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What Is an HSA (Health Savings Account)?

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Written by Anchor Ebanks
Updated today

Quick Answer: An HSA is a special savings account that lets you set aside pre-tax money to pay for medical expenses. It comes with a "triple tax advantage" - your contributions, growth, and qualified withdrawals are all tax-free. You need a High Deductible Health Plan (HDHP) to have one.


The Simple Explanation

Think of an HSA like a savings account, but specifically for health expenses - and with incredible tax benefits. You put money in before taxes, it can grow through investments (also tax-free), and when you spend it on qualified medical expenses, you don't pay taxes on that either.

That's three layers of tax savings. Financial experts call it the "triple tax advantage" - and it's one of the most powerful savings tools available to anyone.

How Does It Work?

  1. You contribute pre-tax money - Either through payroll deductions or by depositing money yourself (and deducting it on your taxes)

  2. Your money grows tax-free - You can invest your HSA funds in stocks, mutual funds, and more

  3. You spend tax-free - When you use the money for qualified medical expenses, there's no tax on withdrawals

Who Can Open an HSA?

To be eligible, you must: - Be enrolled in a High Deductible Health Plan (HDHP) - Not be enrolled in Medicare - Not be claimed as a dependent on someone else's tax return - Not have other disqualifying health coverage (like a spouse's general FSA)

In 2026, an HDHP means: - Minimum deductible: $1,700 (individual) or $3,400 (family) - Maximum out-of-pocket: $8,500 (individual) or $17,000 (family)

2026 Contribution Limits

Coverage Type

Annual Limit

Individual

$4,400

Family

$8,750

Catch-up (age 55+)

Additional $1,000

You have until April 15, 2027, to make contributions for the 2026 tax year.

Key Benefits

  • The money is yours forever - Unlike an FSA, HSA funds never expire and roll over every year

  • It's portable - Your HSA follows you if you change jobs

  • You can invest it - Let your money grow through stocks, bonds, and mutual funds

  • No time limit for reimbursement - You can pay for a medical expense today and reimburse yourself from your HSA years later (as long as the expense happened after you opened the account)

  • After age 65 - You can withdraw for any purpose without penalty (though non-medical withdrawals are taxed as income)

How Does This Relate to Crates Health?

Many wellness products (gym memberships, fitness trackers, supplements) are qualified medical expenses when you have a Letter of Medical Necessity. That means you can use your HSA funds to pay for them - tax-free.

Crates helps you get the documentation you need to make these purchases HSA-eligible, potentially saving you 30-40% on products you're already buying.

Quick Comparison: HSA vs. Regular Spending

Regular Purchase

HSA Purchase

$200/month gym membership

$2,400/year

$2,400/year

Tax savings (30% bracket)

$0

~$720/year

Effective cost

$2,400

~$1,680


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