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h3. Health Savings Accounts
Created in January 2004 as part of the Medicare prescription reform
law, health savings accounts (HSAs) are sometimes referred to as
medical IRAs. These plans are increasingly popular and, according to a
May 2005 study by American Health Insurance Plans, more than one
million people are now covered under HSA-based health plans.Many
insurance companies, local banks, as well as specialized administrators
offer HSAs, but be advised, the fees charged to run these plans vary
widely. For an online list of the top ten most affordable providers, go
to www.hsafinder.com/07-05_1.shtml
How do they work?
Like IRAs, individuals contribute pre-tax dollars into accounts that
are tied to a wide range of investment vehicles (savings accounts,
mutual funds or, in some cases, stocks). These accounts can accrue
interest and roll over any unused balances to the next year, unlike
standard Section 125 or “cafeteria” medical benefits plans. These funds
can be withdrawn from the HSA at any time, without penalty, to pay for
legitimate medical expenses not typically covered by the insurer, such
as office visit and prescription drug co-payments, vision expenses, and
dental work. To see a list of federally approved expenses, go to
www.irs.gov/pub/irs-pdf/p502.pdf
An important note: HSAs can only be used in conjunction with
health-insurance policies that have steep annual deductibles—between
$1,000 and $5,000 for individuals, or $2,000 and $10,000 for
families—but these plans typically cover 100% of expenses once this
limit has been met.