Capital Ideas^™ 
Investment insights from Capital Group

What are the two biggest savings requirements of your working years? Health care and retirement. Though employers cover both of these in benefits packages, most people view them as separate expenditures — until, that is, they reach retirement and see how much health care costs affect their retirement standard of living.

That is changing with the emergence of health savings accounts (HSAs), a unique investment strategy that can help pay for the health care–related portion of retirement spending.

Three distinct features expand HSAs from accounts that fund short-term medical expenses into long-term investment vehicles:

• Triple-tax-free benefits: Contributions are made pre-tax, while earnings and distributions of those earnings are tax-free for qualified health care expenses now and in the future. 
• “Stow it and grow it” provisions: HSAs can be rolled over from year to year if the savings aren’t spent, unlike “use-it-or-lose-it” flexible savings accounts (FSAs).
• Individual control of account: HSAs are individual and self-directed accounts, which means you can move them to and invest them with any HSA provider, not just the one that handles your health insurance.

So how do you make the most of the HSA investment opportunity?

If you are an employee in an HSA-eligible/high-deductible health insurance plan, you can save and invest your HSA assets — the employer and employee contributions — with any provider you choose, not just the one your employer offers. This may provide greater investment opportunity, especially if your employer only offers cash-based or low-return investments from their current HSA provider.

If you are an employer, you may not know that you can expand the range of available investments by de-coupling your HSA provider from your high-deductible health plan provider, who may be a health insurer that offers a less robust investment menu.

Here is a handy list of things to look for when choosing an HSA provider. Your financial professional can help you better understand and evaluate your options so you can make the best decision.

HSAs are not one-size-fits-all.

HSAs were set up as a way to manage exploding health care costs. As the HSA market grows, people are starting to realize they have more choices — and more opportunity — than they may think. That’s where a financial advisor can be crucial. An advisor can help employers optimize the investment mix in their HSA based on the demographics of the business, and help employees make investment decisions that may make the high cost of health care in retirement more manageable.