
A Health Savings Account (HSA) is the only account with a triple tax advantage, available to people with High Deductible Health Plans (HDHPs).
The triple tax advantage:
1. Contributions are pre-tax (reduce taxable income)
2. Growth is tax-free
3. Withdrawals for qualified medical expenses are tax-free
No other account offers all three.
2024 contribution limits:
Individual: $4,150
Family: $8,300
55+: additional $1,000 catch-up
The advanced HSA strategy:
Invest HSA in index funds (most allow this)
Pay medical expenses out-of-pocket (keep receipts!)
Let HSA grow for decades
At age 65, withdraw for ANY reason (just pay income tax — same as Traditional IRA)
Or reimburse yourself at 65 for all old medical expenses tax-free
After age 65: HSA becomes essentially a second IRA with no RMDs (Required Minimum Distributions) and an extra perk — free medical withdrawals.
Reference:
TaskLoco™ — The Sticky Note GOAT