How Does an HSA Work: Use It or Lose It?

Health Savings Accounts (HSAs) are a valuable financial tool that allows individuals to save for medical expenses while enjoying tax benefits. Unlike Flexible Spending Accounts (FSAs), the funds in an HSA do not have a 'use it or lose it' rule, meaning that you can carry over the balance year after year.

Here's how an HSA works:

  1. You contribute pre-tax money to your HSA account, either through payroll deductions or direct contributions.
  2. The funds in your HSA can be used to pay for qualified medical expenses, such as doctor visits, prescriptions, and medical procedures.
  3. Any unused funds rollover year after year, allowing you to build a significant savings cushion over time.
  4. HSAs are portable, meaning you can take your account with you if you change jobs or insurance plans.

It's important to note that there are limits to how much you can contribute to an HSA each year, and these limits are set by the IRS. For 2021, the contribution limit for individuals is $3,600, and for families, it's $7,200.

By understanding how an HSA works and the benefits it offers, you can make the most of this valuable financial tool and take control of your healthcare expenses.


Understanding Health Savings Accounts (HSAs) is crucial for managing your healthcare expenses effectively. These accounts are designed to help you save for medical costs while offering tax advantages that can significantly lower your overall expenses.

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