Wednesday, June 6, 2012

What Are the Pros and Cons of health Savings Accounts?

Individual Health Insurance - What Are the Pros and Cons of health Savings Accounts?
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Q: My firm recently began offering a condition Savings inventory (Hsa) available to all the employees. Why are employers throughout New Jersey rolling out these plans? What are the pros and cons of a Hsa?
 
The problem - Healthcare Costs. If you think rising healthcare costs are only the insurance company's problem or your employer's problem, think again. Most employees pay 10%-90% of their healthcare costs, when all costs are included. All it takes is a quick impart of your pay stub over the last few years to see that the insurance companies are passing on addition healthcare costs to employers and employers are passing on these costs to employees. Healthcare costs have risen 8%-10% each year over the last three years and are likely to grow two to three times the rate of inflation for the foreseeable future.   
 
Compounding the problem - New Jersey insurance Laws. Almost every state in the U.S. Can deny individuals coverage straight through the underwriting process. New Jersey is one of only five states in the U.S. That provides for "guaranteed issue" - which guarantees condition coverage, regardless of condition status, age, claims history, or any other risk factor. Although this may be considered a blessing, it is an costly blessing. Almost by definition, this increases the cost of insurance coverage for every person in the state to inventory for those who use the benefits most.
 
The solution - condition Savings Account. Just a quick background on condition Savings inventory (Hsa) and how it works. Established as part of the Medicare prescription Drug, Improvement, and Modernization Act of 2003, the Hsa is a hybrid between condition insurance and a seclusion plan. The Hsa was established so savings used for powerful curative expenses for yourself, or anything you claim as a spouse or dependent would be free from taxes. Qualified curative expenses include: curative doctors, dental and optic care, chiropractic care, long-term care, and Medicare Part A or Part B and Medicare Hmo insurance premiums. Unqualified curative expenses include: cosmetic surgery, condition club dues, nonprescription drugs and medicines and funeral expenses.
 
A offering to a Hsa is only permitted if the condition insurance together with it has a deductible (your out of pocket expense) of at least ,100 for private coverage or ,200 for house coverage. The current offering limit per year is ,850 for private coverage or ,650 for house coverage. Those 55 and older can contribute an added 0 in 2007. 
 
Contributions are all pre-tax, a great advantage for those seeking tax breaks. If the savings are used for powerful curative expenses, the entire estimate can be withdrawn free of taxes. Yes - that is right, free of taxes. If the savings are used for other purposes, the seclusion is taxed as revenue and accessed a 10% penalty (if under the age of 65). At age 65, when Medicare begins, withdrawals are only taxed as revenue at your then tax rate. All interest, gains and dividends in a Hsa are sheltered from taxation - allowing all revenue to compound on a tax-advantaged basis. 
 
Unused balances can be rolled over from year to year. Many employees view the Hsa as a seclusion plan - providing them a tax-advantaged way to save for seclusion above and beyond their 401(k) and their private seclusion inventory (Ira).
 
A Win for Employees, Employers and Insurers. Because the Hsa is based on a high deductible insurance plan the employee takes on a higher level of responsibility and risk for curative expenses than a original insurance policy.  Employees who run their house to the physician office every time person has the sniffles (because the visit only costs them , while the insurance firm pays the remaining under a original plan) will think twice when they pay the full out of their own pocket under a Hsa. 
 
That said, those out of pocket costs are all with pre-tax dollars that were contributed to the Hsa. By utilizing a Hsa employers can sell out their selected costs by as much as 50%, passing most or all of those savings directly to the employees. Many employers, particularly in "guarantee issue" states like New Jersey, are implementing a Has based on these benefits.
 
Action Steps - Implement a condition Savings Account. Implement a Hsa for your firm or ask your manager to implement one. With condition care costs addition faster than wage increases, employees are bearing more and more of the cost burden. A Hsa provides a pre-tax means to contribute towards an inventory that will grow over time, with the option to use the money for curative expenses on a tax-free basis or for any purpose in seclusion on a penalty free basis. Implementing a Hsa saves money for all those complicated and soldiery employees to be more responsible with their own savings.
 
While the healthcare problem is not going away soon, the Hsa provides one powerful tool to combat the problem. When it comes to leading employee benefits, speak with a licensed financial pro before development irreversible decisions that may haunt you for years to come.

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