The following is adapted from Keep It Simple, Make It Big.
When you think retirement investments, you probably don’t think about your health savings account (HSA). After all, an HSA is not technically a retirement account. It’s earmarked for healthcare.
But guess what: retirees spend a lot on healthcare!
A longitudinal study of retirees from 1990 until now finds that, on average, Americans spend about $27,000 per person from age 70 to death.
Many people pay for those costs using after-tax dollars. With an HSA, though, you could avoid being taxed, saving thousands of dollars. And if you play your cards right, you can even find ways to spend your HSA money on non-healthcare costs.
For these reasons, an HSA is an important part of any retirement strategy.
Triple-Tax Free
The biggest benefit of an HSA is that it allows you to accumulate a bucket of money that will never, ever, ever be taxed. The HSA is the Holy Grail of tax strategies.
First, it avoids all federal income and payroll taxes when you contribute—an even better up-front tax-deal than an employer-sponsored 401(k) or personally maintained IRA.
Second, like all tax-favored accounts, there are no federal taxes on the year-to-year income and gains in the account as it marinates.
Third, the real kicker: like a Roth IRA or 401(k), if the money is distributed for appropriate expenditures in a compliant way, there are no federal taxes when it’s spent.
It’s triple-tax free! No federal taxes, not even FICA and Medicare, so long as it’s payroll deducted. Never.
(One caveat: States have the option to tax contributions and gains. At present, three states tax contributions and two states tax earnings.)
What’s the Catch?
There are plenty of catches to an HSA, but none need to be too onerous.
First, a person or family must have a qualifying healthcare plan. These are available in the individual market and increasingly at major corporations. One in four employers that offers health insurance includes an HSA eligible option.
These plans have high deductibles—a minimum of $1,400 for an individual and $2,800 for a family in 2020. That’s why the tax-free savings is blessed. Instead of sending the money to an insurance company tax-free to later have it potentially pay out for you tax free, you are paying yourself and retaining the money and the risk tax free.
Next the money needs to be spent on a qualifying healthcare item. The full list is available in IRS Publication 502. It’s a fun read and you’ll find that along with the predictable health expenses it includes such items as acupuncture, service dogs, and weight-loss programs.
This is the same list used by the older and more familiar flexible spending account (FSA) that provides our frame of reference for the HSA. If you ever need the money for healthcare spending, it’ll be there for that traditional use. The big difference is that the FSA is a “use it or lose it” account—money unspent in each year is lost forever. The utility of the HSA is that the money can be invested and accumulate year over year. Even after you go on Medicare, you can continue using your HSA. You just can’t add any new money to it.
Using an HSA for Non-Healthcare Expenses
With healthcare being such a major expense in retirement, an HSA already serves an important purpose, but it gets even better. Under current rules, a distribution is tax free if it’s used to cover a qualified healthcare expense. There is no requirement, however, that this expense and distribution occur in the same calendar year.
This means that you can choose to pay for healthcare expenses out-of-pocket while you let your HSA continue to grow and compound tax-free. Then, in retirement, you can go back and get reimbursed in a lump sum for those past healthcare expenses (as long as you keep the receipts). You can then spend that money on whatever you want!
Let’s put some numbers on it. (Note that this example does not represent actual or future performance of any specific investment or product and should not be used to predict or project investment performance.)
Imagine a hypothetical 45-year-old who put in the max family contribution of $6,750 for twenty years and earned rate of return of 6 percent, compounded annually. At that rate—a hypothetical number that is certainly not guaranteed—she would have $248,302 after twenty years, when it’s time for Medicare. She would have contributed $135,000.
If she spent $2,600 annually out-of-pocket and saved the receipts, she’d have $52,000 that could be withdrawn at any time for any reason.
If, however, she had used the HSA to cover the $2,600 each year, she’d only have $151,556 at retirement. She’d also have to use all of it for future healthcare expenses. Not terrible, for sure, but depending on the person’s financial status, it might not be as favorable as the first option.
In this way, you can build a substantial tax-free nest egg for retirement spending—even if it’s not directly for healthcare.
The Power of an HSA
An HSA might seem too good to be true, but I assure you it’s not. HSAs are so powerful that a recent study in the Journal of Financial Planning (“Could a Health Savings Account Be Better Than an Employer-Matched 401(k)?”) actually recommended that people max out their health savings accounts prior to investing in their employer plans.
There are few retirement investments that are never taxed, and since you’re basically guaranteed to spend tens of thousands of dollars on healthcare in retirement and can use the HSA for past out-of-pocket expenses as well, there’s no reason not to make an HSA part of your retirement strategy.
For more advice on HSAs as a retirement investment, you can find Keep It Simple, Make It Big on Amazon.
Michael Lynch is a Certified Financial Planner with nearly twenty years of experience working with American families to craft plans that fund their dreams, educate their children, and finance their retirement. Michael has contributed to the Wall Street Journal and Investor’s Business Daily, and hosted Smart Money Radio for a decade. He’s served as an adjunct faculty member at Fairfield University and currently teaches financial planning to employees of corporations like Madison Square Garden and Yale New Haven Health Systems. Michael is a five-time Financial Planner of the Year for MetLife and a 2019 inductee to the Barnum Financial Group Hall of Fame. You can enjoy his latest articles and videos at www.michaelwlynch.com.
Representatives do not provide tax and/or legal advice. Any discussion of taxes is for general informational purposes only, does not purport to be complete or cover every situation, and should not be construed as legal, tax or accounting advice. Clients should confer with their qualified legal, tax and accounting advisors as appropriate. Michael Lynch is a registered representative of and offers securities and investment advisory services through MML Investors Services, LLC. Member SIPC. www.SIPC.org 6 Corporate Drive, Shelton CT 06484 CRN202210-272651