HSAs are a misdirect to get you to ignore how shitty high deductible plans are. Never take the high deductible plan.
It depends though. If you are relatively healthy with no chronic issues (yet) and have enough saved for an emergency, it can save you a good amount of tax-free money that you can use for when you get older and sicker. That and the monthly premium is much lower than a PPO. Obviously universal healthcare is still the best option.
Yes, but until then you are parking money that you can actually use to pay for medical bills, unlike a PPO where you pay hundreds of dollars a month just to the insurance company then still need to pay a deductible anyway. Sure, a PPO deductible is lower than an HSA, and your bills should theoretically be lower as well; that’s why I said if you don’t have chronic issues or you don’t get sick often, you might be better off with an HSA. You can always switch to a PPO when the chronic issues start.
For example. In my first year at my job, I chose PPO. I was paying $400 a month. The only medical stuff I did for the year was visit a specialist twice at $35 a visit. Even if I was on an HSA and paid full price for the doctor visits, it would still be cheaper than the $4800 I paid on my PPO for the year. If I was on an HSA back then, I would’ve paid only $50 a month. If I had the same budget, then I could’ve put the rest of the $350 into an HSA tax free, and I can actually use it to pay medical bills. Also, my employer puts in $1000 for free into my HSA, so that’s an automatic $1000 less on my deductible.
My company has high deductible plan with $1800 deductible and another with $3600 deductible. I just divide those by 12 and add to monthly premium when comparing against HMO/PPO plans.
I’m single and old.
Is your company paying part of the deductible? I can’t get an HSA-qualifying plan with deductible under $6000. Also single and old.
I save money with the HSA/high deductible. I always plan around using 100% of deductible. Premium plus HSA contribution is less than the PPO option.
I’ll never pick an 80/20 plan. They generally charge more and cover less.
And I’m an old hag and have recently got cataract surgery in both eyes, hearing aids, etc.
It really depends. My company, you always do the high deductible. The OOP Max is only $5k compared to $13k for the other. The difference in premiums plus my employers contribution to the HSA are more than the difference between the two deductibles. The plans cover the same stuff. I don’t really get why they’re set up how they are.
You don’t get it. It’s a health savings account.
They charitably contribute a whopping 0.05% APY to an account that drains to zero every year.
That’s FSAs.
HSA funds continue growing so long as you aren’t using them. If you’re healthy and actually middle class or better they act as a 3rd retirement vehicle, since after 65 you can use it for whatever and they don’t penalize you.
I switched off of the family HSA plan after two years of paying out of pocket at the end of the term. It depends on the customer.
Regardless, the interest rates are abysmal.
Exactly this, they’re best used as a tax free investment account rather than anything health related. If you’re on a plan with high enough a deductable to be eligible for an HSA and can afford it you should max out your HSA contributions before even a penny of unmatched 401k contributions. Personally I’d argue that you’re better off maxing out the HSA and using post-tax money to pay medical expenses unless close to the end of your career. It’s one of it not the single most easily taken advantage of ways to not pay tax at all on a long term investment.
The system is indeed stupid but the least you can do is take advantage of it where possible and for the middle class the HSA is one of the best ways.
You know, I can look up the definitions of HSA and FSA and things like that, and I can have the definitions right there in a document on my screen, but they still don’t make any sense to me in terms of how they relate to me specifically. A lot of times they seem like they depend on me predicting things in the future that are unknowable, like my future health or how and where I will be billed for something. And that’s assuming I also look up related terms like APY and deductible and figure out what those mean. If I ask any HR people they’re like “just contact the provider for an explanation” and I’m like yeah, I totally want to deal with the phone menus and hold times of some faceless corporation, just to have them pull some BS like OP’s talking about.
Sorry about the rant. I guess that’s what I find mildly infuriating.
To simplify both posts below:
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FSA: good if you know you’re going to have $2-3k+ medical expenses and want to use tax deffered money.
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HSA: good if you want to save tax deffered money year over year (and don’t mind having a high deductible insurance plan)
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additionally, some people use HSAs as an investment for retirement.
FSAs do depend on you kinda predicting or hedging bets against your own health since they only last the year. You can also use them to buy certain health/exercise equipment though.
HSAs can often be invested (in stock market) thus act like an IRA with extra tax avoidance if you manage not to use it for long enough. It’s counter to the stated purpose but it’s basically better to not withdraw or reimburse from it unless you need to.
Deductibles are Deductibles. How much you have to pay before insurance “kicks in”. There are per visit deductibles and yearly deductibles which are as they sound. HSAs are only available to plans with high deductibles. FSAs are available to plans that aren’t just high deductible.
This is because you are not the customer. Your employer is the customer, they are the ones who get to choose the HSA provider for their employees. You are the goods to be sold. The HSA provider is simply harvesting profits.
“You are not the customer, you are the product” is true so often, but in many cases (like this one) it doesn’t really apply.
First off, “not the customer but the product” is an inherently antagonistic relationship. Your goals are opposed to Facebook’s, for instance, because you want to spend less time on the platform and you want to interact with friends and not brands, but Facebook wants the opposite of both. But with HSA administration, your goals and your employer’s goals are aligned: you both want someone who will quickly and painlessly manage your account without being a pain.
Second, “not the customer but the product” implies an undisclosed, extractive payment occurring behind the scenes. TikTok is harvesting a great deal of data from you and selling it to other companies. You are the product in that your data has value. But with HSA administration, the product is just the management of your HSA money; there’s no under-the-table dealing going on here (or there shouldn’t be); they’re getting paid by your company for their services.
Third, “not the customer but the product” relationships are entirely one-way; you have no way to impact the providing company beyond just not using their services. They do not, will not, and at some level can never care about your experience beyond making it as minimally useful to you to keep you on the platform. But that HSA provider desperately needs your company’s business, so if enough of your coworkers raise a stink and get your company to complain, they will make a change.
In actuality, “not the customer but the product” ignores the unfortunate reality of most HR/payroll service companies in this case: they’re just the lowest bidder, contracted at the bottom dollar to provide the cheapest services possible, because your employers don’t have to use their services and don’t care about your experience.
That schedule of fees looks like it’s straight from the 1980’s.
It deceives people whose idea of how things work in large companies hasn’t changed since the days when it was the manager of your bank branch who decided if you you should get a loan or not.
Nowadays, for certain in middle and large size companies, all the administrative main business pathways are heavilly if not totally automated and it’s customer support that ends up eating the most manpower (which is why there has been so much of a push for automated phone and chat support systems, of late using AI).
Those $25 bucks for “account closure” pays at worst for a few minutes of somebody’s seeking the account from user information on a computer, cross checking that the user information matches and then clicking a button that says “Close accout” and then “Ok” on the confirmation box and the remaining 99% or so left after paying for that cost are pure profit.
I left two cents in mine and just left it as is. I like to think that every time those pirates send me a letter telling me I have 2 cents left or send me checks which I don’t cash it costs them money.
