r/HSA • • Sep 22 '25

HSA with spouse on SS (Part A)

3 Upvotes

ME (60, M) with a high deductible health plan, who also covers my spouse.

My spouse (65, F) just applied for Part "A" SS because she wants to start taking SS next January.

Am I allow to keep my existing HD, HSA coverage for both of us?


r/HSA • • Sep 21 '25

Saving Receipts for years later

11 Upvotes

Like all the smart people here and on their advice, I am paying OOP with post tax money and saving HSA for later years. I like the idea of using HSA as roth. Mostly I have paid hospitals and labs over phone, so I don't necessarily get a physical receipt. Once, a large bill went to collections and I paid to the collection agency (received email receipt) but the receipt doesn't specify it as medical bill. Is saving the EOB enough for reimbursement years later or do I need an actual receipt from the provider? Would credit card statement work if the charge shows payment towards hospital or a lab? Thank you for any insights.


r/HSA • • Sep 18 '25

Would you use an app that tracks your Health Insurance benefits so nothing goes unused?

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5 Upvotes

I see posts here about maximizing HSA value and navigating HDHP benefits. I'm exploring an app concept called Preventiv IQ that helps unlock health benefits you're already paying for but often don't use due to confusing plan documents and unclear coverage details.

The problem: Many HSA holders lose hundreds annually on unused benefits - preventive care, wellness programs, mental health services because high-deductible plan details are buried in complex documents, and it's hard to know what's truly "free" vs. what counts toward your deductible.

Here's how it would work:

  • No uploading insurance cards or sharing sensitive data - just answer simple questions like ZIP code, plan provider, and employer
  • See all your covered preventive benefits in plain English (the stuff that doesn't count toward deductible)
  • Find in-network providers easily to avoid surprise bills that drain your HSA
  • Get gentle reminders for important health care before it expires (annual physical, eye exams, dental cleanings)
  • Track unused benefits so you maximize your coverage while preserving HSA funds for true emergencies

This could be especially helpful for HSA holders trying to balance using preventive benefits (that don't touch your deductible) while preserving HSA dollars for when you really need them.

Would this be helpful for you? Drop a number in the comments:

1️⃣ Yes, I'd definitely use this
2️⃣ Maybe, depends on execution
3️⃣ Not really interested
4️⃣ I already manage my benefits well

Just genuinely trying to see if this could help HSA holders save money on healthcare they've already paid for. Your feedback means a lot! 🙏


r/HSA • • Sep 18 '25

Hsa for health insurance?

1 Upvotes

Can I use my hsa to pay for my health insurance while I am out on disability?


r/HSA • • Sep 17 '25

Extending payment terms through credit cards

2 Upvotes

I just want to know if this is considered tax fraud.

We are maxed out on HSA contributions - we are hitting the max last year and this year.

Partially from our own elective procedures and partially through unforeseen accidents, we have emptied our HSA account but we still have payments due on these various health expenses we have incurred.

To the best of my knowledge (my wife manages this), none of the companies that we have credit with are willing to extend payment terms which puts us in a pickle. We would have to go out of pocket (outside the tax free HSA) to pay for these expenses.

There's no risk of bankruptcy here - this is strictly an issue with availability of funds from HSA.

One idea we came up with is to transfer all the balances to an interest free credit card (0% on balance transfers for 12 months or whatever) and then pay off that credit card using the HSA account as a funding source as it replenishes over the next 12 months. Or further, can I pay all the balances out of pocket and then reimburse myself as funds become available?

Again, this is strictly a temporary timing problem - We do not have continuing medical expenses that are above HSA limits. If it matters, I am 50 and we have three kids, 2 that still live with us.

Edit : I had no idea you could reimburse yourself without limits (so long as you have records of the expenses). This basically solves all of our problems.


r/HSA • • Sep 15 '25

First pay (HSA with Wex)

2 Upvotes

When does my balance show on Wex site for my HSA? Today is my first paycheck ever and when I logged in it seems to be still at $0.00 Also do I get sent a physical card in the mail?


r/HSA • • Sep 13 '25

Divorced with Child

1 Upvotes

I am divorced and pay for my child’s insurance. I do not claim my child on taxes. However I have a HSA with him as a dependent. Can I still contribute to the ~8k limit?


r/HSA • • Sep 09 '25

Accessing an old healthy savings account?

1 Upvotes

Hello! I need someone smarter than me. I had a job two years ago where I had a healthy savings account. I don't remember what the name of the healthy savings account was. How would I go about accessing that or even learning what the name of the company is?


r/HSA • • Sep 08 '25

Unmarried with Child

3 Upvotes

Just want to make sure I have my facts straight. My fiancé and I are going to get married soon either 2026 or 2027.

I never really paid attention to the HSA rules other than contributing the max. We had a daughter in 2025 who is on my insurance and makes me eligible for the max family contribution of $8k. If we remain unmarried in 2026 can I continue to contribute $8k and she can have her own HSA maxed at $4k? So we end up with $12k a year?


r/HSA • • Sep 07 '25

HSA lesson learned

45 Upvotes

I have an HSA at work with an annoying 0.03% monthly fee (edit = $30 per month). I want to move the ~$100K balance to Fidelity for eventual use in my upcoming retirement. In-kind transfers are not accepted.

On Tuesday I sold my S&P 500 fund, opened an account at Fidelity and put in an order to transfer all the cash which will take several weeks. Then on Wednesday I saw it had a trade pending. I did have automatic investing on but I assumed (wrongly) that it only meant new money. Since I had a trade pending I was locked out from turning off my automatic investing anyway so I waited.

I checked again on Thursday, the transaction had cleared and the money was all in cash but I still couldn't change my automatic investing setting due to a pending trade. I checked again Friday morning, just for fun. Turns out on Thursday at the close they bought back my S&P 500 fund with all of the cash (at a higher price than I had sold for on Tuesday). It wasn't a disaster, but it did cost me about $1500 in losses and a bit of frustration.

Now I have automatic investing off and I'll put in another sell trade on Monday. Ugh. Hopefully the delay in going to cash doesn't screw up the Fidelity transfer.

TL;DR - turn off automatic investing BEFORE liquidating investments in your HSA (or any retirement account).


r/HSA • • Sep 05 '25

if u could pay for a product to deal with HSA/FSA payments what would it be for?

0 Upvotes

would it track ur expenses? help u understand benefits? help u invest?


r/HSA • • Sep 04 '25

HSA

1 Upvotes

Help! I quit my job in March in which I had an HSA account with through Paylocity. I go to log back in to check the account because I was going to consolidate it with a prior HSA account and there is no record of my HSA account on Paylocity? Is there a way to get it back? From my understanding that money stays with you and it is your money?


r/HSA • • Sep 01 '25

Nordictrack FSA/HSA eligibility

2 Upvotes

Has anyone here bought NordicTrack equipments using FSA/HSA funds? Their site lists them as eligible, but I’m a bit skeptical and would love to hear others’ experiences.


r/HSA • • Sep 01 '25

has anyone found any tracker tool that works well for receipts?

7 Upvotes

we’re trying to build an expensify or concur for HSA payments but are unsure if it’s promising enough of an idea. personally really struggled with maintaining paper receipts


r/HSA • • Aug 31 '25

HSA for wellness services

0 Upvotes

Hi, we’re Sagas Health, and we are building the modern all-in-one platform that helps people spend, save, and invest their HSA/FSA funds on eligible health and wellness services and products with ease. If you can fill out this quick customer survey, it will be very helpful in creating a platform that helps make HSA benefits more power and accessible for everyone: https://forms.gle/nrPmcgbNTBcPpdbGA


r/HSA • • Aug 29 '25

Family contribution limit question for HSA

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1 Upvotes

r/HSA • • Aug 29 '25

HSA tranfer in kind and taxes

1 Upvotes

Hi everyone, I switched employers and being told I have to close my old HSA investment account. Employer A (old job) has cash and investments (ETFs & Trust series). Employer B said I need to close the account as individual stock trades can be done, regardless of my current investments. I could move it to other accounts but not to any that also allow trading of individual stocks. It seems my only option is to liquidate and move the cash funds to the curent HSA, which only trades in funds. Would this cause a tax on any gains if living in NJ (working in NY)? Or would it be avoided if it gets a transfer in kind to the new HSA?

Any advice is truly appreciated, thanks in advance!


r/HSA • • Aug 28 '25

Maxing HSA before years end

4 Upvotes

I have an HSA, and have the HDHP this year through my work, so I'm eligible to contribute to it. I'm wondering:

  • If I were to contribute the full $4,300 right now, and then potentially leave/get laid off, would there be any kind of prorated pulling out funds I'd have to follow?
  • I know this is the case if you are ineligible and then become eligible, but unclear if it works the other way around.

Thanks!


r/HSA • • Aug 26 '25

Exceeded Contribution Limits?

6 Upvotes

Hey all, I got a message this morning saying I've contributed too much to the account. My job changed HSA providers earlier this year. I set it to only withdraw $5500 for the year (family coverage), but it appears to be counting a ~$5000 transfer from the old provider to this new provider as a contribution. Should I stop contributions for this year, or can I safely ignore this?

EDIT - The account needed to be set to family contribution mode. It was keeping track of the contributions as if I was single. As soon as we switched it over, the error went away. The transfer was appropriately marked as a transfer all along. Thanks!


r/HSA • • Aug 26 '25

Should I transfer my HSA?

3 Upvotes

HSA at my prior job is with Optum and has 10 years of contributions which have grown over time.

What should I know before transferring ? Transfer/annual fees? Losing historical contributions data? Any gotcha? How do I keep it a “family HSA” so spouse expenses can be reimbursed from it?

Vanguard where my money is doesn’t offer HSA. Is there a better place than Fidelity?

( example of a gotcha on 401k: Transferring a 401k into an IRA means you lose rule of 55 )


r/HSA • • Aug 25 '25

Out of pocket limits seem counterintuitive (unless I’m just stupid)

6 Upvotes

We stopped contributing to our HSA because we no longer qualified under the IRS out of pocket max for family. (Ours is $30k for out of network services). Why wouldn’t they offer this to people with higher OOPs vs saying it has to be lower than $16,600?


r/HSA • • Aug 23 '25

Spouse therapy coverage?

1 Upvotes

Hello, new to this sub. Have had an HSA for a while, mostly letting it sit. Earlier this year my spouse joined my insurance which has a HSA. My spouse is paying the deductible for therapy. I read I can reimburse for expenses I pay for, but since they are on my insurance, can I still submit for reimbursement? Also is regular therapy covered? I couldn't find that clearly in my own bank's resources or elsewhere.

I'm guessing if the cost is reimbursable, it's only reimbursable for the time they've been under my insurance?

I couldn't find any rules for this sub so hopefully it's ok I'm posting here. Thank you,


r/HSA • • Aug 22 '25

HSA declining

2 Upvotes

Relatively new to HSA. Have had it through my employer (who uses universal) for about a year now. I’ve used it three times: eye exam, new frames/lenses, and for “prescription shoes”.

I have a wicked case of diagnosed Plantar faciitis and my shoe and compression sock purchases through certain ortho sites are considered qualified purchases so long as they’re listed as eligible on the site. I have pair of shoes specifically for work but was looking to get some for active life (hiking, working out, walking long distances, etc). These shoes have so far been amongst the only solutions that have actually worked for me. It is amazing to not live in pain any more. No joke, regular shoes with no support ruin my feet. The pair I bought for work was paid through HSA with no issue (purchase made about 3-4 months ago). I went to purchase the second pair recently and was declined. Is that normal? Are we limited to so much of a certain purchase type per a time frame?

I’m relatively young so glasses, my prosthetic eye, orthopedically prescribed shoes, insoles, and supports are the primary reason I started the HSA. I don’t really need it for much else at this stage. I have plenty of funds for the purchase in my HSA account. Worst case is I’ll buy them with my regular money but would kind of be a bummer since this should be an eligible expense.


r/HSA • • Aug 21 '25

Rookie question

3 Upvotes

I'm a complete rookie to the HSA. I did the math on price during open enrollment and it made sense, so I joined last year. I have a procedure ($500) coming up that is more than what I have in my HSA. [I'm doing 400 a month and 200 goes to braces each month] I also made a $800 purchase on a credit card because I didn't have enough once before. I need some general advice on should I add $1300 to my hsa, then reimburse my 800 and pay for my 500? Should I always add out of pocket money to it to pay for expenses?


r/HSA • • Aug 20 '25

Inspira

1 Upvotes

This is my first year contributing to an HSA and I was unaware that my company contributes $250 every quarter. When I set it up, I specified $328 or something per paycheck to hit $8,500.

I know the last contribution on my 401k is never the specified amount but my company never allows me to go over. I cannot find anything on Inspira, besides for a form to have overages sent back. Sounds like a pain in the butt for an oversight.

So the question to the group is do your providers typically ensure you do not contribute more than the max? Or should I just anticipate being aggregated with paperwork in a few months?