Everything else being equal, a Health Savings Account will yield you a higher after-tax rate of return than any account you can think of. No other tax advantaged account gives you all these benefits:
- Tax free earnings (if qualified)
- Tax deduction on your yearly contribution
- Tax free withdrawal of principle (if qualified)
- Free from payroll taxes (if contribution made by payroll deduction)
- Tax free cash for Medicare premiums
- Tax free cash for spouse and dependent(s) medical care
- Substitute for high-priced long term care insurance
This strategy isn’t for everyone. A high deductible health plan means your share of the medical insurance premium will be much lower than other plans, but your out-of-pocket costs will be higher if you need care. If you see the doctor pretty often, and/or take numerous medications, or expect your healthcare costs for the year to be high, you may want to consider a lower deductible plan. Medical costs (deductible, copayment, and coinsurance) will be lower than with the high deductible plans when you need care and may be more economical even though you pay a higher premium.
However, if you’re relatively healthy, willing to take a more proactive role in your healthcare, and make enough to pay some or all of your medical expenses out-of-pocket, you just might get as excited about this strategy as I am.
Say you’re married and 35 years old. If you start saving and investing the maximum contribution to your HSA this year, you’d accumulate 1.4 million dollars by your retirement date. That’s assuming an 8% yearly compounded return, a retirement age of 67, and the maximum family contribution ($6,750 for 2016, and estimated 3% yearly increases thereafter) is made at the beginning of each year.
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