Key Points
-
HSAs let you save for healthcare in a tax-advantaged manner.
-
Carrying a balance into retirement could give you more options later on.
-
It pays to not only fund an HSA, but leave that money alone for years so it can grow.
- The $23,760 Social Security bonus most retirees completely overlook ›
When people think of health savings accounts, or HSAs, they don’t always associate them with retirement. And that’s understandable.
Technically, an HSA isn’t a retirement account. Rather, it’s an account that allows you to save for medical expenses in a tax-advantaged fashion.
Will AI create the world’s first trillionaire? Our team just released a report on the one little-known company, called an “Indispensable Monopoly” providing the critical technology Nvidia and Intel both need. Continue »

Image source: Getty Images.
With an HSA, contributions are tax-free; unused funds you invest get to grow tax-free; and withdrawals used for qualifying healthcare expenses are tax-free. It’s hard to beat that trio of perks.
But while an HSA isn’t officially a retirement account, it pays to treat yours like one. Here’s why.
You have plenty of options for using your money
A lot of people are familiar with using flexible spending accounts, or FSAs, to cover medical costs. But FSAs are quite different from HSAs. They don’t allow you to invest unused funds, and your money has to be used by a certain time or you risk forfeiting it.
With an HSA, you can invest money you aren’t using, and you can carry your balance forward as long as you want to. In fact, HSA savers are encouraged to carry their balances forward. The longer you do, the more tax-free growth you might benefit from.
Because HSAs don’t have an expiration date on using your funds, it pays to reserve that money for your retirement years for a couple of reasons.
First, waiting longer to tap your HSA lets you money grow tax-free for longer. But also, your medical expenses are likely to increase in retirement compared to when you’re younger. So it makes sense to have dedicated healthcare funds at that time.
However, if you don’t end up using your HSA to cover healthcare needs in retirement, that’s OK. Normally, HSAs impose a 20% penalty on funds used for non-qualifying healthcare expenses. But once you turn 65, that penalty goes away.
If you take a non-medical withdrawal starting at age 65, you’ll be taxed on that money. But you won’t be penalized. And that tax is no different than the tax you’ll pay to withdraw from a traditional IRA or 401(k) plan.
Take advantage of an HSA if you can
If you’re on a health insurance plan that’s compatible with an HSA, it pays to fund that account year after year to the best of your ability. But more than that, aim to leave that money alone until retirement.
It can be tempting to tap your HSA to cover medical bills as they arise. And there’s nothing wrong with doing that if it’s your only option. But if you treat your HSA like a retirement account, you might really appreciate it later in life.
The $23,760 Social Security bonus most retirees completely overlook
If you’re like most Americans, you’re a few years (or more) behind on your retirement savings. But a handful of little-known “Social Security secrets” could help ensure a boost in your retirement income.
One easy trick could pay you as much as $23,760 more… each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we’re all after. Join Stock Advisor to learn more about these strategies.
View the “Social Security secrets” »
The Motley Fool has a disclosure policy.
The views and opinions expressed herein are the views and opinions of the author and do not necessarily reflect those of Nasdaq, Inc.
