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Life Health > Health Insurance > HSAs

10 weird HSA FAQs

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Health savings accounts help employees sock away money for health care costs. They’re used along with a high deductible health insurance plan, and they offer some great tax benefits.

Contributions made to HSAs lower one’s taxable income, and payments made from an HSA aren’t taxed. Plus, the funds can be invested and interest can accrue in an HSA — tax free.

Used with care, HSAs can be a smart financial tool. But they’re also potentially complex.

For better or for worse, the responsibility is on the employee to make sure he or she stays within the rules of the game. For some this is empowering. For others, it’s intimidating.

Whether someone already has an HSA or is considering one, keep reading to find out about 10 potentially weird, possibly little-known FAQs about HSAs.

10 weird HSA FAQs

No 1: What is the HSA eligibility rule regarding not being a dependent on someone else’s income tax return? If you are a dependent on someone else’s tax return, are you eligible for an HSA?

Answer: No. This rule serves primarily to prevent children from opening and funding HSAs. The rule does create some interesting scenarios for adult children.

10 weird HSA FAQs

No. 2: Can HSA owners that enroll in Medicare use their HSA to pay for Medicare premiums even though they are no longer HSA-eligible?

Answer: Yes. The majority of Americans will start Medicare at age 65 and therefor lose eligibility for an HSA. Losing eligibility for an HSA means that the HSA owner cannot contribute new money but does not stop a person with an HSA balance from continuing to use that balance for medical expenses.

Someone age 65 or older has a special opportunity to use that money to pay for Medicare premiums. This is an incredible feature of HSAs: the ability to pay for Medicare premiums with pre-tax dollars.

However, this feature is only available to Americans that have built up a balance in their HSAs prior to losing eligibility. The Social Security Administration will directly deduct the Medicare premiums from Social Security payments, so an HSA owner can write a check from their HSA payable to his or her self to reimburse for the Medicare premium paid directly by Social Security.

10 weird HSA FAQs

No. 3: Is a college student covered under her parents’ HDHP eligible for an HSA?

Answer: Yes, if the college student cannot be claimed as a dependent on their parent’s tax return. College students under age 24 are likely to be claimed as dependents of their parents and ineligible for an HSA.

A college student can open his or her own HSA and can contribute up to the family HDHP limit if covered under the parents’ family HDHP and not a dependent. The parents would also be able to contribute the family limit. The student and the parents would not need to coordinate family HSA limits such that combined they stayed under the maximum.

The down side to this is that the parents cannot use their HSAs to pay for the student’s qualified medical expenses because the student would not be a tax dependent (even though still on their insurance).

The Patient Protection and Affordable Care Act’s requirement that children can remain on the parents’ health plan until age 26 increases occurrences of this issue happening. A more logical approach would be to take away a nondependent child’s eligibility for an HSA but allow the parents to use their HSAs to fund the child’s medical expenses until age 26.

The IRS extended the ability of a parent to use FSA and HRA funds for a child who has not reached age 27 by the end of the taxable year, but this guidance did not extend to HSAs. Congress or the IRS may provide additional guidance on this issue in the future.

(AP Photo/Stephan Savoia)

10 weird HSA FAQs

No. 4: Are there valid reasons to establish more than one HSA?

Answer: Yes. The most common reason to have multiple HSA is to allow for different investment choices and different account features.

Another common reason is that an employer requires an HSA to be opened at a specific HSA custodian in order to receive employer HSA contributions.

An HSA owner may not prefer that particular custodian but keeps the HSA open in order to receive the employer contributions. The HSA owner could then open a separate HSA at a more preferred HSA custodian and periodically transfer HSA funds from the non-preferred HSA custodian to the preferred HSA custodian.

10 weird HSA FAQs

No. 5: If an HSA owner has family HDHP coverage, is a joint account allowed?

Answer: No. All HSAs are individual accounts.

This answer confuses many HSA owners as they specifically enroll in a “family” health plan, review the HSA law to determine the “family” maximum HSA limit and use their HSA for their “family’s” medical expenses (spouse and dependents).

10 weird HSA FAQs

No. 6: Can any person make HSA contributions for an HSA owner?

Answer: Yes. Any person may make an HSA contribution for any other person including family members, employers, even neighbors and strangers.

Whether or not the contributor or the HSA owner gets the tax break depends on the relationship. Employers generally do get a deduction for HSA contributions and spouses that file joint returns get the benefit of each other’s contributions.

If someone other than an employer or spouse makes an HSA contribution on behalf of the HSA owner, the HSA owner gets the HSA deduction, not the person who contributed.

10 weird HSA FAQs

No. 7: Can HSA owners wait to contribute until they have a known medical expense?

Answer: Yes, provided that the HSA owner has opened the HSA (to set the establishment date), remains eligible for an HSA (necessary to put more money into an HSA), and has not yet contributed the maximum limit for the year.

Some HSA owners prefer to keep their HSA balance low and only fund the HSA when they know they will need the money. This approach may result in lost tax benefits as individuals have a limited period of time to contribute to an HSA for a particular tax year.

Also this approach will not result in the building of a balance in the HSA over time to cover larger expenses. However, for individuals tight on funds, this approach will allow for minimizing the HSA cost while still getting the tax benefits.

10 weird HSA FAQs

No. 8: Can HSA fees be directly withdrawn from the HSA account?

Answer: Yes. HSA administrative fees may be deducted directly from the HSA and the HSA owner does not have to pay taxes or penalities on the amount of the fee.

Paying fees by directly debiting the HSA allows HSA owners to pay the fees with tax-free dollars, a welcome approach for most HSA owners.

10 weird HSA FAQs

No. 9: Can an individual move IRA money into an HSA?

Answer: The law allows individuals a one-time transfer of IRA assets to fund an HSA provided: 1) they are eligible for an HSA, 2) they have a permitted IRA with sufficient funds, 3) they have not already completed an IRA to HSA funding distribution, and 4) the names and Social security numbers are the same on the IRA and HSA.

The amount transferred may not exceed the amount of one year’s HSA contribution limit. The technical term for this transaction is a “qualified HSA funding distribution,” not “transfer.”

10 weird HSA FAQs

No. 10: Should HSA owners show their health insurance cards for medical services even if they are paying the full expense themselves with their HSA?

Answer: Yes. Some HSA owners make a logical but potentially expensive error in not using their medical insurance cards for HSA purchases.

Even though HSA owners have to pay for the full medical expense when they are still below their deductible, they should show their insurance card to benefit from any discount the insurance carrier may have negotiated with the provider. Also, if an HSA owner shows an insurance card, the insurance carrier can track the expense against the deductible.

Neither of these reasons may apply in a particular circumstance, but it’s relative easy to show the card and the worst case scenario in showing the card is that the providers says it does not need it or want it.

See also:

9 top FAQs about HSAs, FSAs and HRAs

Health Savings Act of 2016: Will it change HSAs?

7 benefits of HSAs

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