More Americans Are Signing Up For
HSAs.
The number of Americans with HSAs has
tripled from one million in March 2005 to the more than three million
reported in January 2006. The number of Americans with HSAs is currently
projected to increase to 29 million by 2010.

What Are HSAs?
Established by the Medicare reform
bill President Bush signed into law in December 2003, HSAs allow
Americans to save tax-free dollars to pay for near-term medical expenses
and save for future longer-term costs. Accounts are accompanied by an
HSA-qualified insurance plan covering major medical expenses and
preventive care. HSA-qualified insurance plans are an alternative to
traditional health insurance policies and have lower premiums and higher
deductibles. Savings from lower premiums can be put toward funding the
HSA.
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High Deductible Insurance –
H.S.A. Eligible
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Health Savings Account – Tax
advantaged account
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Give you control of your
Healthcare Decisions
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Allow you to save for
retirement
Who Is Eligible For HSAs?
To
be eligible for HSAs, individuals must be covered by an HSA-eligible
Insurance Policy first.

HSA-qualified insurance policies
Affordable insurance plans that protect individuals and families in the
event of major medical illness. These plans generally provide the same
benefits as traditional insurance policies, including prescription drug
coverage, doctor's visits, emergency room visits, and hospitalization.
However, they require that a higher deductible be met before benefits
are paid. The higher deductible allows the insurance company to charge
significantly lower premiums. The deductible must be at least $1,050
for individuals or $2,100 for families, and the annual out-of-pocket
expenses cannot exceed $5,250 for an individual or $10,500 for a family,
including the deductible and co-payments (but not premiums)
(Click here)
Open a *HSA Account with a Financial
Institution
People with HSA-eligible
plans can open up their account with banks, credit unions, insurance
companies, and other approved companies. Employers may also set up plans
for employees. More information is available on the Treasury Department
website at
http://www.treas.gov/offices/public-affairs/hsa/faq.shtml.
How Much
Can Be Contributed To An HSA Annually
For
2006, Americans can contribute up to $2,700 per year for individual
coverage or up to $5,450 per year for a family. However, annual
contributions cannot exceed the deductible of the HSA-compatible
insurance policy. For example, if the deductible is $1,100, not more
than $1,100 can be contributed that year. Both individuals and employers
can contribute to HSAs. Money unspent one year rolls over into the next
year. Americans age 55 or older (and not yet enrolled in Medicare) can
make additional "catch-up" contributions of up to $700 per person this
year, which can provide extra help to many early retirees.
Fund your Health Savings account with pre-tax
dollars, and reduce your taxable income.
Withdraw funds tax-free to pay for qualifying medical expenses. What you
don't spend grows from year to year.
HSAs
Provide Americans With More Control Over Health Care Costs.
Americans own and
control the money in their HSA. They decide how to spend the money in
their account on their own health care needs, and they keep what they do
not spend. HSAs can make health insurance more affordable and help
businesses lower health care costs. With an H.S.A. the patient and the
Doctor make the decision regarding the course and type of treatment, not
some third party. H.S.A. funds can be used to pay for a variety of
medical expenses, including optical, dental and prescriptions! With a
H.S.A. you get the treatment you need, when you need it. You are in
Control
Eligible Medical Expenses
Eligible
medical expenses are defined as those expenses paid for care
as described in
Section 213(d) of the
Internal Revenue Code. Additionally, the IRS has allowed
some over-the-counter drugs to qualify as eligible medical
expenses. ¹
HSA Bank™ has
created the following lists to help you determine whether an
expense is eligible or not. The lists are provided with the
understanding that HSA Inside is not engaged in rendering
tax advice. These lists are to serve as a quick reference.
For more detailed information, please refer to
IRS Publication 502 or
contact a tax professional. |
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Eligible Medical Expenses (For HSA Distributions)
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Abdominal supports
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Abortion
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Acupuncture
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Air conditioner (when necessary for relief from difficulty in
breathing)
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Alcoholism treatment
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Ambulance
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Anesthetist
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Arch supports
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Artificial limbs
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Autoette (when used for relief of sickness/disability)
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Birth Control Pills (by prescription)
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Blood Tests
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Blood transfusions
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Braces
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Cardiographs
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Childbirth/Delivery
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Chiropractor
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Christian Science Practitioner
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Contact Lenses
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Contraceptive devices (by prescription)
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Convalescent home (for medical treatment only)
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Crutches
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Dental Treatment
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Dental X-rays
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Dentures
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Dermatologist
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Diagnostic fees
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Drug addiction therapy
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Drugs (prescription) |
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Elastic hosiery (prescription)
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Eyeglasses
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Fees paid to health institute prescribed by a doctor
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FICA and FUTA tax paid for medical care service
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Fluoridation unit
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Guide dog
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Gum treatment
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Gynecologist
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Hearing aids and batteries
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Hospital bills
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Hydrotherapy
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Insulin treatment
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Lab tests
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Lead paint removal
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Legal fees
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Lodging (away from home for outpatient care)
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Metabolism tests
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Neurologist
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Nursing (including board and meals)
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Obstetrician
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Operating room costs
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Ophthalmologist
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Optician
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Optometrist
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Oral surgery
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Organ transplant (including donor's expenses)
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Orthopedic shoes
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Orthopedist
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Osteopath |
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Oxygen and oxygen equipment
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Pediatrician
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Physician
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Physiotherapist
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Podiatrist
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Postnatal treatments
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Practical nurse for medical services
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Prenatal care
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Prescription medicines
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Psychiatrist
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Psychoanalyst
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Psychologist
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Psychotherapy
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Radium Therapy
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Registered nurse
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Special school costs for the handicapped
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Spinal fluid test
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Splints
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Sterilization
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Surgeon
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Telephone or TV equipment to assist the hard-of-hearing
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Therapy equipment
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Transportation expenses (relative to health care)
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Ultra-violet ray treatment
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Vaccines
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Vasectomy
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Vitamins (if prescribed)
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Wheelchair
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X-rays |
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Eligible Over-the-Counter Drugs (For HSA Distributions)
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Antacids
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Allergy Medications
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Pain Relievers
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Cold medicine
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Anti-diarrhea medicine
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Cough drops and throat lozenges |
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Sinus medications and nasal sprays
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Nicotine medications and nasal sprays
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Pedialyte
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First aid creams
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Calamine lotion
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Stop-smoking programs |
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Wart removal medication
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Antibiotic ointments
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Suppositories and creams for hemorrhoids
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Sleep aids
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Motion sickness pills |
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Ineligible Medical Expenses |
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Advancement payment for services to be rendered next year
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Athletic club membership
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Automobile insurance premium allocable to medical coverage
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Boarding school fees
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Bottled water
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Commuting expenses of a disabled person
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Cosmetic surgery and procedures
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Cosmetics, hygiene products and similar items |
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Funeral, cremation, or burial expenses
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Health programs offered by resort hotels, health clubs, and gyms
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Illegal operations and treatments
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Illegally procured drugs
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Maternity clothes
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Non-prescription medication
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Premiums for life insurance, income protection, disability, loss of
limbs, sight or similar benefits
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Scientology counseling
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Social activities |
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Special foods and beverages
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Specially designed car for the handicapped other than an autoette or
special equipment
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Swimming pool
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Travel for general health improvement
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Tuition and travel expenses a problem child to a particular school
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Weight loss programs |
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Ineligible Over-the-Counter Drugs |
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Toiletries (including toothpaste)
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Acne treatments
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Lip balm (including chapstick or carmex)
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Cosmetics (including face cream and moisturizer) |
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Suntan lotion
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Medicated shampoos and soaps
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Vitamins (daily)
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Fiber supplements |
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Dietary supplements
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Weight loss drugs for general well being
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Herbs |
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Allow you to save for
retirement: Any money deposited to the H.S.A. is tax deductible, grows
tax deferred and can be withdrawn tax free to pay for insurance
deductibles and covered medical expenses. If you don’t spend the money
it continues to grow year after year.. just like an IRA.
Example
Insurance Plan H.S.A. Eligible
(family) 5000. Deductible
H.S.A Insurance
Plan 3000. Premium
H.S.A. Annual Premium $3000. X
35% = Tax Savings $1,050
H.S.A. Account Contribution $5000. X 35% = Tax
Savings $1,750
Total Tax
savings
$2,800
H.S.A. Insurance Plan $3000.00
Tax Savings $2,800.00
True Insurance Cost = $200.00 per year
