HSAs, FSAs, and More: The Tax-Saving Tools High-Income Families Need to Know

Blog Preview 2025 01 20T061634.632

Managing healthcare expenses can be overwhelming, especially for high-income families looking to balance rising costs with strategic tax planning. Fortunately, tax-advantaged tools like Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) offer powerful ways to save for healthcare while reducing taxable income.

At Insogna CPA, one of the top accounting firms in Texas, we specialize in helping families leverage these accounts to maximize savings. Whether you’re searching for a tax accountant in Austin or a trusted CPA in Round Rock, TX, our experts make it easy to navigate these tools. Let’s explore how HSAs, FSAs, and similar strategies can help you protect your financial future.

Why High-Income Families Should Care About HSAs and FSAs

You might assume tax-saving accounts are better suited for families on stricter budgets. However, high-income families have even more to gain:

  1. Reduce Taxable Income: Every dollar you contribute to these accounts lowers your taxable income. For high-income earners in higher tax brackets, the savings can be substantial.
  2. Plan for Healthcare Costs: HSAs and FSAs provide a dedicated way to save for out-of-pocket medical expenses, which are becoming more common even with good insurance.
  3. Build Long-Term Wealth: HSAs, in particular, can double as a powerful investment tool for retirement healthcare costs.

Key Takeaway: By working with a trusted Austin CPA firm, you can unlock the full potential of these tools to reduce your tax liabilities while safeguarding your family’s future.

What Are HSAs and FSAs?

Health Savings Account (HSA)

An HSA is a tax-advantaged savings account for individuals with high-deductible health plans (HDHPs). Contributions are tax-deductible, the account grows tax-free, and withdrawals for qualified medical expenses are also tax-free.

How HSAs Work:

  • Who Qualifies? You must be enrolled in an HDHP to contribute to an HSA. In 2024, HDHPs are defined as plans with deductibles of at least $1,600 for individuals or $3,200 for families.
  • Contribution Limits (2024): You can contribute up to $4,150 as an individual or $8,300 for a family. If you’re 55 or older, you can contribute an additional $1,000 annually.
  • Triple Tax Advantage: Contributions lower your taxable income, the funds grow tax-free, and withdrawals for qualified expenses are also tax-free.

Why HSAs Are Ideal for High-Income Earners:

  • HSAs allow you to invest unused funds in stocks, bonds, or mutual funds, growing your account much like a retirement fund.
  • There’s no “use it or lose it” rule, meaning the funds roll over every year and can accumulate over decades.

Flexible Spending Account (FSA)

An FSA is another tax-advantaged account used to pay for eligible healthcare expenses. Unlike an HSA, it doesn’t require enrollment in a high-deductible health plan.

How FSAs Work:

  • Who Qualifies? FSAs are available through employer-sponsored plans. You can enroll during your company’s open enrollment period.
  • Contribution Limits (2024): The maximum contribution is $3,050 per year.
  • Use It or Lose It: Funds must be used by the end of the plan year, although some plans allow a grace period or a limited rollover (up to $610).

Why FSAs Are Valuable for High-Income Families:

  • FSAs are particularly useful for predictable annual expenses, such as vision care, dental work, or planned surgeries.
  • Contributions lower your taxable income and reimbursements for qualified expenses are tax-free.

HSA vs. FSA: Key Differences

Feature

HSA

FSA

Eligibility

Must have an HDHP

Employer-sponsored, no HDHP required

Contribution Limits

$4,150 (individual), $8,300 (family)

$3,050

Rollovers

Funds roll over indefinitely

Use-it-or-lose-it (limited rollover)

Investment Options

Yes

No

Other Tax-Saving Tools for High-Income Families

In addition to HSAs and FSAs, there are other accounts and strategies that can help high-income earners save:

Dependent Care Flexible Spending Account (DCFSA)

  • Covers dependent care expenses such as daycare, preschool, or elder care.
  • Contribution limit: $5,000 per household.
  • Savings Example: A family in Austin reduces their taxable income by $5,000 by contributing to a DCFSA, saving $1,850 in taxes at a 37% tax rate.

Health Reimbursement Arrangement (HRA)

  • Offered by employers to reimburse medical expenses tax-free.
  • Contributions are made by employers, so there’s no out-of-pocket cost to employees.

Why High-Income Families Shouldn’t Overlook These Tools

Many high-income families assume that tax-saving accounts offer limited benefits because they can afford out-of-pocket healthcare costs. However, these tools are about more than just paying for today’s expenses—they’re about long-term financial planning.

1. Lower Your Taxable Income:

Every dollar contributed to an HSA, FSA, or DCFSA reduces your taxable income. For families in the 35-37% tax brackets, these savings add up quickly.

2. Prepare for Retirement Healthcare Costs:

Healthcare is one of the biggest expenses retirees face. HSAs are particularly valuable because they offer a tax-free way to grow your savings and pay for medical expenses later in life.

3. Build Wealth Strategically:

By investing unused HSA funds, you can build a tax-advantaged nest egg for healthcare or other qualified expenses in retirement.

How Insogna CPA Can Help You Save Smarter

Navigating the rules around HSAs, FSAs, and other tax-saving accounts can be overwhelming, especially for busy high-income families. That’s where Insogna CPA comes in.

Here’s How We Help:

  • Tailored Tax Strategies: We’ll help you maximize your contributions to HSAs, FSAs, and other accounts to reduce your taxable income.
  • Long-Term Planning: Our team works with you to integrate these tools into your overall financial plan, including retirement and estate planning.
  • Compliance Made Easy: We ensure you meet contribution limits and deadlines, avoiding costly mistakes.

As one of the best CPA firms in Austin, we provide expert guidance to help you save smarter and secure your financial future.

Ready to Start Saving Smarter?

Your healthcare costs don’t have to be a burden, and your taxes don’t have to be higher than necessary. By leveraging HSAs, FSAs, and other tax-advantaged accounts, you can save more, invest strategically, and protect your financial future.

Schedule a tax strategy session with Insogna CPA today to unlock the full potential of these tax-saving tools.

Rebecca Green