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If you spend a lot on healthcare (i.e. have a family) then a HSA works fine since you hit your maximums really quick and then only pay some small % of the stick
by dsfyu404ed 8y ago
If you spend a lot on healthcare (i.e. have a family) then a HSA works fine since you hit your maximums really quick and then only pay some small % of the sticker price after that.
For everyone who isn't gonna spend a few grand in healthcare every year it totally sucks and is a massive incentive not to have routine care done.
- lotsofpulp 8y agoThat doesn’t make sense. If you spend a lot on healthcare, then why would you want to spend it out of pocket from HSA instead of letting insurer pick it up with a non HDHP?
- dsfyu404ed 8y agoYou only spend out of pocket until the various out of pocket limits kick in.
- lotsofpulp 8y agoThere is only one out of pocket limit: https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/ https://www.healthcare.gov/glossary/out-of-pocket-maximum-li... Healthcare costs whatever it costs, no matter what the premium / deductible is. The more of it that is used, the more someone has to pay, and you can be sure the insurance company is going to adjust the premiums or deductible or coinsurance/copay to make sure it's not them (in the long run). The HSA/HDHP option just lets you gamble that you won't need enough medical care in the year to offset the investment and tax gains of contributing to an HSA. And if you're lucky, you'll make it all the way to Medicare eligibility. Although I'm pretty sure we'll see Medicare start being means tested in the next decade.