw for non-medical expenses without penalty (though you’ll still pay taxes).

How HSAs work with HDHPs

When you combine an HDHP with an HSA, you can potentially maximize your savings. You can contribute to your HSA to cover your higher deductible, using pre-tax dollars. If you stay healthy and don’t use all the HSA funds, they continue to grow tax-free and can be a valuable source of savings for future healthcare costs. Remember that you can only contribute to an HSA if you have an HSA-eligible HDHP.

It’s important to carefully evaluate your healthcare needs and financial situation before choosing an HDHP and HSA. While they can offer significant savings, they might not be the best choice for everyone. If you have ongoing medical needs or prescriptions, the high deductible might not be cost-effective.

Consulting with a financial advisor or benefits specialist can help you understand how an HDHP and HSA could work for you and how they fit into your overall health and financial strategy.