Healthcare Reform and HSA Plans

2010 - there will be no changes to HSAs for the rest of this year.

Some of the changes will be effective January 1, 2011. Here is what to expect:

Qualified Medical Expenses: Starting January 1, 2011 you will no longer be able to pay for over-the-counter medications from your HSA as a qualified medical expense. Until the end of this year, you can reimburse yourself or pay from your HSA the money used to buy over-thecounter medications. The new law removes over-the-counter drugs not prescribed by a physician from being paid from an HSA, FSA, or HRA on a tax-free basis.

Non-qualified expense penalty: Under the new law, if you use your HSA funds for nonqualified expenses, you will face a higher penalty. The tax penalty for non-qualified HSA distributions will increase, effective January 1, 2011, from 10% to 20%.

Mandated insurance coverage: Effective January 1, 2014, the legislation will require most U.S. Citizens and legal residents to have health insurance. It also outlines the minimum coverage and essential health benefits that need to be provided for a plan to qualify for the mandated coverage. This could potentially limit the types of health plans that will be available to consumers. Below are a few of the areas which require clarification by the Secretary of Health and Human Services:

o Preventive care services: All insurance policies will be required to provide first dollar coverage for preventive care services. While HSA-compatible health plans are currently allowed to provide first-dollar coverage of preventive care services, in the future, all plans will be required to do so. These provisions will go into effect in 2014. Additionally, further clarification must be provided regarding what constitutes “preventive care” under the new regulations and whether or not that definition conflicts with current IRS guidance on what constitutes “preventive care” for HSA purposes.

Sign up for an HSA Account here

Affordable Health Plans

Affordable Health Plans

HSA Plans are some of the most affordable health plans out there because they have a higher deductible.  HSA plans are health plans that are used in conjunction with a Health Savings Account (HSA) which are tax-favored accounts that allow you to contribute funds on a pre-tax or tax-deductible basis, which you may use to pay for eligible medical expenses.

HSA Plans are so important because:

  • They make Healthcare affordable for tens of millions of Americans - the premium is usually half the cost of traditional lower-deductible plans.
  • HSAs reward consumers for making financially and medically sound choices like choosing generic over brand-name drugs, or, better yet, finding less-invasive natural remedies instead of prescriptions (see Wellness for discussion of prescription drugs).
  • HSAs significantly reduce about 20% of the nation's current healthcare expenditures in paperwork processing .
  • HSAs have a TRIPLE TAX advantage:
  • Contributions are tax deductible going in
  • Appreciation is tax-free
  • Withdrawals are tax-free when used for qualified medical expenses.

Affordable Health Plans - HSA Plans

An HSA Plan is more affordable because the premiums for the medical coverage are lower than traditional healthcare plans.  Now, of course there is a reason behind the lower premiums - HSA Health plans are High Deductible Health Plans.  Typically you must first meet your annual deductible for Doctor's visits and prescriptions - you won't have co-pays like traditional healthcare plans. Athough some plans offer first-dollar coverage (i.e.-no deductible) for preventative care.

To help you cover these "first-dollar" purchases of Doctor visits and prescription drug costs - you should invest at least the difference of what will be saving annually on your premiums when you change from the "traditional" plan to the HSA qualified plan  Or better yet - max out the contributions to your HSA plan - for example:

 

Formula

Plan A

[without HSA]

Plan B

[with HAS]

Estimated annual covered medical expenses

[a]

$2,000

$2,000

Estimated annual non-covered health expenses [glasses, contacts, dental care]

[b]

$600

$600

Expense calculation

 

 

 

Annual Premium [family of 3]

[c]

$11,724

$4,920

Out of pocket costs subject to deductible

[d]

$2,000

$0  *

Out of pocket costs for non-covered health expenses [glasses, contacts, dental care]

[e]

$600

$0  *

Annual HSA contribution

[f]

 

$6,150 [max contribution for family]

Total Annual Expenses

[g] = [c+d+e+f]

$14,324

$11,070

Savings calculation

 

Current year tax reduction due to HSA contribution based on a 28% tax bracket

[h]

N/A

$6,150

X  .28

$1,722 tax savings

Remaining current HSA Contributions [minus expenses withdrawn for year]

[i] = [h + i]

N/A

$6,150

-$2,600

$3,550 savings rolled over to next year for medical costs

Total annual savings

[j] = [h + i]

N/A

$5,272

Net savings with HSA Plan

[g – j]

N/A

$5,798

*If amount exceeds HSA contributions, enter the additional out-of-pocket costs.  If the amount is less, enter $0

**Assuming a traditional medical plan with a low $1,000 deductible

Want to see if an HSA Plan is right for you?

Want to see if this affordable HSA Healthcare plan combined with a Heathcare Savings Account is right for you? 

affordable healt plans calculator

HSA Plans - Maximum Contribution for current tax years

The Internal Revenue Service (IRS) sometimes changes the contribution level to HSA plans - current maximum contributions:

The 2011 IRS contribution limits are the same as the IRS contribution limits for 2010: $3,050 for single plan coverage and $6,150 for family plan coverage.

2011 IRS Limits

Single Plan Family Plan
Minimum Deductible $1,200 $2,400
Maximum Out-of-pocket $5,950 $11,900
Maximum Contribution Limit $3,050 $6,150
Catch-up Contribution (55+) $1,000

$1,000

Affordable Health Plans tax and legal disclaimer

***Please note that YourVirtualBenefits.com is not a tax advisor or attorney - consult those professionals for tax and legal matters.  None of the materials presented here should be considered tax or legal advice.

Compare Plans - Get a Quote -Apply Online

describe the image

CA & AZ Insurance

Health Insurance for self employed agent

Rachel Romero - your benefits specialist

800-604-3035

Email us

CA License 0G9909 & licensed in AZ & other States coming soon!