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Insider secrets-how an HSA plan can save you taxes & premiums ,[object Object],C. Dean Richard, JD, MSBA Needless to say, all contents ©2008, all rights reserved.
Health Savings Account Plans By now, almost everyone knows that an HSA plan allows you to use TAX-FREE money to pay most medical expenses But did you also know . . .
An HSA also allows you to: By-pass the 7.5% AGI Limitation and deduct (almost) all of your medical expenses …. BEFORE  they are incurred!
What is an HSA? ,[object Object],[object Object],[object Object]
Tax-Advantages—the Basics ,[object Object],[object Object],[object Object]
Similar to an IRA Sounds like an IRA? YES!! (“it’s a medical IRA”)
Who is eligible? ,[object Object],[object Object],[object Object],[object Object]
What is the Catch? You must first purchase a special health insurance policy:  “HDHP” (High Deductible Health Plan)
HSA Insurance Policy (“HDHP”) ,[object Object],*For 2008 Tax year Type of Coverage Minimum Deductible Maximum Deductible Maximum Annual Out-of-Pocket SINGLE 1,100 5,600 5,600 FAMILY 2,250 11,200 11,200
What is the Catch? (con’t...) ,[object Object],[object Object],[object Object]
Why would anyone want an HSA? ,[object Object],[object Object]
Government “encouragement”   ,[object Object],[object Object],[object Object]
AGI “By-Pass” Compare an HSA to the “other way” you can get a deduction for medical expenses—you have to spend money.   Schedule A—Itemized Deduction for medical expenses.  Limited to 7.5% of AGI.   Key term:  Expenses.  Ordinarily, you have to spend money, i.e., incur expenses in order to get a tax deduction.    Which would you rather have:  A deduction for  expenses  incurred or for money contributed to a  savings  account?
Example: Bill & Susan, both age 44, with 2 kids Bill is self-employed contractor AGI:  $77,000 Medical “expenses” for the year: $1,600  (by law, does not include insurance premiums paid!)   Amount of deduction:  ZERO Why?: 7.5% threshold is not reached until $5,775 in expenses are incurred
Example (cont.): Compare the HSA.   Contribution to HSA:  $5,800 Amount of Deduction:  $5,800 Estimated Tax Savings:  $1,624 (28%)   Bill & Susan can actually use “tax dollars” to pay all of their medical expenses and still have $4,200 saved and hard at work earning tax-deferred interest (or investments).  Duh!  (5,800 contribution – 1,600 medical expenses = 4,200 balance)   **Actual insurance premiums are also 100% deductible for the self-employed under either option.
Limitations on Annual Deduction ,[object Object],[object Object],[object Object],[object Object],[object Object],Additional contribution up to $900 allowed as “catch-up” provision for individuals 55+.
Other Important Factors-Penalties  ,[object Object],[object Object],[object Object]
Eligible Expenses:  Withdrawals are tax-free and penalty-free at any age if made to pay any of the eligible expenses: NOTE:  This is the same list used by the IRS to determine if medical expenses you claim qualify for the 7.5% AGI deduction!   •  ambulance  • gum treatment  • prescription medicines •  anesthetist  • gynecologist  • psychiatrist  •  eyeglasses • pediatrician • physician •  blood tests  • hospital bills  • psychoanalyst  •  arch supports  • healing services • psychologist •  lab tests  • hearing aids  • neurologist
Deadlines? ,[object Object],[object Object]

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Hsa Power Point

  • 1.
  • 2. Health Savings Account Plans By now, almost everyone knows that an HSA plan allows you to use TAX-FREE money to pay most medical expenses But did you also know . . .
  • 3. An HSA also allows you to: By-pass the 7.5% AGI Limitation and deduct (almost) all of your medical expenses …. BEFORE they are incurred!
  • 4.
  • 5.
  • 6. Similar to an IRA Sounds like an IRA? YES!! (“it’s a medical IRA”)
  • 7.
  • 8. What is the Catch? You must first purchase a special health insurance policy: “HDHP” (High Deductible Health Plan)
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. AGI “By-Pass” Compare an HSA to the “other way” you can get a deduction for medical expenses—you have to spend money.   Schedule A—Itemized Deduction for medical expenses. Limited to 7.5% of AGI.   Key term: Expenses. Ordinarily, you have to spend money, i.e., incur expenses in order to get a tax deduction.   Which would you rather have: A deduction for expenses incurred or for money contributed to a savings account?
  • 14. Example: Bill & Susan, both age 44, with 2 kids Bill is self-employed contractor AGI: $77,000 Medical “expenses” for the year: $1,600 (by law, does not include insurance premiums paid!)   Amount of deduction: ZERO Why?: 7.5% threshold is not reached until $5,775 in expenses are incurred
  • 15. Example (cont.): Compare the HSA.   Contribution to HSA: $5,800 Amount of Deduction: $5,800 Estimated Tax Savings: $1,624 (28%)   Bill & Susan can actually use “tax dollars” to pay all of their medical expenses and still have $4,200 saved and hard at work earning tax-deferred interest (or investments). Duh! (5,800 contribution – 1,600 medical expenses = 4,200 balance)   **Actual insurance premiums are also 100% deductible for the self-employed under either option.
  • 16.
  • 17.
  • 18. Eligible Expenses: Withdrawals are tax-free and penalty-free at any age if made to pay any of the eligible expenses: NOTE: This is the same list used by the IRS to determine if medical expenses you claim qualify for the 7.5% AGI deduction! • ambulance • gum treatment • prescription medicines • anesthetist • gynecologist • psychiatrist • eyeglasses • pediatrician • physician • blood tests • hospital bills • psychoanalyst • arch supports • healing services • psychologist • lab tests • hearing aids • neurologist
  • 19.

Notas do Editor

  1. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  2. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  3. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  4. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  5. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  6. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  7. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  8. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  9. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  10. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  11. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  12. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  13. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  14. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  15. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.
  16. Imagine that 30% of the calls you receive on your cell phone are from telemarketers – you would consider the value of the cellular system to be far less than you do today -- you’d find it as much of a source of annoyance as you would a useful tool. And as you had to pay for each call you received it would reduce the cost effectiveness considerably. E-mail is, after the wired telephone, the most valuable communications resource business has and spam does to e-mail what unrestrained telemarketing would do to the cell phone system – it decreases value and increases costs.