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Health Care Reform:

Health Insurance & Affordable Care Act

Back to ACA Health Insurance Terms List

Health savings account (HSA)

An HSA is an investment account that allows you to set aside money tax-free to cover health care expenses. They are similar to 401K retirement plans.You have to be enrolled in a high-deductible health plan to set up an HSA, and you cannot be on Medicare. There are annual limits on how much you can contribute to your HSA. 

Some employers may contribute to your HSA account.

The money in your HSA must pay for medical care. However, you do not need to spend all the money in your HSA within a year. Unlike a Flexible Spending Account (FSA), HSA funds roll over year to year if you don't spend them. The money stays in your account and continues to grow tax free. Money can also be withdrawn from your HSA account tax-free as long as you spend it on qualified healthcare costs.  

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