What Do I Do with My HSA Money If I Change to an HMO Plan?

When you switch from a High Deductible Health Plan (HDHP) to an HMO plan, you may wonder what will happen to the money in your Health Savings Account (HSA). Rest assured, there are options available for managing your HSA funds even after transitioning to a different health insurance plan.

Here are some steps you can take with your HSA money when transitioning to an HMO plan:

  • Keep Your HSA: You can keep your HSA account open and continue to use the funds for qualified medical expenses. HSAs do not have a 'use it or lose it' rule, so the money in your account remains available for healthcare costs even if you no longer have an HDHP.
  • Use HSA Funds: You can use your HSA funds to pay for eligible medical expenses, including copayments, deductibles, prescription medications, and more. Be sure to keep receipts and records of your expenses for tax purposes.
  • Save for Retirement: If you have enough savings in your HSA and no immediate medical expenses, you can let the money grow tax-free for retirement. After age 65, you can withdraw funds penalty-free for non-healthcare expenses, although income tax may apply.
  • Consider a Limited-Purpose FSA: If your new HMO plan is paired with a Flexible Spending Account (FSA), you can use your HSA funds for dental and vision expenses only and utilize the FSA for other healthcare costs.

It's essential to review your options and understand the rules and regulations surrounding HSAs and HMO plans to make informed decisions about your healthcare finances.


When you transition from a High Deductible Health Plan (HDHP) to an HMO plan, you might be uncertain about the future of your Health Savings Account (HSA). Fortunately, your HSA will remain intact, and you have several options to utilize your funds effectively.

Here’s what you can do with your HSA money:

  • Retain Your HSA: You can keep your HSA open. The funds remain accessible for qualifying medical expenses, as HSAs are not restricted by a 'use it or lose it' policy.
  • Utilize HSA Funds: The funds in your HSA are available to cover numerous expenses such as copayments, deductibles, and even prescription medications. Always retain your expense receipts for tax filing purposes.
  • Invest for Retirement: If you have adequate savings and are not facing immediate healthcare costs, allowing your HSA to grow tax-free for retirement is a wise option. After reaching 65, you can access the funds without penalties, and while you may incur income tax, it's an effective strategy to bolster your retirement savings.
  • Explore a Limited-Purpose FSA: If your new HMO is accompanied by a Flexible Spending Account (FSA), you can use HSA funds strictly for dental and vision expenses while handling other healthcare costs with the FSA.

Understanding your options and the associated regulations is crucial in maximizing your healthcare financial strategy after switching to an HMO.

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