HSA
Health Savings Account (HSA)
Set money aside to pay for qualified medical expenses in a tax deductible account – for people with a high deductible health plan (HDHP).
What is a Health Savings Account (HSA)?
A Health Savings Account (HSA) is a tax exempt account with a financial institution in which you accumulate savings to pay for current and future medical expenses. The HSA consists of two separate parts:
- Your individual HSA account
- HDHP – A high deductible insurance policy is designed to insure for catastrophic events while the policy holder pays for smaller expenses
Contributing to your HSA
Contributions to your HSA are tax deductible and income earned on funds in the HSA grow tax-free (funds grow tax free for qualified medical expenses – if funds are used for expenses that are not qualified medical expenses, penalties and taxes apply).
Contributions can be made to the account during the months the individual is covered under a HDHP. Funds placed in a HSA can roll from year to year and do not need to be used in the year they were contributed to the plan.
Advantages – River Valley Bank HSA
- No administration fees –there are no set up fees or annual administration fees
- No-fee checking account – there are no service charges and minimum balances required
- Unlimited check writing – you may have unlimited transactions
- Access account either by writing a check or using debit card
- Interest earned after $500 – earn a tiered rate of interest based on your balance with an average collected minimum balance of $500
- View account online – view your cancelled checks and/or transactions on-line
- Year-end reporting – receive a 1099 R that details contributions, distributions, and interest earned
HSA Benefits
Who is eligible?
Any individual covered under a qualified high deductible health plan. Individuals cannot be above Medicare eligibility age or covered under another plan.
When can I set up a HSA?
At the time you enroll in your employer’s HDHP. Then you may open the account at River Valley Bank and choose how much you will contribute to your account.
Contribution source
Both individual and/or employer.
Annual contribution levels
Up to 100% of deductible with a maximum of:
2005
$2,650* for single plan
$5,250* for families
2006
$2,700* for single plan
$5,450* for families
*amount subject to regulatory change
Deductible ranges
2005
$1,000 minimum for single
$2,000 minimum for family
2006
$1,050 minimum for single
$2,100 minimum for family
Maximum annual out-of-pocket
(includes deductible and any expenses incurred once deductible is met)
2005
Maximum = $5,100 for single*
Maximum = $10,200 for family*
2006
Maximum = $5,250 for single*
Maximum = $10,500 for family*
*Maximum out-of-pocket could be higher than maximum contribution
Is there a “catch-up” contribution provision for older workers?
Those over age 55 can contribute an additional $500. Beginning with 2004, this increases $100 per year up to 2009.
Earn interest on HSA account
You can earn interest on your HSA account. Rates vary and are based on the following average balances:
- 0 - $499 – no interest
- $500 - $4,999 – earn interest
- $5,000 – $9,999 – earn interest
- $10,000 and above – earn interest
Eligible Expenses
You determine if a particular medical expense is a qualified medical expense that can be reimbursed from your HSA (see information below for assistance). If your HSA is audited by the IRS, they will require proof from you that you used your HSA money to pay for qualified medical expenses.
Withdrawing money from HSA account
There are three ways to withdraw money from your HSA:
- Debit card
- Checks
- Withdraw cash
Remember, expenditures must be for qualified medical expenses and save receipts.
Portability
The account goes with the individual – if an employee changes employers or leaves the work force, the HSA stays with the individual.
Funds carry over
Funds carry over from year to year – the HSA is not a “use it or loose it” account.
Tax deductible
The funds contributed to a HSA are tax-deductible. Important: If your HSA contributions are made through pretax payroll deductions, you many not claim the contributions as a deduction on your tax return. Similarly, if you itemize deductions on your tax return, you may not claim a deduction for those medical expenses that are reimbursed from your HSA.
Retirement savings
After age 65, the account may also be used as an additional retirement account with ordinary tax laws applying.
What Can I Use My HSA For?
Eligible Medical Expenses
You can use the funds in your HSA to pay for qualified medical expenses, as defined by the IRS, incurred by you, your spouse, and your dependents. Below are lists that can guide you in determining whether an expense is HSA eligible. This list is for reference only. More detailed information can be requested from the IRS by calling 1-800-TAX-FORM.
Deductible Medical Expenses
- Abdominal supports
- Abortion
- Acupuncture
- Air conditioner (when necessary for relief from difficulty in breathing)
- Alcoholism treatment
- Ambulance
- Anesthetist
- Arch supports
- Artificial limbs
- Autoette (when used for relief of sickness/disability)
- Birth control Pills (by prescription)
- Blood tests
- Blood transfusions
- Braces
- Cardiographs
- Chiropractor
- Christian Science Practitioner
- Contact Lenses
- Contraceptive devices (by prescription)
- Convalescent home (for medical treatment only)
- Crutches
- Dental treatment
- Dental X-rays
- Dentures
- Dermatologist
- Diagnostic fees
- Diathermy
- Drug addiction therapy
- Drugs (prescription)
- Elastic hosiery (prescription)
- Eyeglasses
- Fee paid to health institute prescribed by a doctor
- FICA and FUTA tax paid for medical care service
- Fluoridation unit
- Guide dog
- Gum treatment
- Gynecologist
- Healing services
- Hearing aids and batteries
- Hospital bills
- Hydrotherapy
- Insulin treatment
- Lab tests
- Lead paint removal
- Legal fees
- Lodging (away from home for outpatient care)
- Metabolism tests
- Neurologist
- Nursing (including board and meals)
- Obstetrician
- Operating room costs
- Ophthalmologist
- Optician
- Optometrist
- Oral surgery
- Organ transplant (including donor’s expenses)
- Orthopedic shoes
- Orthopedist
- Osteopath
- Oxygen and oxygen equipment
- Pediatrician
- Physician
- Physiotherapist
- Podiatrist
- Postnatal treatments
- Practical nurse for medical services
- Prenatal care
- Prescription medicines
- Psychiatrist
- Psychoanalyst
- Psychologist
- Psychotherapy
- Radium therapy
- Registered nurse
- Special school costs for the handicapped
- Spinal fluid test
- Splints
- Sterilization
- Surgeon
- Telephone or RV equipment to assist the hard-of-hearing
- Therapy equipment
- Transportation expenses (relative to health care)
- Ultra-violet ray treatment
- Vaccines
- Vasectomy
- Vitamins (if prescribed)
- Wheelchair
- X-rays
Non-deductible Medical Expenses
- Advancement payment for services to be rendered next year
- Athletic club membership
- Automobile insurance premium allocable to medical coverage
- Boarding school fees
- Bottled water
- Commuting expenses of a disabled person
- Cosmetic surgery and procedures
- Cosmetics, hygiene products and similar items
- Funeral, cremation, or burial expenses
- Health programs offered by resort hotels, health clubs, and gyms
- Illegal operations and treatments
- Illegally procured drugs
- Maternity clothes
- Non-prescription medication
- Premiums for life insurance, income protection, loss of limbs, sight or similar benefits
- Scientology counseling
- Social activities
- Special foods and beverages
- Specially designed car for the handicapped other autoette or special equipment
- Stop-smoking programs
- Swimming pool
- Travel for general health improvement
- Weight loss programs
Eligible Over –the-Counter Drugs
- Allergy medications
- Antacids
- Antibiotic ointments
- Anti-diarrhea medicine
- Calamine lotion
- Cold medicine
- Cough drops and throat lozenges
- First aid creams
- Motion sickness pills
- Nicotine medications and nasal sprays
- Pain relievers
- Pedialyte
- Sinus medications and nasal sprays
- Sleep aids
- Suppositories and cream
- Wart removal medication
Ineligible Over-the-counter
- Acne treatments
- Cosmetics (including face cream and moisturizer)
- Dietary supplements
- Fiber supplements
- Herbs
- Lib balm (including Chapstick or Carmex)
- Medicated shampoos and soaps
- Suntan lotion
- Toiletries (including toothpaste)
- Vitamins (daily)
- Weight loss drugs for general well being
Health insurance may not be purchased with HSA funds, except:
- A health plan during any period of continuation coverage required under any Federal law.
- A qualified long-term care insurance plan.
- A health plan during a period in which the individual is receiving unemployment compensation under any Federal or State law.




