Health savings account - Wikipedia, the free encyclopedia
A health savings account (HSA), is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a High Deductible Health Plan (HDHP).[1] The funds contributed to the account are not subject to federal income tax at the time of deposit.
Unlike a flexible spending account (FSA), funds roll over and accumulate year to year if not spent. HSAs are owned by the individual, which differentiates them from the company-owned Health Reimbursement Arrangement (HRA) that is an alternate tax-deductible source of funds paired with HDHPs. HSA funds may currently be used to pay for qualified medical expenses at any time without federal tax liability or penalty. However, beginning in early 2011 OTC (over the counter) medications cannot be paid with HSA dollars (Sec. 9003 of H.R. 3590). Withdrawals for non-medical expenses are treated very similarly to those in an IRA in that they may provide tax advantages if taken after retirement age, and they incur penalties if taken earlier. These accounts are a component of consumer driven health care.[2]
YOU STAND CORRECTED!
Dixie, Dixie, Dixie. What are we going to do with you?
Let's take it from the top.
(Excerpt) Example of a tax computation
Income tax for year 2009:
Single taxpayer, no children, under 65 and not blind taking standard deduction;
· $40,000 gross income - $5,700 standard deduction - $3,650 personal exemption = $30,650 taxable income
o $8,350 × 10% = $835.00
o ($30,650 - $8,350) = $22,300.00 x 15% = $3,345.00
· Total income tax is $835.00 + $3,345.00 = $4180.00 (10.45% effective tax) (End)
Income tax in the United States - Wikipedia, the free encyclopedia@@AMEPARAM@@/wiki/File:US-GreatSeal-Obverse.svg" class="image" title="Obverse side of the Great Seal of the United States"><img alt="Obverse side of the Great Seal of the United States" src="http://upload.wikimedia.org/wikipedia/commons/thumb/b/be/US-GreatSeal-Obverse.svg/100px-US-GreatSeal-Obverse.svg.png"@@AMEPARAM@@commons/thumb/b/be/US-GreatSeal-Obverse.svg/100px-US-GreatSeal-Obverse.svg.png
So let's say you earn $40,000/yr and place $1,000 in a FSA account. That means you would not pay tax on that $1,000 which, according to the table above, would be $104.50 which is 10.45% of $1,000.
So, that means if you spend $1,000 on OTC meds it’s like the government is giving you $104.50 towards the total. In other words it’s like a co-pay plan, is it not? For every $1000 you spend the government is giving you the tax you would have normally paid on it. So, the bottom line is you have what amounts to a drug benefit plan offering to pay 10.45 % of your cost. That has to be the worst drug plan I ever heard of.
Not to be nosy but I have to ask, “How many bottles of aspirin do you buy?”
If one has a drug plan and the doctor includes OTC meds on the prescription form your insurance will pay a percentage. In my case the percentage is 75% but plans differ between 60% to 100%.
Finally, if someone requires OTC meds on a regular basis they do not have to go to the doctor each time. There is usually a place on the prescription form with the letters “NR” or “R” in a circle. “R” means renewable and “NR” stands for non-renewable. Drugs like anti-biotics, narcotics, etc. are usually marked NR while drugs required on a regular basis, say meds for asthma, can be renewed a number of times.
You have to bear in mind that HCR is a work in progress. As different coverage comes on line other things will be eliminated. As the Wikipedia article states, “A health savings account (HSA), is a tax-advantaged medical savings account available to taxpayers in the United States.” I can’t see such an account being necessary in a country with universal medical and WE all know that’s where it’s headed.