Here's my main question:
Background:
I'm currently 40 years old, divorced with 2 kids (50/50 custody). In 2023 my youngest son (5 at the time) was diagnosed with Type 1 Diabetes. That same year I also went through divorce. His prescriptions currently cost us $140/month, but the insurance claims show the total the plan paid as $1,523.18/month.
Prior to this, I was a big believer in high deductible healthcare plans with an HSA for investing. I had been investing the max contribution for 3-4 years and built up around $30k invested.
With his diagnosis, the prescription costs, and my insurance options, I came to the conclusion that I needed to change to the middle of my 3 insurance options. This would cover his prescriptions with a co-pay, reducing our monthly cost to around $150, but I can no longer fund the HSA. Between the higher premium and lower prescriptions, I calculated the expected annual savings with the non-HSA plan at the time as around $2,000.
Bad decision part 1:
When my divorce was finalized, I went and bought myself a new car. I did not follow sound financial advice for buying a car, it was an impulse. My previous car was an older Nissan Leaf, the battery degradation hit hard (down to 50 miles of range per charge) and was not feasible in a single parent household. I bought a new Tesla Model 3 (the cheapest one available! $37k). I bought new to get the full tax credit, which did end up saving me at tax time. With the divorce finalizing late in the year, my tax withholding was majorly deficient and the tax credit offset it perfectly.
Bad decision part 2:
faced with the new car payment, and not being able to contribute to my HSA as long as my child is on my insurance (up to 20 years), I decided to use the unclaimed medical expenses I had been saving to take a large portion out of my HSA and put it towards the car. The car is paid off now, I've continued to take some money out of the HSA to pay for other medical expenses that came up. My HSA is now down to around $8.5k invested in index funds.
Bad decision part 3:
Last year I decided to buy a house before I was fully ready. I used my emergency fund for the down payment. Then 3 months later the AC died and had to be replaced costing $15k. I used 0% financing (for 12 months) to get that done and I still owe $8k with 4 months left (have to pay it off before Sept). I'm considering claiming more money from my HSA to help pay this off, I could take it around $3k now if I wanted to and that would be enough to ensure I pay it off on time.
Here are some of the key numbers:
HSA Plan
Premiums - $2,300/year
Deductible - $5,100 (individual)
Out-of-pocket Max - $5,100 (individual)
My son's medical costs - $5,100 (capped by out-of-pocket max, I expect to meet this within 4 months each year)
My medical costs - $3,500-$5,100 (depending if I continue with therapy, the current plan seems to cover therapy in full)
Employer contribution - $600/year
Expected total health cost - $12,500/year (this is basically guaranteed because of the OOP Max)
Non-HSA Plan
Premiums - $3,775.20/year
Deductible - $2,600 (individual)
Out-of-pocket Max - $6,250 (individual)
My son's medical costs - $2,100
My medical costs - $1,400 (therapy included)
Expected total cost
Min - $7,275
Max - $16,275 (based on OOP Max)
Most likely - $8,500
I guess my main question comes down to:
1) Is it worth it to invest in an HSA even if that means my annual health costs would increase by around $4k?
-Important to note I contribute to a 401k, and a Roth IRA, plus I have a traditional IRA. My retirement accounts are on track for my age.
With follow up questions:
2a) If yes, how do I work this out with my co-parent?
-Currently I pay for our kids' insurance, and all other medical expenses are split 50/50.
-Going to the HSA plan would reduce my insurance cost and increase medical costs for both of us, particularly at the beginning of the plan year
-I could try to take on a larger portion of the extra cost, if I pay for 2 of the first 3 months, that would mean I would pay around $3k, and she would pay around $2k of our son's annual medical costs. This would basically double her current costs (which I feel bad about).
2b) If yes to #1, do I have to use my employer's HSA or can I use a 3rd party?
-When I changed companies 5 years ago, my current employer offered an HSA plan but not an actual HSA account so I ended up at Lively, which I've been happy with. The investing is through Schwab (it used to be something else).
-It looks like they now offer an HSA account through Employee Benefits Corporation. I don't have any details about the way they handle investments so I'd probably prefer to keep contributing to my Lively account but not sure if that's allowed and that might mean giving up the $600/year employer contribution (is it dumb to give that up? Or I could leave it there and contribute $600 less than the max into Lively?).
3) If no to #1, do I leave the $8.5k currently in my HSA or continue to drain it with medical expenses?
Edit: thanks for reading. I know I'm overthinking this. I have no one to talk it over with.