Health Savings Accounts Are a Great Way to Use Pre-Tax Dollars for Medical Care—Here's How

Here are a few more facts and features on HSAs, so potential program consumers can get a better grip on what HSAs offer, and what financial risks they bring to the table.
Published: 4/27/2026, 3:34:59 AM EDT
Health Savings Accounts Are a Great Way to Use Pre-Tax Dollars for Medical Care—Here's How
A health savings account enrollment form in a stock photo. (Shutterstock)
More Americans are adding Health Savings Accounts to their financial portfolios. Approximately 40 million HSAs are up and running nationwide, with total assets reaching $159 billion. By and large, HSA accounts hold an average balance of $2,649, with 61 percent of them being employer-sponsored or affiliated, according to Truemed.

Now, Uncle Sam is adding to HSA program services via the One, Big Beautiful Bill Act legislation enacted in 2025, mostly with expanded HSA eligibility, which paves the way for more Americans to use the program’s save and pay model for handling healthcare costs through tax-free HSAs.

HSA contribution limits for 2026 are also changing, with maximum contribution limits for HSAs rising to account for generally higher inflation across the United States. Under the new adjustments, single Americans can contribute up to $4,400 in account funding, representing a $100 increase from the 2025 HSA contribution limit. U.S. families can expect a contribution increase of $200, which stacks the maximum annual contribution to $8,750.

With the White House and Congress ramping up program features, it’s a good time for non-HSA participants to kick some tires and look into these HSAs, financial experts say.

“Health savings accounts are what are known as 'triple tax advantaged' accounts, as you get a deduction for contributions, tax-free growth and tax-free withdrawals for qualified health care costs,” Scott Brown, founder of Mintwit, a financial advice platform, told NTD News.

“Once you turn 65, you will be able to withdraw money from your HSA and spend it on anything just like with an IRA account.”

Here are a few more facts and features on HSAs, so potential program consumers can get a better grip on what HSAs offer, and what financial risks they bring to the table.

Know the Eligibility Requirements

Health Savings Account eligibility requirements are clear cut. First, you must be enrolled in a qualified High-Deductible Health Plan. For self-only HSA coverage, the minimum annual deductible must be at least $1,700, and the annual out-of-pocket expenses cannot exceed $8,500, according to the U.S. Internal Revenue Service.
The same goes for family Health Savings Account coverage, as the adjusted minimum annual deductible is set at $3,400, and the maximum out-of-pocket limit capped at $17,000, according to IRS figures. Eligible coverage areas include out-of-pocket maximums include deductibles, co-payments, and other cost-sharing amounts. Insurance premiums, however, aren’t covered by HSAs.

HSAs Are Not Checking Accounts

The largest problem that Brown sees with health savings accounts is people using HSAs as a checking account rather than an investment vehicle.

“Using HSAs as investment accounts means contributing the most money possible, growing it aggressively (especially if you're younger) and paying for medical expenses out-of-pocket and letting the account compound,” Brown said.

Another problem people that program users often fail to recognize is that if you paid for your own medical expenses years ago, “you’ll be able to reimburse yourself as long as you kept your records,” Brown added.

Best Ways to Optimize Your HSA Experience, Savings-Wise

Finance experts say the single biggest leak in the HSA system is one that plan participants often miss—paying medical bills you were never actually owed.

“I've seen firsthand how billing errors are rampant,” Yahya Khan, founder at Alliance Medical Revenue Group, told NTD. “Studies found that 49 to 80 percent of medical bills contain at least one error, meaning a significant portion of what patients pay out of pocket, including HSA dollars, might be inaccurate.”

That’s why it’s a good idea to always request an itemized bill and verify it against your Explanation of Benefits (EOB). “That habit alone can save hundreds of dollars annually,” Khan said.

Beyond that defensive move, Kahn suggest investing your HSA account balance rather than letting it sit idle. “Additionally, make sure you’re paying medical expenses out of pocket now and reimbursing yourself later so your HSA grows tax-free, and you're coordinating contributions with your spouse's benefits to maximize household savings,” he advised.

The views and opinions expressed are those of the interviewees. They are meant for general informational purposes only and should not be construed or interpreted as a recommendation or solicitation. NTD does not provide investment, tax, legal, financial planning, estate planning, or any other personal finance advice. NTD holds no liability for the accuracy or timeliness of the information provided