What is an HSA Plan?

Health Savings Accounts and High Deductible Health Plans

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HSAs At-a-Glance

An HSA is a PPO Plan with a high deductible up front that is IRS approved to be used with a tax advantaged account.

Positives

  • Tax sheltered savings account
  • Better coverage after a deductible
  • Some wellness built in before deductible

Negatives

  • You may have co-pays after deductible
  • More risk upfront than with HMO or PPO
  • You pay 100% of costs before deductible

Popular Individual HSA Plans

If you are like other Health Insurance shoppers in California, You've probably heard people talking about Health Savings Accounts or HSA Plans. Maybe you're wondering what they're all about? Here are some of the most commonly asked questions about High Deductible Health Plans(HDHP) and Health Savings Accounts(HSA's).

Health Savings Accounts offer the most affordable individual health insurance plans available today. The government is going to help you pay for your health insurance through tax deductions. You do not even have to itemize to get the savings!

One of the benefits of the new Medicare bill, besides making the pharmaceutical manufacturers richer, was the creation of Health Savings Accounts. These are tax-sheltered accounts similar to IRA's designed to pay medical expenses. Let me explain how these plans work.

Are Health Savings Accounts right for me?

If you're ready for a new kind of health insurance solution and you want more control of your healthcare dollars, a Health Savings Account may be right for you. You may also enjoy the freedom offered by HSAs if you utilize healthcare services not always covered by health insurance plans (like acupuncture, LASIK surgery, and chiropractic treatment). And if your employer is willing to contribute money to your Health Savings Account in lieu of providing group insurance coverage, then you really owe it to yourself to learn more.

What are High Deductible Health Plans?

The HSA plan has essentially two parts.

  1. First there is a high-deductible major medical plan, often called the HDHP or High Deductible Health Plan. This is a complete health insurance plan that will provide millions of dollars of coverage for you and your family. Once you reach your deductible and/or out of pocket maximum, all eligible expenses are covered 100%.

  2. The second part is the Health Savings Account. This is an interest-bearing account and the money rolls over from year to year. You can use the savings account funds for almost any type of medical expense without worrying about networks. Money contributed to a California HSA is exempt from both Federal and State taxes, like an IRA, and accumulates interest on a tax deferred basis, like an IRA. Unlike an IRA, the exempted funds in a Health Savings Accounts can be used immediately for any qualified medical expense. This includes doctors, dentists, prescriptions, psychotherapy, chiropractor, etc. You can even pay for your long term care insurance with tax-free money.

What Are Heath Savings Accounts?

HSA Plans are a type of high deductible plan that has two distinct parts. The first part is the health insurance portion usually referred to as a high deductible plan, or sometimes called a "Catastrophic Loss Plan". These health insurance plans are first subject to the deductible of at least $1750 before any benefits are given under the health insurance. The second portion, is an optional tax deferred savings account. HSA accounts are very similar to IRA's in several ways. Health Savings Accounts (or "HSAs") provide consumers like you with a new way of managing your healthcare. An HSA program consists of an HSA-eligible health insurance plan combined with a tax-advantaged savings account. Funds in your account may be saved or used to pay for healthcare services before your health plan's deductible is met. Used together, these health plans and accounts give you more control over your healthcare dollars.

Can HSAs help me save money?

HSA Plans help you save money

Yes. Because they come with higher deductibles, HSA-eligible health insurance plans often have lower monthly premiums. You can deposit these premium savings into an HSA bank account to earn a new tax deduction and use these funds to pay for qualifying medical expenses tax-free. Unused funds in your account will roll over from year to year and may be saved and invested for retirement. Consumers across the nation are using their HSAs to save thousands of dollars per year toward their future medical expenses or retirement.

For personal assistance, email us, or use my online chat feature, or call me at 877-758-7587, M-F, 9am to 5pm, Pacific Time.

More About HSAs

Recently Health Net have introduced new HSA products like their EZAccess HSA program. And Nationwide continues to offer their trail blazing HSA products: the Choice Saver Select plans.

  • Deposit accrue tax deferred in the HSA account.
  • Deposits reduce your taxable gross income for the year.
  • When withdrawn for a qualified medical expense, there is no taxes owed.

An important concept to keep in mind is that just because something may qualify under the IRS tax code as a qualified medical expense, it does not automatically mean that it will also be covered by the health insurance portion.

HSA plans are also sometimes called a "Catastrophic Loss Plan", Health Savings Accounts are a type of a PPO that qualifies under the IR-2005-130 as a High Deductible Health Plan. Participants in H.S.A plans buy even less insurance than a traditional PPO, and retain more risk. Generally this is a good option for self employed individuals.

Positives: Covers some preventative care not subject to deductible. Tax sheltered savings account to cover the higher deductibles associated with this type of Health plan, up to $2700 maximum for individuals, and $5450 for families. Lower monthly premium than comparable PPO plans. Doctor selection equals that of PPO plans.

Negatives :You pay 100% of office visits, labs, tests, x-rays and prescription medication until you meet your initial deductible. Some plans then cover 100% after the deductible, others still have co-pays or co-insurance after the deductible is reached.

HSA Examples

Health Savings Accounts in conjunction with a High Deductible Health Plan or simply, "HSA's" are plans that offer tax savings and investment options with Health Insurance products. Below is an example of how Health Savings Account plans are designed to work.

HSA Plan Example: Suppose for this example we take a family of four consisting of two parents ages of 46 and 41 with two dependent children. Lets suppose that this family has a PPO Health Insurance Plan with a $5,000 deductible, and it costs $300.90 a month for the premium. They decide to use an HSA account to save money on their taxes, and cover their annual deductible. $5,000 deductible divide by twelve months averages out to $416 a month.

Health Savings Account (HSA):
  • $5,000 - Health Insurance Deductible
  • $300 - Monthly Cost of Insurance
  • $416 - Deductible divided by twelve months
  • $716 - Total Monthly Cost

And here is a sample of the tax savings benefits this plan allows the family. We will use a 28% tax bracket for this illustration.

Tax Deduction for Insurance (Insurance Rate x 100% x 28%) $84.25
Tax Deduction for Savings Deposit (Savings Deposit x 28%) $120.16
Total Tax Savings $204.42
Cost After Tax Savings $525.64

But remember, the $429.16 is your money. It is sitting in an interest bearing account in your name. You never gave it to the insurance company—so subtract that amount out.

The Net Monthly Cost of Insurance after Taxes $96.48
With a Health Savings Deposit of $5,150.00 at the end of the year.

This is a general description of how an HSA plan works, give us a call to discuss the details and your specific situation which may vary. Call 877-758-PLUS (7587) for information about the new California HSA (Health Savings Accounts) Plans.

The new HSA (Health Savings Accounts) are tax advantaged health insurance plans that are available to everyone. You do not have to be self-employed. You can end up with a tax write-off that is equal to your insurance premiums.We have HSA plans for businesses. We can show you how to cut thousands off your group health insurance bill. Health Savings Accounts - More Info? Call 877-758-PLUS (7587)

Back to HSA's.

Most Popular Individual H.S.A. Plans: Nationwide Plan X 1750, Aetna Plan 2 HDHP

Some of the most popular HSA savings account administrators are through the following banks, Wells Fargo, Exante Bank, Sterling HSA, First Horizon MSA

Plan Types