Welcome back to CoastFI Couple! In today’s episode, we’re tackling a powerful (but often overlooked) financial tool: the Health Savings Account (HSA). Did you know that a whopping 92% of people using HSAs are leaving free money on the table? That’s a ton of untapped potential just waiting to be unlocked! Join hosts Yana and Matt as they break down how to fully take advantage of these accounts to supercharge both your healthcare spending and retirement savings.
We’ll dive into the triple tax advantages of HSAs, explain how they stack up against Flexible Spending Accounts (FSAs), and share some savvy strategies for maximizing your HSA contributions. Whether you're just starting your financial journey or you're guiding adult children, this episode is packed with actionable tips for everyone! We’ll also talk about the perks of paying out-of-pocket to let your HSA grow tax-free, the importance of logging medical expenses, and why tracking your receipts is key to unlocking the full potential of your HSA.
So, buckle up and get ready for a fun, informative ride toward financial independence with the CoastFI Couple!
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Budgeting: Qube Money - Use code “COAST” to get 2-months off the Premium or Family plan when you create an account.
Net Worth Tracking: Empower Personal Dashboard
Coast FIRE Calculator: BackofNapkin.co
HSA Expense Tracking: HSA Expense Tracker
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[00:00:00] One of the jewels in the crown for setting yourself up for success in retirement.
[00:00:06] Yeah, exactly. And 20 years later you get half a million dollars for very little work.
[00:00:10] Which doesn't suck.
[00:00:11] No, no, take that. Take it to the bank. Exactly.
[00:00:26] Welcome to CoastFI Couple, a podcast where love meets financial independence. I'm Matt.
[00:00:30] And I'm Yana. Join us every other week as we dive into the world of CoastFI and share smart money tips for couples.
[00:00:35] We're going to be talking all about how to strengthen your bond and your relationship and bringing closer to financial independence.
[00:00:40] One episode at a time. We are back with another episode of CoastFI Couple,
[00:00:47] and today we're going to be talking about HSA accounts. I know you are so excited about this episode.
[00:00:53] I'm thrilled about this episode. Yeah. So this is the best account for early retirees
[00:00:59] or anyone looking to try and supercharge their retirement accounts. And so we're going to break it down.
[00:01:05] Yeah. All right. So let's go ahead and start off with the eligibility requirements of an
[00:01:12] HSA. Or I guess we should talk about what is an HSA. Okay.
[00:01:17] What does HSA stand for?
[00:01:21] HSA is just simply a health savings account. And that is different than a flexible saving account,
[00:01:29] or excuse me, a flexible spending account. The FSA is not the same as the HSA. And the difference there
[00:01:35] is savings account. And so the HSA, which is the one that you want is the essentially savings account
[00:01:44] that you can use in many different ways to get you closer to a healthy, robust retirement while being
[00:01:53] able to take advantage of this triple tax advantage plan that we'll talk more about.
[00:01:57] Well, I think what's really interesting about the HSA is I think a lot of people know what an HSA is because
[00:02:03] it's offered by their employer, or maybe they've heard of an HSA and they just think of it as
[00:02:10] a health benefit. It's just a benefit, a certain type of benefit provided for from their employer.
[00:02:16] But it's so much more than that. It's not just a way to save specifically for your medical expenses.
[00:02:22] I mean, yes, it is, but it is so much more than that because it's triple tax advantage,
[00:02:27] which we're going to get into a little bit more in this episode.
[00:02:29] I think we mentioned this in a couple other episodes. A lot of times employers will have,
[00:02:34] you know, the, the, the, um, the people who like own and operate your HSA, like fidelity or health
[00:02:41] equity will come in and do a little presentation about how valuable this is as a tool, as a benefit
[00:02:47] to be paid for healthcare expenses. But if you're hacking the system, like we're teaching everyone to
[00:02:54] do, um, this is the best retirement vehicle option because the government allows you to
[00:03:03] essentially save tax-free. It can grow tax-free, grow tax-free, and then you can take it out.
[00:03:10] Exactly. Tax-free. Yeah. So it's a triple tax advantage plan.
[00:03:13] But I wonder how many times you can say triple tax advantage.
[00:03:16] I'm going to keep track as we, okay. You know, when I was working for that staffing agency,
[00:03:20] not, I think I was working at that staffing agency when we got engaged, there was a form that they did
[00:03:26] where they sat us all down and they went over all of the different benefits that they were offering.
[00:03:31] And they were going on and on about the HSA. And I remember at the time it was just like,
[00:03:35] it just went right over my head.
[00:03:37] More acronyms.
[00:03:37] Because I was just like, well, okay, I don't know what that is. So I'm just going to choose
[00:03:40] whichever one is the cheapest, but actually the HSA plans are usually, um, more economical on the
[00:03:48] premiums because it's a high deductible plan. Yeah. Right. Yeah. So typically,
[00:03:53] so one of the requirements, I guess you should break down the requirements.
[00:03:56] Let's do that. Let's go back to the top of the episode notes, eligibility requirements.
[00:04:00] Okay. All right. So, so first off in order to qualify for an HSA, you have to have a high deductible
[00:04:08] healthcare plan or an HSA qualified plan. And there's some nuance there, but if your employers offer an HSA,
[00:04:16] uh, there usually is an option to do a high deductible healthcare plan. And to your point,
[00:04:23] that gives you a kind of more cost effective monthly payment to qualify for the plan. But then you're
[00:04:31] having to pay higher out of pocket, uh, for actual healthcare expenses. Right. And so it's kind of like
[00:04:38] a, um, worst case scenario or, you know, pull the rip cord. You're going to hit that limit.
[00:04:44] Sometimes it's upwards of, you know, $7,000 a year and individual charges that you might take. And so
[00:04:53] the kicker here is if you're able to cashflow that. So we recommend you not start an HSA until
[00:05:01] you have a healthy, robust emergency fund, because you want to be able to pay for those expenses out
[00:05:08] of pocket. Right. To be able to keep it in the market as long as you can. And we'll break this down.
[00:05:12] I think I'm going too far ahead of myself. It's okay. It's okay. I also wanted to note the,
[00:05:17] the high deductible plans versus the low deductible plans. The high deductible plans have a lower
[00:05:24] premium because when you do have to pay out of pocket, there's more that you will have to pay
[00:05:28] out of pocket. And so oftentimes you'll hear people suggest that if you are relatively young
[00:05:34] and healthy, it's a little bit of a safer bet to do a high deductible plan because you're less likely
[00:05:39] to need to go to the doctor or a bunch in the span of a year versus if you are in your fifties or sixties
[00:05:45] or you have complicated health needs, a high deductible plan might be, might not necessarily
[00:05:50] be your best option. It's a great point. Yeah, it's a great point. So, so yeah, let's just reiterate
[00:05:55] that. I guess the, the way that this plan really works is if you are healthy, you don't have a lot of
[00:06:03] healthcare expenses. You don't foresee a whole lot of, um, strenuous healthcare expenses.
[00:06:08] Yeah. So if you're just starting out your career or, you know, you, you haven't had to go to the
[00:06:11] doctor quite frequently and you know, like today, luckily we don't. And so the premiums we pay are
[00:06:19] just kind of like catastrophic insurance. Like if something goes wrong, if one of us gets cancer,
[00:06:23] we're covered. We have the parachute there, but most of the time throughout the year, we're not paying
[00:06:29] a lot of healthcare expenses. And so we can take advantage of this plan a lot easier.
[00:06:34] Right. Yeah. And it's also really a good idea to be strategic in the way that you line up some of
[00:06:40] your healthcare needs. So for example, earlier this year, I had a couple of back-to-back procedures
[00:06:45] that I had to do. One of them I could have put off, but I thought, you know, I'm just going to go
[00:06:49] ahead and get everything done this year instead of putting off another six months or a year, because
[00:06:53] I knew that that meant that I could hit our deductible. And then anything after that point is just
[00:06:59] basically going to be free. So it's good to be strategic about the way that you utilize your
[00:07:05] healthcare as well. Yeah. I think most people are familiar with that part of it, right? Like
[00:07:09] you hit your deductible, that's a good and a bad thing. It's like, Hey, you paid a lot to get there,
[00:07:14] but at least now you can, you know, the door's open. You finally can have all your expenses
[00:07:17] kind of covered. You can do the things you didn't necessarily want to do because now you have the
[00:07:22] ability to get them kind of paid off for free. Right. So, all right, cool. So let's go back real
[00:07:26] quickly because I think that this is important. Okay. The, the HSA first off must have a high
[00:07:32] deductible healthcare plan. Yes. It, um, you must not be claimed as someone else's dependent,
[00:07:38] right? So on tax returns. So you are an independent or part of a family, you can contribute to an HSA
[00:07:45] as long as you're not someone else's dependent. And then this isn't necessarily an eligibility
[00:07:49] requirement, but Matt noted earlier that you want to make sure that you have a really robust
[00:07:55] emergency fund to cover medical expenses. So in this strategy of using your HSA as a savings account,
[00:08:02] not just for medical expenses, but just a way to save and get that compounding growth with that
[00:08:07] triple tax advantaged, um, account is, is to pay out of pocket for all of your medical expenses. And
[00:08:14] the best way to do that is to have a robust emergency fund. So it's not necessarily a requirement,
[00:08:20] but it's strategy. It's something we definitely recommend. Yes. Right. So, okay. So you're
[00:08:25] relatively healthy. You're, you're, you've got your catastrophic insurance coverage through this
[00:08:30] plan. So if something goes wrong, you have to go to the operating room or something like your
[00:08:34] insurance will still cover that, but you're paying out of pocket for all the little things. And so this
[00:08:40] is part of the strategy, right? If you can absorb some of those menial costs, like anything outside
[00:08:47] of co-pays or, you know, you want to go get a dental dental cleaning or vision check or something,
[00:08:53] or even prescriptions prescriptions. Yeah. So the kicker here is you, you are paying out of pocket
[00:08:58] for those instead of using the HSA savings account for those expenses. Yeah. And we'll explain why.
[00:09:05] Right. So I think let's get into the specifics of what is the HSA include, maybe some of the
[00:09:11] benefits there, the benefits or like the contribution limits. Oh, that's a great point. Yeah. Let's do
[00:09:17] contribution. Okay. So for 2024, the contribution limits for an individual was $4,150 and the family
[00:09:25] contribution limit was $8,300. Um, in 2025, the contribution limits for an individual are going
[00:09:33] to go up to 4,300 for a family. It's going to go up to 8,550. And I see your note on here that for age
[00:09:42] 55 plus, you can do an additional $1,000 catch-up contribution. Is that new? They didn't know that's
[00:09:47] the same. They've done that for a while. Yeah. Okay. Okay. Yeah. All right. Interesting. Now it's also
[00:09:52] important to note that if you and your spouse are both on separate healthcare plans through your
[00:09:59] employer and you both have access to an HSA, you can't both contribute the 8,300 or 8,550,
[00:10:08] which is something we actually learned the hard way because we were contributing to yours to the max,
[00:10:14] but then my employer actually does a match. So we had over contributed, which you can actually get a
[00:10:19] little bit of a hit on your taxes when you do your tax return. So we had to go through the rigmarole of,
[00:10:24] of fixing that and taking it out and earmarking it appropriately on our taxes. So just be cognizant
[00:10:29] of if you are married filing jointly and you are doing the family contribution limit to the limit,
[00:10:37] to the max that either employer maybe doesn't just want to check your matches for your employers and
[00:10:43] check what you're contributing because it counts for across both of those accounts.
[00:10:47] Correct. Yeah. So since we're married filing jointly, we are all under one healthcare plan.
[00:10:53] I'm under currently your plan. Well now, but before you were on your own and I was on one,
[00:10:57] remember? And so we were contributing the max to yours, not realizing that my employer did a match.
[00:11:02] And so we had over contributed to accidentally because. Yeah. And in your instance, it wasn't that
[00:11:07] they provided a match. It was that you went and got a health screening and they gave you like 250 bucks.
[00:11:13] I can't remember what it was. That's what it was. It was 250 bucks into your HSA,
[00:11:17] which you were not contributing to. So then we had to, yeah, like refile our tax paperwork to get
[00:11:24] last minute, like three days before the deadline.
[00:11:27] Yeah. For April 15th. So we had to pull that money out actually. And which 250 bucks,
[00:11:33] not that much, but you took the hit on that because we had to.
[00:11:36] That was a fun little administrative panic attack.
[00:11:39] Well, it's not, it's a good, it's a good problem to have. Right. So the benefit of having two people
[00:11:46] on this plan to potential employers is let's say, for example, you know, one spouse is going to get
[00:11:53] $250 towards the HSA limit because they're doing health screening. Well, that just means it's $250
[00:12:00] that we do not have to contribute ourselves collectively to meet that $8,550 limit now.
[00:12:07] Right. And so we can, you know, take advantage of that match that they give you.
[00:12:11] Yep. Yeah. All right. Cool.
[00:12:14] The more that Jan and I simplify and automate our finances, the happier we became. And this
[00:12:21] is the single greatest finance budgeting tool that's come out in recent times. It's called Cube Money
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[00:12:34] We have exclusively been using Cube Money to do our own personal budgets since 2020. And it's so
[00:12:41] simple that even our kids are now using it. Cube has developed and patented a technology they call
[00:12:47] default zero. And it requires a category to be open from your personal budget before you can spend with
[00:12:55] the card. And then once you spend, it deducts it all in real time. This single feature has made
[00:13:02] Cube the safest card in the world to use. If you drop it, it always has a zero balance on it unless
[00:13:09] you open the budgeting app. It's been extremely handy for us and it saved us actually several instances
[00:13:15] of fraud. And we're never going to go back. Cube is perfect for families too, because they've got
[00:13:21] shared spending categories that allow you to spend in real time from them. And everyone else in the
[00:13:27] family can see the updated balance. It's essentially making it 100% foolproof to always stick to our
[00:13:33] budget. And that has actually been the case. We have not overspent from our budget since we started
[00:13:39] Cube. And it's amazing. This is the tool that helped us get a handle on our family spending
[00:13:45] and made our journey to Coastify so much easier. So if you're ready to take your budget to the next level
[00:13:52] where you truly can automate it, you truly set it and forget it, then you're in luck because Cube
[00:13:58] Money is offering an exclusive deal just for our listeners. Go to cubemoney.com. That's Q-U-B-E
[00:14:04] money.com. And at checkout, use the code COAST. You can try the premium or the family membership
[00:14:11] for free. And again, we highly recommend it. It's a personal endorsement. We know that if you use the
[00:14:18] program, it'll work for you. Enjoy. So what are some key features? All right. So I think the easiest
[00:14:25] thing is that the HSA is very similar to like a normal bank account. When you open one up, it will
[00:14:32] have a kind of cash account and a brokerage or investing account. Right. And so a lot of these HSAs
[00:14:40] require you to have a minimum cash balance. Usually it's like around a thousand bucks or something
[00:14:47] before you're able to contribute to an investing account within the HSA. Before you're able to
[00:14:52] able to move any funds to an investing account within it. Okay. Exactly. So, you know, as you're,
[00:14:59] as you're contributing to these, ideally you want to do it through your payroll and we'll talk about
[00:15:03] why, but let's say I work for a company. The company allows me to contribute X dollars a month
[00:15:09] spread out over the whole year for us to add these. You kind of set it and forget it. Once you hit that
[00:15:15] minimum cash balance of typically a thousand dollars, then anything in excess of a thousand
[00:15:20] dollars, you can then put directly into a investment vehicle, like a index fund, which we
[00:15:29] recommend, like you've heard on the show before, we want you to put any investment dollars you have,
[00:15:34] at least initially into a index fund with low expense ratios that span the entirety of the S&P 500.
[00:15:42] And that's all businesses. Right. Yeah. So, um, I know that we've mentioned this before
[00:15:48] on a previous episode, how it's not just enough to put the money in a savings account. You actually
[00:15:53] have to make sure you are investing those savings. There's plenty of people who are doing the right
[00:15:57] thing by putting money away in a 401k or putting money away in an HSA, but they're not going back
[00:16:02] and then making sure that those funds are invested appropriately. Correct. So, which I was not,
[00:16:06] when they just say first came out, I was not aware of this, you know, triple tax advantage hack.
[00:16:10] And we were just putting money into it, you know, because we were trying to take advantage of the
[00:16:15] tax savings as you contribute contributions. And we were spending out of it initially, uh, for
[00:16:21] doctor's visits and dental visits and things. And so we've learned not to touch it now. Yeah.
[00:16:27] All right. I see some notes on here that say, uh, no FICA tax, social security or Medicaid.
[00:16:35] Yes, exactly. So by contributing through payroll, you avoid the Medicare and social security tax on
[00:16:44] that amount, on that contribution. And so you are able to open up an HSA, uh, yourself. Um,
[00:16:50] but you have to prove that you have a high deductible healthcare plan. Oftentimes employers now will
[00:16:55] provide one themselves. Um, but you're able to pick a, any company you want to, want to work with.
[00:17:02] So for example, we had health equity when we used, we first opened it up through our business,
[00:17:06] health equity sometimes charges a higher fee. So we actually were able to take that money out and
[00:17:11] contribute it kind of a like to like to say fidelity who has typically lower expenses for the
[00:17:17] HSAs, but it's a little bit more of a like work having to do that because every contribution will go
[00:17:22] into health equity and then you have to transfer it out to fidelity. So just to stay on top of it,
[00:17:27] if you want to take full advantage of it. Right. Okay. I think that's a piece that you do.
[00:17:31] I do that part. It's a little bit of, um, you know, paperwork trying to get it done. I can do
[00:17:36] it once a year at the end of the year, if I wanted to, or I can just leave it, take the small fee if I
[00:17:42] wanted to, and then do it later on. Like right now I still got some from my last job that I need to
[00:17:46] move over to fidelity. So we were on Matt's healthcare plan through his old employer for a long time.
[00:17:50] And then I had my own healthcare plan through my most recent employer. And so we were on two
[00:17:56] separate for a long time. And then you had your own HSA and I had my own HSA, which was the first
[00:18:00] time we each had one. And because I had the match in mine, there were some funds, but now
[00:18:07] it's just my HSA. And so we're contributing to my HSA for the first time I had to go in and actually,
[00:18:14] um, invest those funds. I had no idea what I was doing. And so I was like fretting over how to do
[00:18:20] it. Do you remember I had pulled up my laptop and your laptop, I was afraid to press a button
[00:18:23] because I was afraid to do it wrong. Well, luckily it's really easy to adjust, right? Like you don't
[00:18:28] have to wait to a certain time of the year to, to move funds around. Uh, but yeah, it does take a
[00:18:33] little bit of reading to get the gist of it. And I've done it now so many times that it's not hard
[00:18:37] to know what is a good deal and what is not. It's figureoutable. Yeah, it's figureoutable. I think
[00:18:42] one thing that we've figured out along the way is that sometimes employers will increase the cost to
[00:18:51] add a spouse to a healthcare plan. And so we figured out that by you having your own
[00:18:57] healthcare plan and me having mine with the kids, right? You were able to take advantage and get
[00:19:03] that $250, $250 match towards the HSA. Plus we weren't getting the, the penalty of me being on your
[00:19:11] healthcare. Exactly. And my company also, I think paid like, I don't know, a hundred bucks or something.
[00:19:15] So, you know, it's, it's a little bit of extra cash in our pockets. It's free money. Why not just
[00:19:20] simply, you know, play the game a little bit and take advantage of the money. So these are small
[00:19:25] details that you can kind of, you know, scour over a little bit, which we do, which we do. And it might,
[00:19:31] you know, $250 or $350 might seem like small bones, but those are the things that really do add up over
[00:19:36] time. So, I mean, I look at it in inverse. If I was getting charged, you know, 250, 300 bucks for
[00:19:42] something that I didn't need to be, well, I'm going to fix that. And so that's just one option
[00:19:47] that you can do as you're trying to iterate and improve over time.
[00:19:51] And then the other thing I really want to make sure that we highlight about the HSA again,
[00:19:56] because it's triple tax advantage. I think we're on the seventh or eighth time I've said that this
[00:20:00] episode. You, when you contribute to the HSA, you contribute with pre-tax dollars.
[00:20:10] Yes. And so before you even get your income, it's taken out.
[00:20:15] If you, if you contribute through your employer. Right. Yes. Um, and what's really great about that
[00:20:21] is it actually brings your AGI down, which is your adjusted gross income. And even though it's,
[00:20:28] you know, depending on if you're contributing as an individual or a family, you know, for a family,
[00:20:34] it's around $8,000. That might not seem like a whole heck of a lot, but it can really bring your
[00:20:38] tax bracket down. If you are on the threshold of a particular tax bracket, making that contribution
[00:20:44] can bring your tax bracket from 22% to 12% or something like that, which can save you some
[00:20:50] money on how many, how much you're paying in taxes the next year. So yeah. And I think in a future
[00:20:56] episode, we're going to talk about tax strategies. I would love to. I know that you're kind of a nerd
[00:21:01] about that. Yes. I definitely went down the rabbit hole on AGI and tax optimization and,
[00:21:08] and what accounts we're saving and how much and how to really make sure we're in a particular tax
[00:21:13] bracket, which was really fun for me. I think it's, it's great. Cause once you have the basics in place,
[00:21:19] right? Like you're maxing out your 401k, your Roth IRA, your HSA, and you're sitting and forgetting it,
[00:21:26] then, then the tax optimization, you have more brain space to start being a little bit more
[00:21:32] strategic and creative on the way that you're saving and all the other little puzzle pieces
[00:21:37] kind of start to fall into place. But yeah, exactly. All right. Back to triple tax advantage
[00:21:41] HSAs accounts. Um, all right. Pro tips for optimization, max out your HSA each year through
[00:21:52] payroll if possible. Yes. Cashflow yearly medical expenses and pay out of pocket and scan your receipts.
[00:22:00] So this is the part that I think is important because you could, there's two roads you can take.
[00:22:07] If you're maxing out your HSA every year, congratulations. You're doing everything you
[00:22:11] possibly can to take advantage of the best account out there for retirement. But if you want to take it
[00:22:17] one step further and make that money be, um, again, growing tax-free and you can withdraw it tax-free
[00:22:26] for anything, then there's one extra strategy you do, which is capture your receipts. And I've met a
[00:22:33] lot of people in the fire community that do this in different ways. Uh, a lot of, uh, people who've
[00:22:39] been around for a while will actually just keep the physical receipts in a file.
[00:22:43] What? I know. Uh, I don't recommend that. I think that with today's day and age, you have a camera in
[00:22:49] your pocket. You might as well just take a snapshot of the receipt, what we do. And I'm giddy about
[00:22:54] this. We, what we do, what Matt does. What I have done and you, you do now too. I lovingly support.
[00:23:00] Yes. Uh, it's not as hard as it sounds, but what you do is you take a picture of the receipt
[00:23:04] and then I have a simple Google file, uh, like Excel file that I just note the date of service or the
[00:23:11] date of when we had our healthcare expense, the provider and the cost of what we paid at the time.
[00:23:17] Cause again, we're pulling money out of our pockets to pay for it. And I say that that money is tied to
[00:23:23] this receipt. And I have a year of when that receipt is done. So I'm kind of a nerd. So I love
[00:23:27] it. 2024, for example, everything that we've spent that is healthcare related goes into, into that file.
[00:23:33] And then I have an Excel file that monitors the amount that we put in there. And the reason that
[00:23:38] I do that is that if I can quantify that we paid for this healthcare cost in this year to the IRS,
[00:23:49] then that means at any moment I can withdraw that amount of money from our HSA account.
[00:23:54] And so over time, if you think about all of the things that qualify as healthcare related expenses,
[00:24:01] I mean, it's any, it's band-aids, it's, it's tampons, it's anything. Um, and descriptions,
[00:24:10] Tylenol. Exactly. Exactly. Q-tips to Q-tips count as well. Um, if band-aids count,
[00:24:16] I got to imagine Q-tips product count, but there's, you know, the CDC has their little, um,
[00:24:20] do they have a list? They have a list of specific products. They do. They do. And any,
[00:24:23] any like flu shots, anything like that, that you have to pay for. Um, I pay out of pocket and I keep
[00:24:29] the receipts that way, again, in the future, we can pull out that money. And so that those little
[00:24:33] amounts add up over time. And we're talking, you know, 10 or 20 years of contributing to these
[00:24:40] accounts and all of the healthcare for a family that is, is being paid out of pocket. That means
[00:24:47] that we can pull out thousands of dollars, thousands, tens of thousands. Well, back up a little bit.
[00:24:52] It's not just that we are now saving money into the HSA. And instead of spending money out of that
[00:24:59] HSA to pay for our medical expenses, we're paying for that out of pocket. And we're doing that
[00:25:02] strategically. So that way the money that is in the HSA can grow tax free. Yes. And so that way,
[00:25:08] when we want, whenever we want, but preferably later in life, we can tap into that HSA account
[00:25:15] completely tax free and use it for whatever we want because we've literally kept the receipts.
[00:25:23] Yeah. So, so that's, that's the second road. I think maybe I got too far ahead of myself. The
[00:25:27] first road is if you're contributing to your HSA and you're maxing that out, that's going to grow.
[00:25:32] As long as you put it in an investment vehicle, it's going to grow and you don't touch it and you
[00:25:36] don't touch it. And so you can pull the money out at any time in the future for medical expenses,
[00:25:41] expenses. But if you keep your receipts and prove that you've already paid for those medical expenses,
[00:25:46] it's basically saying I'm paying myself back for what I paid out of pocket from my HSA. See,
[00:25:51] I kept my receipts. Exactly. Exactly. It's a really smart strategy. And I will say,
[00:25:55] I know that I have, I want to apologize on camera. Oh, please continue.
[00:26:01] I have been such a brat about keeping my receipts over the years. I'm so sorry.
[00:26:06] Um, I, I know I said earlier in the episode that I had a couple of like medical expenses and a couple
[00:26:12] of procedures. And I, while I did keep my receipts, I did not put them in the spreadsheet.
[00:26:18] So we don't get credit for them until Matt was going over the spreadsheet. I don't know. It was
[00:26:22] a couple of weeks ago. He was like, did you put these in the, in the spreadsheet? I was like,
[00:26:25] Oh, I don't know if I did. I don't know if I did. I knew that I didn't. I knew that I didn't.
[00:26:28] I'm so sorry. I will be better. I'm learning and growing every day.
[00:26:33] It's all that means is that we don't get to pull it out for maybe a down payment.
[00:26:37] I knew that we would do it. I just had not done it yet. And I also knew that you would do it if I
[00:26:41] pouted about it. So thank you. You're welcome. Go team. I will say, uh, that, you know,
[00:26:48] these numbers sound small at the moment, like, you know, what is $8,000 a year? But if you think
[00:26:55] about the grand scheme of things, like most people, again, in our community are working
[00:27:00] about 10 to 20 years or so before retirement or before they decide to leave their W-2 job,
[00:27:05] which maybe you don't have the ability to do an HSA anymore. But what is 20 years of growth?
[00:27:12] I think is worth talking about. I mean, even five years of growth.
[00:27:14] Well, I did the math. So I got a little example. So to put this in perspective for people listening,
[00:27:20] right? What we do is we start with $0 and we are expecting a 20 year growth time horizon.
[00:27:28] And we're going to just for shock value, stick to the, you know, average market return of 10%.
[00:27:35] Okay. So if you're contributing $8,000 or $8,300 a year, this is 2024 numbers. Okay. So 8,300 a year
[00:27:44] for 20 years at 10% growth, which again, that's just putting it into an index fund and leaving it
[00:27:52] alone, not touching it. Then in 20 years, you'll have $501,000 sitting in that account,
[00:27:59] doing nothing other than maxing out the account and investing it. Now, if you maxed out the and
[00:28:05] invested it and you kept your receipts, then that's $500,000 that you can pull out for any reason,
[00:28:13] any reason. If I wanted to take you on a massive vacation with the kids or buy the kids a home,
[00:28:18] I can pull that money out and do that. If you kept the receipts, if you didn't keep the receipts,
[00:28:24] that's still $500,000 sitting in an HSA account that you can use for healthcare related purposes
[00:28:31] at any time. And given that the average healthcare expenses for a adult is about $300,000.
[00:28:40] $300,000, you're sitting pretty, I think. In a lifetime?
[00:28:43] In a lifetime. Okay.
[00:28:44] Depending, you know, it's average health, right? So, but yeah, if you know that you're going to be,
[00:28:48] we all get older, we all have healthcare expenses. Having an account that's tax advantaged is
[00:28:54] extremely valuable. And I think under advertised maybe, right? Like I know the government has
[00:29:00] given us this kind of gift, but we're not using it all that well.
[00:29:04] Right. And I think that leads into today's fun five facts. Okay. Okay. Give me your fun five facts.
[00:29:11] Okay. So I'm going to make sure I read this correctly because it's part, it's part of the
[00:29:15] excitement that I get out of this. Okay. All right. So do you want to take a stab at how many,
[00:29:22] like what's the percentage of HSAs that have the money in it actually invested? Any idea?
[00:29:30] Yeah. Like if you, if I had to guess, 18%. It's a good guess. Okay. It's totally wrong. Oh. So
[00:29:40] right now for all of the money going into HSAs, only 8% of those accounts are actually invested
[00:29:48] in the market or in some sort of investment vehicle. So think about it. We're doing a
[00:29:53] horrible job in the U S taking advantage of what this account actually offers. And that's why we're
[00:29:59] trying to get the word out there. Cause I think that if, if this is a benefit that your job offers,
[00:30:05] why the heck are you not taking advantage of it? It's triple tax advantage. It is. It is the single,
[00:30:10] it is the single greatest retirement vehicle that's out there. It's better than a Roth IRA
[00:30:16] because of the triple tax. Yes. Right. Okay. I also have a fun five fact. Oh, you have one too.
[00:30:24] Bring it on. Yeah. About HSAs. Okay. I looked it up on the way here. Um, account holders over 55
[00:30:30] had an average balance of 5,700 at the end of 2023, 5,000, 5,700 over 55. That's the balance of the
[00:30:42] HSA. Yes. That's the balance. So it sounds like the most people who the majority of people who are
[00:30:47] using HSAs are contributing to it, but then spending from it. Yeah. So, which I think is what it was
[00:30:54] built for people to do in a way, but because of the rules of the way that it's set up, you can use it
[00:31:01] in this sort of weird five strategic way that we do. And we recommend, yeah, it's really helpful.
[00:31:08] Once you know the rules of the game, because this is a very particular card that we can play
[00:31:13] to really help you win the game. Yes. And there isn't a better account out there today, which is
[00:31:19] so weird to say, because you're right. When you talk about HSA, all your employer information that
[00:31:24] they give you in that packet beginning of the year is going to be about how you spend it for
[00:31:29] your healthcare purposes. But if you're relatively healthy, this is the option where you just set it
[00:31:35] and forget it. You do not touch it. You pay out of pocket to keep the receipts. And then 20 years
[00:31:39] later, you'll have half a million dollars in that one account purely by maxing it out and leaving it
[00:31:46] alone. Nice. Now I saw in the show notes for this episode, you had something in there about
[00:31:53] being aware of HSA dash FSA plans. Yeah.
[00:31:59] So are there plans that are both an HSA and an FSA that you have to be careful of?
[00:32:06] Yeah. So the big, I think we mentioned this earlier, but the big difference between a health
[00:32:10] savings account and a flexible spending account is they're both earmarked for healthcare spending,
[00:32:19] but the flexible spending account is not going to roll over at the end of the year.
[00:32:25] So it's use it or lose it. You are contributing money from your paycheck into this saying that,
[00:32:32] Hey, I think I'm going to spend $5,000 in healthcare. And what if you don't spend $5,000?
[00:32:38] What happens with that money?
[00:32:39] You lose it to who?
[00:32:41] The employer takes the money.
[00:32:42] Wow.
[00:32:44] It's a bet.
[00:32:44] It's a bet.
[00:32:45] So there are ways to optimize this even further.
[00:32:48] Okay.
[00:32:49] Right. So if you know, for example, that I want to buy band-aids and tampons this year,
[00:32:54] I'm going to put $300 in this account. It's tax advantaged. You could do that. It's a little anal
[00:32:59] to me, which is funny because I also like to take advantage of this, but I hate the idea of
[00:33:05] forgetting to spend something. I don't like to buy things in general. So it's incentivizing me to
[00:33:10] spend, which is the opposite of what I try to do, which is incentivize not to spend.
[00:33:13] And the health savings account is your account. If you leave your employer,
[00:33:19] you take it with you. It rolls over every year and grows. That's a really good reason to just
[00:33:25] stick with that one first.
[00:33:27] Now I have a question. When you leave an employer and you have money in an HSA,
[00:33:32] do you then have to reinvest it into a different account like you would a 401k?
[00:33:37] Well, it's very similar to 401k. You don't have to move it, but you can.
[00:33:41] And I think just for simplicity sake, if you leave an employer and as long as the
[00:33:46] expense ratios are comparable. For how you're investing it.
[00:33:51] Yeah. Sometimes an employer might have a really good low cost investment option and I will keep
[00:33:57] it at my old, call it Fidelity HSA, instead of rolling it over to my new health equity account
[00:34:03] because there's a better investment option over there. But once you leave all your jobs, which is
[00:34:08] what I've done basically for my last job, I need to still roll it over to a cheaper,
[00:34:14] more cost effective plan. And I'll do that this year.
[00:34:18] Okay.
[00:34:19] Yeah. But you asked if an HSA can be used with an FSA and the answer is yes, but don't confuse
[00:34:27] the two. They're entirely different.
[00:34:28] Right.
[00:34:28] Yeah. So oftentimes you can still qualify for a FSA with a high deductible healthcare plan.
[00:34:36] Okay.
[00:34:36] Yeah.
[00:34:37] Great. Now, since we've gone over all the details of the HSA and how to keep your receipts,
[00:34:44] I had thought about doing a follow-up episode going over your spreadsheet that you've created
[00:34:50] to track all of this. I don't know if it would necessarily warrant an entire episode,
[00:34:54] but I love the idea of including a version, a template of what you've created, because it is
[00:34:59] really great and useful in the show notes for other people to use and play around with. So they can also
[00:35:05] start keeping track of what they got going on.
[00:35:07] Yeah. I can definitely attach that. I think you're right. You know, when, when I first learned about
[00:35:11] this, I did some research online and I couldn't find a template. So I just made one on Google sheets,
[00:35:17] but I'm happy to share it. I think it's very basic and the idea that again, like, you know,
[00:35:23] what is the expense when you're spending it? And then what's the vendor name. And then I've got some,
[00:35:28] you know, formulas and such that let me know where we're at in terms of how much I can actually pull
[00:35:33] out without penalty. And so, yeah, I'll attach that in the show notes so everybody can have it for free.
[00:35:39] For free.
[00:35:40] For free.
[00:35:40] All right. Well, just to wrap up this episode, I would love the listeners, all of our listeners to
[00:35:48] let me know what they think the count is for how many times we have said
[00:35:52] triple tax advantage in this episode.
[00:35:55] Fair. So before we wrap up, I do have an important
[00:36:02] hack that even I wasn't aware until I started researching about this. I think it's really
[00:36:06] helpful to share. Oh, right. Okay. So if you have a high deductible healthcare plan and you're
[00:36:12] contributing to an HSA and let's say you're within your family, you have adult children who are under
[00:36:19] than under 26, but are no longer considered, um, uh, dependence on your, on your tax base,
[00:36:27] then those people can contribute to the family match as well. So let's say for example, you have a 20 year
[00:36:36] old kid. So you have two 20 year old kids. Okay. Okay. And they're on my healthcare plan until
[00:36:42] they're 26, but they're not part of my taxes. Got it. Okay. Those kids, kids can contribute
[00:36:50] $8,550 on their own, on their own account. Both of them individually, $8,550.
[00:37:01] This is the thing that you were telling me a couple of weeks ago.
[00:37:03] Yeah, exactly. So if, if they, and this isn't just adult kids, but it's, um,
[00:37:09] adult dependents on their own that file their way. No, it's essentially adult kids or domestic
[00:37:15] partners. Got it. Right. Right. And so if you have a kid in college, they can contribute $8,550
[00:37:23] to this triple tax advantaged account to allow it to grow tax free in perpetuity, which is an
[00:37:31] amazing benefit that is sorely hidden amongst all the tax documents out there. But it's a huge benefit
[00:37:37] that we have not been taking advantage of and we definitely will move forward. So, well, our kids
[00:37:43] aren't old enough yet, but well, one day they will be one day. They're not going to be on our, uh,
[00:37:50] not gonna be dependent. Right. So that would be a very easy thing for us to be able to help them do.
[00:37:55] And as long as they're earning income, we could actually give them the $8,550 contribute so they
[00:38:01] can contribute on their behalf while they're in school, say. Right. So it's just, which saves
[00:38:06] them on their taxes and it saves them. Well, they're going to be, yeah, exactly. Yeah. They're
[00:38:11] probably going to be a lower tax bracket as a student anyway, but let's, let's lower it as much
[00:38:14] as possible. It's a zero one. Awesome. Great. Okay, cool. So let's do a quick, uh, summary.
[00:38:21] All right. So if you have, if you qualify for an HSA and you have a emergency fund that can cover
[00:38:27] your healthcare expenses minus, uh, catastrophic insurance, which is what the HSA qualifies for.
[00:38:34] So if you get cancer and it's going to be hundreds of thousands of dollars, you are covered through
[00:38:38] your employer for, for at least a good portion of that. And so you don't have to worry about getting
[00:38:42] cleaned out. But if you have, you're relatively healthy and you have an HSA, you want to max it
[00:38:47] out through payroll every year, right? You're going to cashflow your medical expenses and keep your
[00:38:53] receipts and log with them. And then you're going to invest that amount of money, anything over the,
[00:38:59] uh, cash limit that they require into some sort of investment vehicle that will grow over time.
[00:39:06] And you set it and forget it. You keep doing that every year and you just enjoy the ride.
[00:39:12] Yep. Yeah.
[00:39:13] That's one of the, uh, jewels in the crown for setting yourself up for success in retirement.
[00:39:19] Yeah, exactly. And 20 years later, you get half a million dollars for very little work,
[00:39:24] which doesn't suck.
[00:39:25] No, no, take that. Take it to the bank. Exactly.
[00:39:28] Awesome. Well, I think that's all we got.
[00:39:30] Yeah. Thanks everyone so much for joining. Let us know if you have any questions and we'll
[00:39:34] see you next time.
[00:39:35] Thanks for tuning in.