How HSAs Work

As the healthcare landscape continues to change, Health Savings Accounts (HSAs) have become an important way to save toward future health care expenses on a tax-exempt basis. The GRB Health Savings Account is an interest-bearing deposit account used in conjunction with a High Deductible Health Plan (HDHP). 

Contact GRB for more information about current HSA savings limits and other important considerations.

HSA Tax Benefits

The benefits of a Health Savings Account provide account holders with the ability to leverage a number of tax-savings strategies:

  1. Contributions to your HSA are tax-free
  2. Your HSA earns interest tax-free
  3. Withdrawals for qualified medical expenses are tax-free
  4. HSA funds roll over year-over-year
  5. Your HSA funds are yours to keep and never lost due to changes in employment or health insurance
  6. Even if you no longer have a HDHP and can’t make contributions to your HSA, you will still have access to your funds to pay for qualified medical expenses

Important: If you use funds from your HSA for non-qualified medical expenses, you will be taxed on the amount used and assessed a 20% penalty. Once you are 65, you may use HSA funds for non-qualified medical expenses and the amount will be taxed as ordinary income.

Federal Contribution Levels

Tax Year 2023
Tax Year 2024
HSA Annual Contribution Limits
HSA Annual Contribution Limits
Individual coverage – $3,850

Family coverage – $7,750
HSA Annual Contribution Limits
Individual coverage – $4,150

Family coverage – $8,300
HSA Catch-up Contributions
HSA Catch-up Contributions
Additional $1,000 for an accountholder age 55 or older
HSA Catch-up Contributions
Additional $1,000 for an accountholder age 55 or older
Minimum Deductible
Minimum Deductible
Individual coverage – $1,500

Family coverage – $3,000
Minimum Deductible
Individual coverage – $1,600

Family coverage – $3,200
Maximum Out-of-pocket Expenses
Maximum Out-of-pocket Expenses
Individual coverage – $7,500

Family coverage – $15,000
Maximum Out-of-pocket Expenses
Individual coverage – $8,050

Family coverage – $16,100

All tax references are at the federal level. State taxes may vary. Consult a tax advisor with questions.

Contact your insurance provider if you have questions as to whether your health coverage is HSA-qualified. Other HSA eligibility criteria may apply.

Your personal contribution limit may be lower than the Internal Code maximums. Individuals are responsible for monitoring their contribution limits. Please consult your tax advisor with questions about how the limits may apply to your situation.

Advantages for Employees and Employers

Advantages for Employees and Employers

For Individuals

  • Pay for current medical expenses and save for future qualified medical and retiree health benefits, tax-free
  • Easy payment of medical expenses via a HSA debit MasterCard, online banking, or check
  • Qualified expenses include common doctor’s services, prescription drugs, vision and dental care, and hospital services
  • Contact us for more information

For Employers

  • Provides a lower cost health insurance option for employees
  • Employer contributions are not reported as employee income, and payroll deductions are made pre-tax, so you don’t pay FICA on these amounts
  • Contact us for more information
  • Rates

Examples of HSA-Qualified Medical Expenses

HSA-Qualified Medical Expenses

The Internal Revenue Service (IRS) defines qualified medical expenses as amounts paid for the diagnosis, cure, mitigation, treatment or prevention of a disease, and the costs for treatments affecting any part or function of the body.  These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners.  They include the costs of equipment, supplies and diagnostic devices needed for these purposes. 

Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness.  They don’t include expenses that are merely beneficial to general health, such as vitamins or a vacation.

A full list of examples of qualified medical expenses can be found in IRS Publication 502.

IRS HSA Resources

Using Your HSA at Your Medical Provider’s Office

Using Your HSA at Your Medical Provider's Office
  1. Present your health insurance card to provider. You can use HSA funds to pay any qualified medical expense even if the service isn’t covered by your health insurance plan. This provides tax savings for any out-of-network services you may incur.
  2. Although you don’t have any copay while on a HDHP, your provider may contact your insurance company to determine the allowed amount for the service and you may be asked to pay at the time of service. Use your Debit Mastercard to pay for services.
  3. If the provider doesn’t ask for payment at time of service, then they will submit a claim to your insurance company.
  4. Your health insurance provider will send an Explanation of Benefits (EOB) to you that outlines the amount billed and the amount allowed (negotiated rate) and summarizes your deductible and coinsurance totals.
  5. Your provider will send you an invoice reflecting the allowed amount for the service you incurred.
  6. Pay the invoice using the HSA Debit Mastercard, BillPay through Online Banking or with a check.

Using Your HSA at the Pharmacy

  1. Obtain a legal prescription from your physician and submit it to a pharmacy with your health insurance card.
  2. The pharmacy will verify your insurance coverage and determine the amount owed for the prescription.
  3. The pharmacy will fill the prescription and you pay the amount owed using your HSA Debit Mastercard.