How Much of HSA to Keep in Cash? - A Comprehensive Guide

When it comes to managing your Health Savings Account (HSA), one common question that arises is how much of it should be kept in cash. To determine the right amount to keep in cash, there are several factors to consider:

Evaluating Your HSA Needs:

  • Assess your typical healthcare expenses and deductibles
  • Consider any upcoming medical procedures or planned expenses
  • Think about your risk tolerance and financial goals

Benefits of Keeping Cash in Your HSA:

  • Quick access to funds for medical emergencies
  • No tax implications on withdrawals for qualified medical expenses
  • Potential to earn interest or invest in HSA funds

Factors to Consider:

  • Balance between cash and investments for growth
  • Emergency fund cushion for unexpected medical costs
  • Tax implications on non-medical withdrawals

Guidelines for Cash vs. Investments:

While there isn't a one-size-fits-all answer, a common rule of thumb is to keep 10-20% of your HSA in cash for immediate needs, with the rest invested for potential growth.

Review Your HSA Strategy Regularly:

  • Monitor changes in your healthcare needs and expenses
  • Adjust your cash vs. investment allocation accordingly
  • Consult with a financial advisor for personalized guidance

By understanding your HSA needs, considering the benefits of keeping cash on hand, and evaluating various factors, you can determine the optimal amount to keep in cash within your Health Savings Account.


Are you wondering how much cash to keep in your Health Savings Account (HSA)? It's a popular question that can significantly impact your healthcare budgeting. To establish a suitable cash balance, you'll first want to assess your typical healthcare costs, including regular doctor visits, medications, and any anticipated procedures.

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