With the Affordable Health Care Act (Obamacare) taking effect, health insurance has risen to the national spotlight in the last few months. Americans have more choices than ever on how to be covered for medical expenses, so I thought it might be good to highlight the differences between two very different, but very popular insurance types: High Deductible Health Plans (HDHPs) with Health Savings Accounts (HSAs) and PPOs (preferred provider organization).
First, the PPO. Like other insurance plans, it enables the account holder to choose his doctors and hospitals based on who will accept the insurance. PPOs will often have networks of doctors, specialists and doctors that the plan holder can work within or out of. If the plan holder visits out of network doctors or facilities, he’ll often have to pay a higher cost.
PPOs require premiums to be paid. Premiums are the cost of the plan and are typically (but not always) split between the employer and the employee in company situations. PPOs also have varying deductibles (the amount the plan holder pays in a given year) and lower deductibles typically indicate higher premiums. Deductibles range anywhere from $200 to $5,000 for PPOs.
The HSA operates differently. The HSA itself is not an insurance plan, therefore HSAs are couple with High Deductible Health Plans (HDHPs). The HSA is the pool of funds, then, that pays off medical expenses incurred in the HDHP.
HDHPs have little to no premium if offered by your employer and often the employer will contribute money to the HSA on top of that. Medical expenses incurred by the plan holder until the deductible is reach is paid by the account holder—typically via HSA funds. So if the HDHP’s deductible is $5,000 and the plan holder gets a blood test for $230, the plan holder would pay the full price. In the case of a bad medical year, the HDHP prevents against colossal medical costs by covering just about everything above the deductible limit.
What makes HSAs unique is how you can use the funds. First, any medical expenses incurred don’t need to be paid right away. You can actually pay those expenses out of pocket, keep money in your HSA and then reimburse yourself anytime in the future (as long as the expense is a “qualified medical expense” and you have the receipt.) Plus, when you use HSA funds for qualified medical expenses, you are achieving a discount on those expenses because it is not taxed.
And while those funds stay in the HSA, you can invest them in everything from stocks and bonds to real estate and precious metals. The flexibility of this account and the potential for massive growth attracts many people. It’s a great way to save on medical expenses and grow funds that can help in your retirement! If you still have funds in your HSA by the time you reach retirement age, you can distribute them like a normal Traditional IRA and use them for whatever you’d like.
For more information on HSAs or how they compare to other health insurance plans, visit www.NewDirectionIRA.com.
