Nov 21, 2023

Comparing FSAs vs. HSAs: Making Sense of Health Care Savings

In this blog, we'll delve into the basics of FSAs and HSAs, comparing their eligibility, contributions, benefits, and potential drawbacks.‍

Health care expenses can take a toll on your wallet, especially when insurance doesn't cover everything.

That's where Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) come into play, serving as tax-free savings accounts for your well-being. In this blog, we'll delve into the basics of FSAs and HSAs, comparing their eligibility, contributions, benefits, and potential drawbacks.

The Basics

A Flexible Spending Account (FSA)

A Flexible Spending Account (FSA) is a tax-advantaged financial account that allows employees to set aside a portion of their pre-tax earnings to cover eligible out-of-pocket medical and dependent care expenses. The key feature of an FSA is its tax savings — contributions made to the account are not subject to federal income, Social Security, or Medicare taxes. Employees can use the funds in their FSA to pay for qualified medical expenses such as co-pays, deductibles, prescription medications, and certain over-the-counter items. Additionally, some FSAs allow for dependent care expenses, such as child care costs. However, it's important to note that funds in an FSA are generally "use-it-or-lose-it" by the end of the plan year, although some plans may offer a grace period or allow for a limited carryover.

Health Savings Accounts (HSAs)

A Health Savings Account (HSA) is a tax-advantaged savings account designed for individuals covered by high-deductible health plans (HDHPs). HSAs offer a triple tax benefit: contributions are tax-deductible, the account grows tax-free through investments, and withdrawals for qualified medical expenses are tax-free. Individuals can contribute to an HSA up to the annual limit set by the IRS, and these contributions can be invested to potentially grow over time. HSAs can be used to pay for various qualified medical expenses, including deductibles, co-pays, prescription medications, and certain preventive care services. Unlike Flexible Spending Accounts (FSAs), funds in an HSA roll over from year to year, and the account is portable, meaning it stays with the individual even if they change employers. Additionally, HSAs can serve as a long-term savings vehicle for healthcare expenses in retirement.


What They Cover

Both Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) serve as versatile tools to cover a range of healthcare expenses. These include common costs like co-pays, deductibles, prescription drugs, dental treatments, and various medical supplies. However, it's crucial to note that neither account can be used for certain non-qualified items such as insurance premiums, toiletries, gym memberships, or cosmetic surgery. Understanding the scope of eligible expenses ensures that individuals maximize the benefits of these accounts for legitimate health-related costs while staying within the prescribed guidelines to avoid any unintended tax consequences.

Speak to a financial advisor at Vincere Wealth Management for personalized advice and guidance. Our team of financial advisors can provide insights and strategic recommendations to help you navigate the complexities of wealth management, tax planning, and decision-making.

Differences in Eligibility

HSA:

  • Eligible for individuals with a high-deductible health insurance plan meeting IRS requirements.
  • May be available to the self-employed.

FSA:
  • Available to those whose employer offers it as a benefit, regardless of their health insurance plan.
  • Not typically available for the self-employed.

Ownership and Contributors

HSA:
  • Owned by the individual.
  • Contributions made by both the individual and potentially the employer.

FSA:
  • Owned by the employer.
  • Contributions made by the individual through payroll, with potential employer contributions.

Contribution Limits and Availability

Health Savings Accounts (HSAs)

Each year, the Internal Revenue Service (IRS) sets contribution limits for health savings accounts (HSAs). Contributing the maximum to your HSA each year could help you build up your nest egg so you're prepared for expected, and unexpected, health care costs. You are responsible for monitoring the amount deposited into your HSA each calendar year. Keep in mind that if your employer contributes funds, those also count toward the maximum. If you exceed the maximum contribution limit, there is a penalty imposed by the IRS. Sign in to your account online to download the Excess Contribution and Deposit Correction Request Form to request an excess contribution refund or a correction to a contribution.

2023 HSA contribution limits:

  • An individual with coverage under a qualifying high-deductible health plan (deductible not less than $1,500) can contribute up to $3,850 — up $200 from 2022 — for the year to their HSA. The maximum out-of-pocket is capped at $7,500.
  • An individual with family coverage under a qualifying high-deductible health plan (deductible not less than $3,000) can contribute up to $7,750 — up $450 from 2022 — for the year. The maximum out-of-pocket is capped at $15,000.

2024 HSA contribution limits:

  • An individual with coverage under a qualifying high-deductible health plan (deductible not less than $1,600) can contribute up to $4,150 — up $300 from 2023 — for the year. The maximum out-of-pocket is capped at $8,050.
  • An individual with family coverage under a qualifying high-deductible health plan (deductible not less than $3,200) can contribute up to $8,300 — up $550 from 2023 — for the year. The maximum out-of-pocket is capped at $16,100.

You have until the tax filing deadline (typically April 15) to make contributions to your HSA for the previous year.

Don't forget: Eligible individuals, 55 or older, can contribute an additional catch-up contribution of $1,000 per year. If your spouse is also 55 or older, he or she may establish a separate HSA and make a “catch-up” contribution to that account.

A Flexible Spending Account (FSA)

The IRS has declared an increase in the annual contribution limit for health care flexible spending accounts (health FSAs) for the year 2023. Employees can now contribute up to $3,050, reflecting a $200 boost from the previous limit of $2,850 in 2022. This adjustment, double the increase observed from 2021 to 2022, aligns with recent inflation trends. Additionally, if employers allow the carryover of unused health FSA amounts, the maximum carryover limit rises to $610, up from $570.

The IRS also announced adjustments in tax-exclusion limits for employer-sponsored commuting benefits and adoption assistance programs for 2023. This early announcement aims to provide employers with ample time to incorporate these changes into their ongoing open enrollment processes, as many are already in the midst of planning for 2023. According to legal experts, plan sponsors should promptly update payroll and plan administration to align with the revised limits.

Unused Funds on Both Accounts

Unused Health Savings Account (HSA) funds can be carried over indefinitely, providing flexibility and allowing individuals to accumulate savings over time. Unlike Flexible Spending Accounts (FSAs), where the "use it or lose it" rule often applies, HSAs offer the advantage of retaining funds year after year. This feature is beneficial for individuals who contribute more than they spend in a given year, eliminating the pressure to rush and exhaust the funds before they expire.

The perpetual carryover capability of HSAs is particularly advantageous for building a financial cushion to cover significant future medical expenses, such as those anticipated during retirement. On the other hand, FSAs typically operate on a "use it or lose it" basis, although some employers may offer a small carryover allowance or a grace period of up to 2.5 months into the new benefit year. It's advisable to check with your employer to understand any specific provisions regarding FSA balances at the year's end.

Benefits

Both Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) bring substantial advantages, offering individuals a smart way to save money while simultaneously reducing tax liability. These accounts serve as financial safeguards, providing a safety net for unforeseen medical expenses. Notably, HSAs stand out by permitting tax-free growth through investment opportunities, potentially allowing individuals to grow their health savings over time. The dual benefit of saving on taxes and building a financial cushion for medical needs makes both FSAs and HSAs valuable tools for proactive financial planning and healthcare management.

Tax Implications

Withdrawals from both Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) for qualified medical expenses enjoy the benefit of being tax-free. However, it's essential to tread carefully with HSA withdrawals for non-health care expenses. Individuals under 65 who withdraw HSA funds for non-qualified purposes may face taxes and penalties. On the other hand, those aged 65 or older can make non-healthcare-related withdrawals without penalties, though income taxes may still apply. Navigating the tax implications of these accounts requires a clear understanding of the rules, ensuring that individuals make informed financial decisions aligned with their needs and circumstances.

Can you have an HSA and FSA?

Navigating both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) in the same year comes with certain considerations. If you're actively contributing to an HSA, there are restrictions on funding a standard FSA simultaneously. However, the good news is that you can still have an HSA alongside a Limited Purpose FSA (LPFSA). This specialized FSA is designed to cover specific expenses not included in your health plan, such as dental and vision care. It allows you to maximize your benefits by addressing additional healthcare needs that may not be covered by your primary health plan. It's worth noting that having an HSA does not impact your eligibility for a Dependent Care FSA, which serves a distinct purpose in covering qualified dependent care expenses.

One notable advantage of contributing to an HSA is the potential for higher annual contribution limits compared to an FSA. The IRS sets maximum annual contribution amounts for both accounts, with employers having the flexibility to determine specific FSA limits. HSAs often have higher contribution limits, providing individuals with the opportunity to set aside more money for medical expenses. This can be particularly beneficial for those planning for future healthcare needs, such as in retirement.

In summary, while there are restrictions on having a standard FSA alongside an HSA, the option of a Limited Purpose FSA and the potential for higher contributions to an HSA offer individuals flexibility in tailoring their healthcare savings strategy to meet their specific needs.

HSA vs. FSA: Which is better?

When deciding between an HSA and FSA, it's essential to carefully evaluate each option, taking into account the advantages and disadvantages highlighted earlier. Whether you opt for an HSA, an FSA, or a combination of both (HSA with a limited purpose FSA), the decision ultimately hinges on your unique financial circumstances and your family's health needs.

If your health plan or employer limits your choice to either an HSA or FSA, rest assured that both accounts offer valuable opportunities to save money for qualified medical expenses. The key is understanding the nuances of each account and selecting the one that aligns best with your financial goals and healthcare requirements. In the end, whether it's an HSA, FSA, or a combination, you have powerful tools at your disposal to proactively manage your healthcare expenses.

Conclusion

When it comes to making financial decisions tailored to your unique circumstances, it's highly recommended to consult with a team of experts who understand your specific needs.

Consider reaching out to the experienced professionals at Vincere Wealth Management for personalized advice and guidance. Our team of financial advisors can provide insights and strategic recommendations to help you navigate the complexities of wealth management, tax planning, and decision-making.

By partnering with Vincere Wealth Management, you can make informed choices that align with your financial goals and secure a brighter financial future.

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