Many employees are eager to learn more about health savings accounts (HSAs), which continue to generate buzz as a growing trend in health care coverage, as more employers are offering high-deductible health care plans.
You may assume that a financial benefit in the healthcare industry must be complex and difficult to understand. However, HSAs are simple to get the hang of, and weโve broken down ten reasons why HSAs are great for your employees, and not scary at all.
10 Reasons to Love Your HSA
HSAs fund your health care needs
The HSA is first and foremost designed to fund health care expenses in conjunction with your high deductible health plan (HDHP). A qualified HDHP is required to set up an HSA. The HSA is a savings account that secures pre-tax dollars in a fund for future medical needs. This helps you cover the deductible on your health insurance plan with pre-tax dollars.
HSAs utilize pre-tax funds
HSAs may be set up through your employer directly or your own through financial institutions like banks, insurance companies, or third-party administrators. Contributions to HSAs by your employer are set up as pre-tax investments. HSA accounts created through financial institutions are designed so that consumers can take an โabove-the-lineโ deduction on personal taxes. The benefit being that your taxable income is decreased, so fewer taxes need to be paid out.
HSAs may come with significant premium savings over traditional insurance plans
High deductible health plans come with much lower premiums than a traditional plan offering the same coverage. This would be especially apparent to someone who pays premiums all year long but doesnโt actually go to the doctor or utilize medical services very often. For someone like this, premiums can feel like money out the window.
HSAs offer expanded coverage options for consumers
Unlike typical insurance plans that have a highly negotiated list of medical products or services that are actually covered, HSAs can cover many additional health-related expenses. So doctorsโ visits, hospital expenses, and prescriptions are covered, but coverage also extends to some dental and vision services, and certain โnon-traditionalโ treatments such as acupuncture and deep tissue massage. Just be sure that these services are medically necessary and prescribed by your physician.
- HSAs allow negotiating power to secure discounts on medical services
Because an HSA is a โcashโ account, it empowers consumers with an option to negotiate pricing on many medical services, which can lead to substantial savings on medical expenses. For example, standard imaging services can vary widely in price depending on location and payment method. An MRI, for example, can cost anywhere from $400 to $1,800 for the exact same service. If you have money saved in your HSA to pay for your service upfront, you provider may negotiate a lower price.
HSAs offer control and choices regarding health care needs
With these plans, consumers have unlimited choices regarding services, service providers and medical expenditures. With an HSA, one can go to the doctor of his or her choice because the HSA account itself is not subject to in or out-of-network service. In this case, it is still important to remember that your health plan is subject to a provider network, so if there is a case when you need to see a provider out-of-network, having HSA savings can help cover the out-of-pocket expenses since the health plan will have little or no coverage.
HSAs are portable
If you switch jobs, the HSA account goes with you. And, unlike other plans, such as Flexible Spending Accounts, you do not lose unused funds in these accounts at the end of the year. The consumer โownsโ this account and all benefits that come from its good management.
HSAs create financial incentives for managing your health care expenses
There are always unfortunate cases where a catastrophic event occurs and emergency medical services are required that do not allow time to โshop around.โ But the majority of medical needs faced in the course of your lifetime are more predictable. Since the HSA is a consumer-controlled cash account, you can benefit from considering whether a particular expense is worth it or if a cheaper alternative, like a generic medication instead of name brand, might work just as well.
HSAs are a powerful tool for retirement investing
Over time, a relatively healthy person or someone who is a decent financial manager can save a good deal of money and investment earnings in an HSA. Consumers who are between the ages of 55 and 65 also have the opportunity to make additional โcatch-upโ contributions (up to $1,000 extra) to the fund. Increased access to this fund begins at age 65. The account can continue to be used for medical expenses with no penalties, but withdrawals for other purposes are also possible (after age 65) and often face fewer penalties than withdrawals from an IRA.
HSAsย are easy to use
Most HSAs will come with a debit card just like an FSA so you can easily use your accrued funds at the point of sale for qualified goods and services. If your HSA carrier also offers a mobile app or website to manage your HSA, you’ll be able to access your account anytime, anywhere you have internet service.
Real life scenarios make it easy for employees to understand.ย Check out the two examples below and make sure to download our HSA examples sheet at the end of this post, which shows a case for both an individual and a family using their HDHP and HSA in harmony over their first two years of switching to these plan types.
HSA Real Life Scenario
Jason, 28 Years Old
Healthy, Single, Low Regular Medical Needs
Jamesย is active in sports and goes to theย gymย regularly. He is switching to a High-Deductible Health Plan to lower his monthly premium. He elected to contribute $1,000 to his HSA account based on his medical needs in the past and savings goals. His deductible is $1,500 so his election will cover most of this amount that needs to be paid up-front.
YEAR 1
HSA Rollover: N/A
HSA Contribution: $1,000
Total HSA Balance : $1,000
Expenses:
Prescription Drugs: $150
Routine Physical/Lab Tests: $350
Total Expenses: $500
Payment:
Covered 100% as Preventive Care: $350
Paid by HSA accrued balance (James’ Choice): $150
Out-of-Pocket Cost: $0
Year-end Unused HSA Balance: $850
YEAR 2
HSA Rollover: $850
HSA Contribution: $1,000
Total HSA Balance : $1,850
Expenses:
Office Visits: $100
Blood Work: $150
Prescription Drugs: $200
Total Expenses: $450
Payment:
Covered 100% as Preventive Care: $150
Paid by HSA accrued balance (James’ Choice): $300
Out-of-Pocket Cost: $0
Year-end Unused HSA Balance: $1,550
TIPS FOR EMPLOYEE COMMUNICATION
For your employees that are making the switch to a high-deductible plan for the first time, make sure to set aside time to help talk them through the differences from their old plan. If youโre an Austin client, your dedicated Account Director is your #1 resource and can help your employees individually and highlight HDHP & HSAs for all at Open Enrollment. These are our three must-know tips for HDHP & HSA employee communication:
All expenses are paid out-of-pocket until the deductible is met. This is a major change for any employee coming from a traditional HMO or PPO plan type. Keep in mind that this will affect both regular services and prescriptions.
Plan deductibles always reset on the 1st of the year, no matter when your plan year begins. This is true of all plan types, however, it can affect those with HDHP plan more due to the higher deductible and method of meeting that deductible described above.
Health Savings Accounts and Flexible Spending Accounts are fundamentally different. It may be obvious for HR and benefits experts, but your employees may just see two money accounts on the surface. Make sure to highlight the difference in function, so they can decide what is right for their needs.
Don’t forget to download our HSA Example Scenarios to help your employees better understand the benefits of their HSA combined with a High Deductible Health Plan. For more benefits and HR concerns, please contact Austin Benefits Group today.