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Health insurance vs. HSA...or both?

Posted on 8/14/12 at 2:10 pm
Posted by Blackbeard
Amite River
Member since Jun 2012
150 posts
Posted on 8/14/12 at 2:10 pm
So, Iam coming off my training period with my new employer and time to elect by benefits. I have no idea what to choose...please help!

Medical premium is $50/month with $2500 deductible
Dental premium is $23.05/month

But I also have an option of opening a Health Savings Account.

Would I be better off just putting my $73/month in a HSA?

Posted by Chaplain
8,000,000 posts
Member since Nov 2009
1146 posts
Posted on 8/14/12 at 2:24 pm to
I have both...my employer pays my premium and they match my HSA contribution every month. I put in $125 per month which = $250 per month in my HSA.
Posted by foshizzle
Washington DC metro
Member since Mar 2008
40599 posts
Posted on 8/14/12 at 2:27 pm to
I have an HSA and have so far been quite pleased. Consider the following though:

1) You still need some insurance - it's just a very high deductible. And when I mean high I mean $5K or so, obviously depends on your specific situation. The idea behind the HSA is that you can put money tax-free towards that. This can be great if you're young, but it means when you're old you will be paying that high deductible every year. So save up now.
2) OTOH, if you need to pay for something you can do it tax-free. Unlike flex dollars you don't "use it or lose it", which is great. If you can afford to pay your medical bills out of your checking account this becomes in effect an extra IRA once you hit 59 1/2.
3) Finally, if you get a company match this is free money.

Works for me, but as always be sure to read the fine print. One thing you will get used to is not paying a bill without questioning it first. I had a doc order a couple of blood tests and he just ordered standard panels. I dug into the details and it turned out there was a lot of overlap, went back to him and he agreed, reducing my bill by almost $500. He said he just hadn't thought of it, I was the first person who'd noticed.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17252 posts
Posted on 8/14/12 at 2:30 pm to
Go with the medical insurance for sure, dental is usually a wash at best, check into the HSA and see if the money you do not use rolls over year to year, if it does fund it for the deductible then stop and only put back in when you take out, if the HSA does not roll over each year then only put money in if you plan on having expenses this year.

quote:

Would I be better off just putting my $73/month in a HSA?
NO, if you have a catastrophic event you will be screwed
Posted by Ric Flair
Charlotte
Member since Oct 2005
13649 posts
Posted on 8/14/12 at 2:41 pm to
The $50/month for medical is non-negotiable. You must have that. The dental yearly premium is probably about equal to two cleanings and one set of xrays, but you'd come out ahead if you ever need any work done.

Posted by Blackbeard
Amite River
Member since Jun 2012
150 posts
Posted on 8/14/12 at 2:47 pm to
Awesome info, thanks alot!!
Posted by saderade
America's City
Member since Jul 2005
25726 posts
Posted on 8/14/12 at 2:55 pm to
quote:

Go with the medical insurance for sure, dental is usually a wash at best, check into the HSA and see if the money you do not use rolls over year to year, if it does fund it for the deductible then stop and only put back in when you take out, if the HSA does not roll over each year then only put money in if you plan on having expenses this year.
HSA rolls over, HRA does not.
Posted by Who Me
Ascension
Member since Aug 2011
7090 posts
Posted on 8/14/12 at 3:04 pm to
Both
Posted by Zilla
Member since Jul 2005
10599 posts
Posted on 8/14/12 at 3:12 pm to
all HSAs will roll over, it's your money...

you don't have the option to only do an HSA, you can't contribute to one without an active HDHP.

I recommend not using the debit card that comes with it. Pay for everything out of pocket and preferablly only AFTER it has been processed through your health insurance provider..This way you are not overpaying when discounts, etc are calculated..then, as often as needed, simply pay yourself back out of the HSA ...just make sure you save all receipts and keep a nice spreadsheet.... Remember, you don't have to pay yourself back, you can just let it build and basically use the HSA like as a retirement vehicle just like a ROTH IRA .... if you get anough cash in it, you can roll it over to something like hsabank.com and invest agressively ...

did I leave anything out ?
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