Author Topic: Huge Premiums for HSA Worth It?  (Read 952 times)

quarterlifecrisis94

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Huge Premiums for HSA Worth It?
« on: December 05, 2020, 11:16:33 AM »
I am 26 years old and perfectly healthy. I just starting working at a small business so I am QSEHRA eligible and I would have to get healthcare through healthcare.gov for South Carolina. The premiums are very high for minimal coverage and huge deductibles. I know HSAs are high up on the investment order list so ideally I would like to have one. The cheapest plan is $176 a month for a $8,550 deductible but its not eligible for an HSA. The cheapest plan eligible for an HSA would run me $278 a month and carries a $6,300 deductible. My other option would be to get on COBRA and pay $270 a month for my former plan which was HSA eligible and only had a deductible of $4,500.

I know MMM himself covers this but I am just trying to guard against the worst possible scenario which would probably be a serious car accident. I would also like to max out an HSA. What do you think is my best option?

SimpleCycle

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Re: Huge Premiums for HSA Worth It?
« Reply #1 on: December 05, 2020, 11:52:19 AM »
How much is your employer kicking in to the reimbursement arrangement?  Right now COBRA as long as you are eligible seems the best choice (those are crazy low COBRA premiums, I'd double check that) but the math could change if your employer is paying part of your healthcare.gov premiums.

seattlecyclone

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Re: Huge Premiums for HSA Worth It?
« Reply #2 on: December 05, 2020, 11:57:36 AM »
How much will your QSEHRA kick in? Are these premium numbers before or after the reimbursement from your employer? Based on the numbers you state, the difference in annual premiums is $1,224 and the difference in deductibles is $2,250. Before considering HSA contributions, you'll be $1,224 better off with the cheaper plan as long as you need less than $6,300 worth of medical care in the year. If you need more than that, the gap narrows and eventually favors the HDHP.

The HSA contributions have a tax benefit that varies depending on your tax bracket. If, for example, you max out a $3,600 individual HSA contribution and are in the 12% tax bracket, you save $432 on your taxes. That's enough to narrow the $1,224 gap down to $792 in a good year, and also adds $432 to the HDHP's advantage in a bad year. If you're in a higher tax bracket, say 22%, you now save $792 on your federal taxes plus whatever you would save on your state taxes. That still doesn't completely eliminate the difference in premiums, but it comes close enough that I might be inclined to pay a few extra dollars for a lower deductible.

quarterlifecrisis94

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Re: Huge Premiums for HSA Worth It?
« Reply #3 on: December 05, 2020, 12:10:57 PM »
The premium numbers would all be deducted pre-tax. My employer wouldn't contribute anything to either the premiums or an HSA. I will be in the 22% Federal marginal tax bracket and 7% marginal state tax bracket. Thank you for the responses!