Welcome to this month’s edition of The Transformative Insights Newsletter by AMG Wealth Management. Last year we covered the pros and cons of HSA accounts and high-deductible health insurance plans required to contribute to them. This month, we will conclude the series with HSAs part 3: Three strategies for using HSA funds.
HSA’s part 3: the three strategies for using HSA funds
1. Use all of your annual contributions to pay for medical expenses.
This is a common approach for people who don’t have it in their cash flow budget to contribute the maximum $4,400 (2026) in their HSA. Suppose you decide you can afford to put $1,000 into your HSA account for this year. That leaves you with enough funds to pay for that year’s Dental copays ($200), Optometrist copay ($100), Dermatologist copay ($50), your prescription eye glasses ($300), and some doctor visits ($350).
After paying for these medical needs, you have $0 left in your HSA. So, what’s even the point? The point is you get a tax deduction for the $1,000 contribution! If you’re in the 24% bracket, that saves you $240! Not to mention HSA contributions are payroll tax deductible- that’s another $76.50 in savings for a total of $316.50. The alternative is to pay for these medical expenses out of pocket, which unless you itemize (which most people don’t with a high standard deduction), is not a tax deduction.
2. Contribute a large amount (up to $4,400 if you’re under 55, $5,400 if you’re over 55 for 2026) and let it accumulate.
This approach is great for people who want a large tax deduction and have the means to pay for medical expenses out of pocket. The idea behind not using the HSA each year for medical expenses is to let the account grow tax-free. This approach allows you to let tax-free compounding turn the HSA into a large account (possibly over $100,000 given enough time) which you can use like a medical IRA while in retirement. This might be especially appealing considering you can pay for Medicare part B and part D premiums with HSA funds (you cannot pay for Medigaap premiums with HSA funds).
The major downside to this approach is what happens to HSA funds if you pass away. If the account goes to a spouse, you’re in luck- the HSA just becomes your spouse’s HSA. Any other non-charitable beneficiary would receive the HSA balance as taxable income for the year they inherit it. If you leave a $100,000 HSA to your child, they have to treat the entire amount in that year as $100,000 of income on their tax return- this will most assuredly create a tax headache for your heirs come April.
3. Contribute as much as possible but don’t be afraid to use some for your medical expenses each year.
Sincerely,
Adam Gruber CFP®
401(k)s alterative asset rule proposed by Labor Department - CNBC
With this backdrop, the Department of Labor just issued a ruling making it easier for 401(k) plans to invest in these private credit funds (as well as cryptocurrency and real estate). At a time when wealthy investors in private credit funds are rushing to get their money out, 401(k)s are now allowed greater access to these investments. As 401(k) participants, you can and should bring up this conlfict of interest if your company’s plan is considering adding access to these investment. Why should you buy the assets that the wealthiest investors are trying so hard to get rid of?