Maximize Your Health Savings: FSAs vs. HSAs Explained

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Understanding the difference between Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) is crucial, especially during open enrollment season. These two healthcare accounts, while seemingly similar, serve different purposes and offer distinct advantages. FSAs are short-term solutions designed to cover medical expenses like co-pays and eyeglasses. They offer tax advantages but come with a “use it or lose it” stipulation, meaning unused funds can be forfeited at the end of the year unless your employer allows a rollover. HSAs, on the other hand, offer long-term benefits and can serve as powerful savings tools for future healthcare expenses, particularly for those planning early retirement. Contributions to HSAs are tax-deductible, and the funds grow tax-free, offering a unique financial strategy similar to a Roth IRA.

FSAs have been a staple in employee benefit packages, allowing individuals to set aside pre-tax money for eligible medical expenses. The funds are deducted from your paycheck before taxes, providing immediate savings. However, the key limitation is the potential loss of unused funds at the end of the year. Some employers offer a rollover option, but it is not guaranteed. For those managing childcare expenses, it’s essential to get the contribution amounts right, as these do not have a rollover provision. Changes to FSA elections are only permissible with a change in family status, such as marriage or the birth of a child.

HSAs, conversely, are linked to high-deductible health plans (HDHPs) and offer more flexibility. The funds in an HSA roll over from year to year, allowing for accumulation over time. This feature makes HSAs ideal for long-term savings and retirement planning. The contributions are tax-deductible, the growth is tax-deferred, and withdrawals for qualified medical expenses are tax-free. These accounts can cover COBRA or exchange health plan premiums during retirement, acting as a financial lifeline. To open an HSA, you must be enrolled in an eligible HDHP. If you change jobs, you can leave your HSA funds to grow or roll them into a new employer’s HSA plan, simplifying account management and potentially reducing fees.

Strategically utilizing FSAs and HSAs can significantly impact your financial health. FSAs provide immediate tax savings but require careful planning to avoid forfeiting funds. HSAs, with their tax advantages and rollover capability, offer a robust vehicle for long-term savings. By understanding these accounts’ unique benefits and limitations, you can make informed decisions that align with your financial goals, whether managing current healthcare costs or planning for a secure retirement. As Stacey Hyde emphasizes, empowering yourself with this knowledge is key to optimizing your financial strategy during open enrollment and beyond.

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Our approach is to discover a client’s goals, determine the personal financial plan that is needed, and aid the client in reaching those goals. Our success is measured by how well our clients achieve their goals.
Hank has had a distinguished career in the financial services industry, including more than 40 years in the financial planning and securities fields. From 1985 to 2013, Hank provided fee-only financial planning services through his firm, Lifetime Planning, Inc. Hank merged his practice with Stacey’s in 2014. In addition, Hank is a member of both the local and the national chapters of the Financial Planning Association (FPA).
Hank received his bachelor’s degree in business administration from the University of Mississippi, where he also lettered in football. He received his initial securities training at Merrill Lynch. He was a financial planning consultant for the Memphis office of Ernst & Young and financial planner at Morgan Keegan & Company, Inc. from 1982 through 1984. In April 1984, Hank completed his CERTIFIED FINANCIAL PLANNER™ professional requirements with the College for Financial Planning in Denver, Colorado.
In addition to his financial planning practice, Hank has enjoyed serving on the boards of Presbyterian Day School, Second Presbyterian Church, University of Mississippi, and the Christian Community Foundation. Hank served as the chief financial officer of the Christian Community Foundation from its inception in October 1998 until October 2000. Hank enjoys reading, hunting, and attending baseball and college football games.
Clay serves Envision Financial Planning’s clients as the investment officer and portfolio manager. His duties include overseeing the firm’s investment process and money management strategies with a strong focus on “goals-based” investment planning.
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Clay is a native Memphian and a graduate of the University of Mississippi. He began his career working for a regional broker/dealer specializing in fixed-income securities, and prior to joining Envision, Clay was an investment research analyst and portfolio manager for a private wealth management firm in Memphis. Clay currently holds his FINRA Series 66 securities registration and obtained his CERTIFIED FINANCIAL PLANNER™ designation in 2021.
In his free time, Clay enjoys playing golf, exercising, reading, and cooking with friends and family. He and his wife, Margot, have two boys named Callan and Wiley.