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What Is a Health Spending Account (HSA) and How Does It Work?

Published September 1, 2024

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Short answer: You can use an HSA by making tax-deductible contributions and using tax-advantaged funds to pay for qualified medical expenses for yourself, your spouse, and dependents, with unused funds rolling over.

What an HSA is and does

A Health Spending Account (HSA) is a tax-advantaged savings account that allows individuals to set aside money for medical expenses. It is designed to help people save for qualified medical expenses and reduce their overall healthcare costs. With an HSA, individuals can contribute to the account tax-free and use the funds to pay for eligible medical expenses.

A Health Spending Account (HSA) is a tax-advantaged savings tool specifically tailored for medical expenses. This account empowers individuals to save tax-free for medical costs, ultimately aiding in managing and reducing healthcare expenses more effectively.

How HSAs work: contributions and use

Here's how an HSA works:

  • Individuals contribute money to their HSA account either through payroll deductions or direct contributions.
  • The funds in the HSA can be used to pay for qualified medical expenses such as doctor visits, prescription medications, and other healthcare services.
  • Contributions to an HSA are tax-deductible, and the funds can be invested to potentially grow over time.
  • Any money left in the HSA at the end of the year rolls over to the next year, unlike a flexible spending account (FSA) where funds are typically forfeited if not used.
  • HSA funds can be used to pay for qualified medical expenses for the account holder, their spouse, and any dependents.

HSA rules: tax benefits and rollover

Here’s how HSAs function:

  • You can contribute to your HSA through payroll deductions, or make direct contributions from your bank account.
  • Funds in your HSA can be utilized to cover qualified medical expenses, including visits to the doctor, costs for prescription medications, and a range of other healthcare services.
  • The contributions you make to your HSA are tax-deductible, and any interest or investment earnings within the account can grow tax-free, creating potential additional benefits over time.
  • Unlike Flexible Spending Accounts (FSAs), any unspent money in an HSA at year-end rolls over to the next year, allowing you to carry your savings forward.
  • HSA funds can be used not just for your own qualified medical expenses, but also for those of your spouse and dependents, making it a versatile financial resource.

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