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Consumer Daily Reports

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The Consumer Financial Protection Bureau also has concerns

By Gary Guthrie of ConsumerAffairs
May 15, 2024

Photo

Are Health Savings Accounts (HSA) worth their time and investment? The Consumer Financial Protection Bureau (CFPB) thinks, by and largethat they are, but the agency has released a report detailing the complex costs and fees that many consumers with health savings accounts are forced to pay.

You could haveone of the 35 to 40 million health savings accounts in 2023 ones managed by HealthEquity, Optum, Fidelity, or HSA Bank. The CFPB likes that these accounts offer tax advantages to help you offset the costs of high deductible health plans, but is not crazy about all the incidental charges.

Health savings accounts are promoted for the tax benefits that chip away at the price tag of health care, said CFPB Director Rohit Chopra. Many consumers do not realize the fees, switching costs, and low-interest yields that will come with the accounts.

How you should think of an HSA

Think of an HSA as a special savings account for healthcare expenses with a high-deductible health plan (HDHP). You contribute pre-tax money that grows tax-free like you would with a Roth IRA or municipal bond.

Unused funds roll over and can be used for qualified medical expenses doctor visits, prescriptions, even eyeglasses, hearing aids, and some dental procedures.

Compared to other investment vehicles, an HSA offers low-cost, broad-based index mutual funds and/or exchange-traded funds (ETF's) that you can invest in, especially if you plan on being with the company for a prolonged period of time, Chris Urban, founder ofDiscovery Wealth Planning, told ConsumerAffairs.

They dont make it easy to understand, though

As ConsumerAffairs spoke to HSA experts, we found several issues. In addition to fees, an HSA is often loaded with legalese, gotchas, and caveats.

The issue is that most employees do not truly understand their health insurance to begin with (especially a younger workforce), Ethan Pickner, AZ Health Insurance Brokers, said. Participating in an HDHP HSA-qualified plan only increases the complexities associated with healthcare.

Brent Nicholson, co-founder and chief partnership officer, Carrum Health, agrees that using an HSA can be confusing and burdensome. To utilize HSA funds, individuals must submit eligible medical expenses for approval, but the qualifying criteria can be unclear.

Even trying to ascertain if a potential expense qualifies is not easy," he said. "On their websites, there are laundry lists of medical expenses and youd have to scroll through each of them and the inclusion/exclusion caveats to find out if your procedure or expense qualifies. This makes things overwhelming and confusing for consumers, as a result of which they may not end up fully using the money they contribute to their HSAs.

Fees to please? Nope.

Another gotcha thatll cost ya are the administrative costs. If you sign up for an HSA, just remember that you must submit qualifying medical expenses to justify using your HSA dollars to cover that cost.

But, as we learnedfrom Dr. Bernie Saks, MD, CEO of ful-Health, consumers have something called Transparency in Coverage (TiC) on theirside. TiC requires in-network providers to give you things like historical allowed amounts for out-of-network providers, personalized cost estimates, and more.

"Challenges with HSAs often stem from the transition between low and high deductible plans, leaving members facing a steep learning curve in navigating their healthcare spending, he said. TiC helps members know how much their provider visit will cost, greatly improving access to care.

So, if youve got questions, remember that the HSA vendor HAS to give you answers.

Deductible detours

HSA plans attract consumers with lower premiums, but Nicholson warns, "the catch is they also come with extremely high deductibles" which can lead to financial hardship if significant medical care is needed.

When you compare this with the savings average Americans have, its a considerable amount and coverage doesnt kick in until they fully meet their deductible. Its a significant hit on the pocketbook for people under the impression that theyve purchased health insurance that is going to cover their medical expenses, he said.

Need to know more?

If you want to explore HSAs further, you can peruse the CFPBs report, Health Savings Account Issue Spotlight or read consumer complaints about health savings accounts. ConsumerAffairs also has a complete guide to tax-free investments, including HSAs. That guide is available here.



Photo Credit: Consumer Affairs News Department Images


Posted: 2024-05-15 11:22:04

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Fri, 24 May 2024 02:58:00 GMT As of 2022, the median retirement account balance among savers aged 45 to 54 was $115,000, according to the Federal Reserve's Survey of Consumer Finances. Which means if you’re 50 years old with ...

Retirement account balances hit highest level since 2021

Wed, 22 May 2024 21:10:00 GMT A new analysis by Fidelity Investments found Americans' retirement account balances are the highest they have been in more than two years, thanks to two major factors.

Health Savings Could Near $250,000 When Electric School Bus Replaces Diesel

Wed, 22 May 2024 03:06:00 GMT Replacing a diesel bus with a clean electric model yields up to $247,600 in climate and health benefits per bus, according to research from Harvard University's T.H. Chan School of Public Health.


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