海角社区

海角社区, Investments, & Insurance for Individuals Build your knowledge 4 ways to use an HSA in retirement

4 ways to use an HSA in retirement

The funds you save in a health savings account (HSA) can be useful in retirement to help pay for qualified medical expenses, save on taxes, and more.

Man and woman in workout clothes on stairs
3 min read |

Quick takeaways

  • An HSA can be used while you鈥檙e working, but if you don鈥檛 need the funds, there are several benefits when you reach retirement.
  • HSA savings offer retirees tax benefits as well as a way to pay for qualified medical expenses.
  • Any remaining HSA funds also go to your beneficiary after you die, meaning you can include them in estate planning.

One retirement savings puzzle piece that often gets overlooked? A health savings account (HSA). which lets you put away pre-tax money for qualified health expenses, if you鈥檙e working and have a high-deductible health plan. Many people assume that an HSA can only be used when you鈥檙e working, but it鈥檚 an account that has plenty of ways to help you in your retirement planning.

If you don鈥檛 need the funds to pay for expenses while you鈥檙e working, you can think differently about your HSA. 鈥淭he real power in an HSA is its compounding and growth,鈥 says Sri Reddy, senior vice president of 海角社区 and Income Solutions at Principal.

Here are four options to consider.

1. Pay for qualified health expenses in retirement.

When you retire you can use any remaining HSA savings for qualified health care expenses, including:

  • IRS-qualified health care premiums for Medicare Parts B, C, and D
  • Medicare deductibles, co-pays, and co-insurance
  • qualified long-term care insurance premiums
  • dental and vision expenses
  • hearing aids
  • insulin and diabetic supplies
  • over-the-counter medicine and medical equipment and supplies 

Tip: You may have a debit card that鈥檚 tied to your HSA to pay for expenses. However, you鈥檒l pay fees when you use the card, and you still submit receipts for qualified expenses. 鈥淚nstead, think about paying for the health care expenses with something like a rewards credit card,鈥 says Reddy, 鈥渢hen reimburse yourself after you submit receipts.鈥

2. Use an HSA鈥檚 tax advantages in retirement.

An HSA comes with a couple of retirement tax advantages. 鈥淚f you don鈥檛 end up using it before retirement, an HSA is taxed like a 401(k),鈥 Reddy says.

  • Distributions are tax- and penalty-free if they鈥檙e for qualified medical expenses. (Keep your receipts.)
  • Distributions aren鈥檛 included in modified adjusted gross income when you fill out your tax return. They won鈥檛 affect retirement-related taxes such as the Medicare premium surtax or Social Security benefits.

3. Cover other expenses in retirement.

You can use HSA distributions to pay for nonmedical expenses starting at age 65. Those payouts are taxed at the same rate as distributions from a traditional IRA. So if you don鈥檛 need the savings for medical costs, you can use the funds to cover unexpected budget items. And unlike Social Security or required minimum distributions (RMDs), there鈥檚 no age restrictions on use of HSA funds.

4. Include your HSA in your estate plan.

When you set up an HSA, you can name a beneficiary who receives any unused funds after you die. If the beneficiary is your spouse, they鈥檒l receive the tax benefits, too.

What鈥檚 next?

Not sure how to include your existing HSA savings in your retirement planning? The 海角社区海角社区 Wellness Planner lets you add your HSA account and uses it to calculate a wellness score for a big-picture view of your total retirement savings. Get started by .