Health Savings Account
Paired with a high-deductible health plan (HDHP), a health savings account (HSA) allows you to deduct a set amount of pre-tax money from each paycheck to pay for certain IRS-qualified out-of-pocket health expenses, such as copays, hospital stays, prescription drugs, and more.
Simply use your HSA debit card at the point of sale for services, or file a claim for reimbursement. Since the IRS governs this pre-tax benefit, you can only use your HSA funds for IRS-approved expenses.
- Speech therapy
- Glasses and contact lenses
- Dental visits and braces
- Lab fees
- Hearing aids and batteries
- Doctor and hospital services
- Insulin and syringes
- Prescribed medical supplies and rentals
- Transportation & lodging for medical care
- Prescription drugs
- Smoking cessation
Download a complete list of eligible expenses, plus a printable summary of the HSA:
Watch this video for a quick overview of the HSA!
The IRS governs how much you can deduct for your tax-deferred savings accounts, including the HSA. Here are the annual limits for each plan:
|HSA - individual for health expenses, with HDHP||$3,600||$3,550|
|HSA - family for health expenses, family-level||$7,200||$7,100|
|HSA - catch-up for health expenses, ages 55+||$1,000||$1,000|
For the latest, visit irs.gov.
Answers to your questions
Questions? We have answers! Here are your most frequent HSA questions.
Q: How does the HSA work?
A: Determine how much you want to contribute during the year to cover out-of-pocket health expenses. Throughout the year, we withhold that amount from your paycheck pre-tax in equal installments and deposit it into your HSA.
When you have an eligible expense, submit a claim for reimbursement or use your HSA debit card. Save your receipts; you may be required by the IRS to verify expenses.
Q: How do the HSA & FSA differ?
A: While similar to a an FSA, there are key differences.
- An HSA is not subject to the "use it or lose it" rule.
- You may carry over your balance from one year to the next.
- The HSA must be used with an HDHP.
- If you leave employment, the HSA still belongs to you.
Q: Who is eligible for an HSA?
A: To be eligible for an HSA, you must be enrolled in a high-deductible health plan (HDHP).
Q: What's the annual maximum?
A: The maximum may adjust annually for inflation. For the current maximum, visit irs.gov. There is no minimum.
Q: When is this money available?
A: Funds are available as they are deducted from your paychecks and deposited into your account. Unlike the FSA, funds are not available in a lump sum up front.
Q: Is the HSA "use it or lose it"?
A: Nope. The HSA is not subject to the FSA's calendar year rules. All of your funds roll over each year and remain available. You will need to re-enroll each year to continue deductions.
Q: Can I have both FSA and HSA?
You may also use an LPFSA concurrently with HSA to cover dental and vision and post-deductible expenses only. It is subject to the same IRS and "use it or lose it" regulations as other FSA funds.
Q: Can I change my election any time?
A: Yes, changes may be made to HSA elections throughout the year as long as the total annual amount does not exceed the maximum allowed by IRS regulations.
If your employment terminates, you still have full access to your funds. Your account remains yours and is available for use until you roll over, exhaust, or close the account.
As mentioned above, HSAs can only be used in conjunction with a qualified high-deductlbe health plan (HDHP).
Watch this video to learn more about the HDHP.
Nextep's benefits department is here to help!
Do you have more questions about our benefits? Log in to your account and chat with us, call 888-811-5150, or submit your question here.