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Health Savings Account - Questions & Answers (cont.)

Q. What is the difference between a Medical Savings Account and a Health Savings Account?
A.
HSAs are a significant expansion of the old MSA program. Unlike MSAs, HSAs provide the following:

bulletEveryone with a qualified high deductible plan is eligible to participate (includes all size employers, the self-employed, individual and families who are not self-employed) 
bulletHSAs can be funded by the employer, employee or combination of both within the same calendar year 
bulletHSAs are permanent and portable 
bulletLarger tax-deferred contributions to custodial accounts 
bulletBroader deductible ranges 

Q. Can a Medical Savings Account be rolled into a Health Savings Account?
A.
Yes. MSAs can be rolled into HSAs on a tax-free basis, but it is not necessary. If, however, you choose to participate in the new HSA contribution limits and deductibles at this time, complete an HSA Adoption Agreement. 

Q. Does the maximum Out-Of-Pocket expense of $5,500 for individuals and $11,000 for families include the deductible?
A.
Yes. For 2007 the total OOP expenses including the deductible can be no greater than $5,500 for an individual and $11,000 for a family. 

Q. What happens under the HSA law once someone becomes eligible for Medicare?
A.
Once a person becomes Medicare eligible, he/she can no longer contribute to an HSA. However, he/she can use the accumulated funds to cover qualified medical expenses not covered under Medicare or his/her supplemental plan. 

Q. Since deposits can be made by anyone on behalf of the account beneficiary, who can legally take the tax deduction?
A.
Contributions made by a family member on behalf of an eligible individual to an HSA are deductible by the eligible individual in computing adjusted gross income. 

Q. Are health insurance premiums considered a qualified medical expense?
A.
No, health insurance premiums are not qualified eligible expenses except for the following scenarios: qualified long term care insurance, COBRA and health care coverage while receiving unemployment compensation. Funds can also be used to pay for Medicare Part A or B premiums, but not Medicare supplement premiums. 

Q. Who can deduct premium payments from their taxes?
A.
Today, the self-employed can deduct their premiums. We are hoping Congress will pass legislation that will allow everyone to deduct 100% of their premium payments. Until such legislation is passed, only the self-employed can their premium payments. 

Q. If a client files an extension on his/her taxes, would he/she have extra time to contribute money into his/her HSA custodial account?
A.
The client could contribute until the tax filing deadline. An extension does not affect the amount that a client can contribute to the HSA. 

Q. How much can a client contribute to an HSA account if he/she changes the plan deductible mid-year?
A.
If a person changes his/her deductible mid-year, his/her contribution will be pro-rated based on the new deductible. For example, if you change the deductible from $2,000 to $5,000 in June, his/her contribution is 6/12 of $2,000 ($1,000) plus 6/12 of $5,000 ($2,500), for a total of $3,500 for the year. 

Q. Can clients roll funds from an HRA, FSA or IRA into an HSA?
A.
Starting in 2007, accountholders may make a one time transfer from FSA's and HRA's into an HSA as long as 1) the transfer occurs before January 1, 2012, and 2) the amount transferred is no more than the FSA or HRA balance on September 21, 2006.   Accountholders may make a one-time transfer from IRA's into an HSA - the amount transferred is subject to the annual contribution allowance, and the accountholder must remain HSA eligible for at least 12 months. 

Q. Can clients roll funds from an HSA into another investment vehicle, such as an IRA, HRA or FSA?
A.
No, not for HRA's or IRA's. Account holders may make HSA contributions even while in an FSA grace period if 1) there is no money remaining in the FSA, or 2) the FSA funds are transferred into the HSA subject to the FSA- transfer guidelines shown above. 

Q: If an unmarried insured has single coverage, can HSA funds be used to pay for qualified medical expenses for his/her dependents?
A.
Yes. 

Q. Can minors have a “self-only” HSA?
A.
According to the Treasury guidance, minors who are claimed as a dependent on another person’s tax return are not eligible to have a “self-only” HSA. They can be covered by their parent’s or guardian’s HSA plan. 

Q. Does a person buying an HSA need to have “earned” income in order to deduct the contribution? Can they deduct it against “unearned” income i.e. pension, investment, etc.
A.
An individual who has less earned income (even no earned income) than his/her HSA contribution may still take the full above-the-line deduction. 

Q. How to Find the Best HSA Qualified Health Plan
A. No one insurance company is the best in all situations.  Things like age, zip code, tobacco use and health history will influence which plan will be best for your specific needs.  

We will review HSA qualified plans from Colorado's top companies including Anthem Blue Cross Blue Shield, Humana, Aetna, Assurant Health, American Medical Security and UnitedHealthcare Golden Rule and more to help you find the best value on the right health plan.   Get a free personalized quote on an HSA qualified health plan

MORE HSA LEARNING RESOURCES >
HSA OVERVIEW
HSA QUALIFIED HEALTH PLANS
HSA BANKING OPTIONS
HSA MULTIMEDIA TUTORIAL
HSA QUALIFIED EXPENSES
HSA QUESTIONS AND ANSWERS
GET A QUOTE ON AN HSA QUALIFIED HEALTH PLAN

Health Savings Accounts are the biggest advancement in health care financing in years is available to anyone in Colorado with our HSA qualifying high-deductible medical plans! Call Colorado Health Insurance Brokers at 800-416-4481 for more information and a free quote or Get a free instant HSA quote.

New - Visit the US Department of the Treasury FAQ for more info.


* See IRS Publication 502 for a list of qualifying medical expenses. You may also reference the IRS HSA Questions and Answers bulletin and www.irs.gov for more information on HSA's and IRS rulings and www.ustreas.gov for Treasury Department rulings.  Colorado Health Insurance Brokers are not engaged in rendering tax, investment or legal advice. Federal and state regulations are subject to change. If tax, investment or legal advice is required, seek the services of a licensed professional.   All terms and conditions of insurance coverage, including benefits and exclusions, are contained in the Certificate, which shall control in the event of a conflict with this overview.

 

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