When it comes to reducing your tax burden while preparing for healthcare expenses, Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can be powerful tools. While both accounts allow you to pay for qualified medical expenses with pre-tax dollars, they operate differently and offer distinct tax advantages depending on your financial situation and health coverage. Understanding how these accounts work can help you make more informed decisions during open enrollment and throughout the year.
A Milford resident was looking to start the year off on the right foot, by utilizing the HSA and FSA accounts offered by her employer. But first she wanted to have a better understanding of the tax advantages of each. For this, she contacted the team at Merrimack Tax Associates.
The Tax Advantages of Health Savings Accounts
An HSA is available to individuals and families enrolled in a high-deductible health plan (HDHP). What makes HSAs especially attractive is their unique “triple tax advantage,” a benefit not found in many other savings vehicles. Contributions to an HSA are tax-deductible or made pre-tax through payroll, reducing your taxable income for the year. Funds in an HSA grow tax-free. Any interest, dividends, or investment gains earned within the account are not taxed, allowing your balance to compound over time. Withdrawals used for qualified medical expenses are also tax-free. This includes costs such as doctor visits, prescriptions, dental care, vision services, and many other healthcare expenses.
Any unused funds roll over from year to year with no expiration. Many people even use HSAs as a long-term savings strategy, allowing balances to grow and be used later in retirement for healthcare costs, which are often a significant expense in later years.
The Tax Advantages of Flexible Spending Accounts
FSAs are typically offered through employers and allow employees to set aside pre-tax dollars for eligible medical expenses. Like HSAs, contributions reduce taxable income, resulting in immediate tax savings. One key benefit of an FSA is that the full annual election is available at the beginning of the plan year, even though contributions are made gradually through payroll deductions.
FSAs can be used for a wide range of out-of-pocket healthcare costs, including copays, deductibles, prescriptions, and certain over-the-counter items. Some employers also offer dependent care FSAs, which allow pre-tax dollars to be used for childcare or elder care expenses.
FSAs come with stricter rules. Most are subject to a “use-it-or-lose-it” provision, meaning unused funds may be forfeited at the end of the plan year. Some plans offer a grace period or allow a limited amount to roll over, but these features vary by employer and plan design.
Choosing the Right Account for You
Both HSAs and FSAs provide valuable tax savings, but the best option depends on your health plan, spending habits, and financial goals. HSAs are often ideal for those who want long-term flexibility and the ability to save for future medical costs, particularly if they are comfortable with a high-deductible plan. FSAs may be better suited for individuals who expect predictable medical expenses within the year and want immediate access to funds.
In some cases, it may even be possible to use both accounts, depending on plan rules and eligibility. Working with a tax professional can help you evaluate how these accounts fit into your overall tax and financial strategy.
This Milford resident now has a better understanding of how each account works and the opportunity to offer plenty of tax advantages for each.