HSA: Should I Invest or Leave as Cash?

One common question many individuals have about their Health Savings Accounts (HSAs) is whether they should invest the funds or leave them as cash. The decision on whether to invest or keep the money in cash depends on your financial goals and health care needs. Let's explore the factors to consider when deciding whether to invest your HSA or leave it as cash.

Investing your HSA:

  • If you are not planning to use the funds for medical expenses in the near future, investing your HSA can help it grow over time.
  • By investing in mutual funds or other investment options offered by your HSA provider, you have the potential to earn returns on your contributions.
  • Long-term investing can help you build a substantial amount of savings that can be used for future medical costs, including in retirement.

Leaving your HSA as cash:

  • Keeping your HSA funds in cash ensures that the money is readily available for any immediate medical expenses that may arise.
  • If you anticipate needing to use the funds for medical costs soon, leaving them as cash can provide easy access to the money when needed.
  • Cash accounts typically have lower risks compared to investments, making them a safer option for short-term needs.

Ultimately, the decision to invest your HSA or leave it as cash depends on your individual circumstances and financial objectives. You may also consider a combination of both options, where you allocate a portion of your HSA to investments while keeping the rest in cash for immediate needs.


When weighing the decision to invest or keep your HSA funds in cash, consider your unique financial situation. If you foresee upcoming medical expenses, maintaining cash liquidity might be the wiser choice.

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