Understanding the benefits of an HSA for long-term health care planning

Apr 8, 2025 by AFP

Health care is personal. Too often, top-down rules from Washington raise costs and limit the personal choices Americans need to live healthy, fulfilling lives. That’s not how it should be.

There’s a better way forward. It’s called a Health Savings Account, or HSA. It puts you in charge of your health care dollars — helping you save money now and plan for the future.

An HSA is a special savings account that works with high-deductible health plans. You can put money into the account, use it for medical expenses, and even grow your savings over time.
Here’s how it works:

  • Tax-free savings: The money you put in is tax-deductible. Any money you don’t use rolls over each year and keeps growing—tax-free.
  • Flexibility: Use your HSA funds for doctor visits, prescriptions, and more. You’re in control.
  • Long-term value: You can even invest your HSA money — just like a retirement account — to build savings for future health needs.

It’s your money, your health, and your decision.

6 benefits of an HSA

Let’s be real: Health care costs are out of control. Families are paying more than ever. And too many decisions are made by bureaucrats in Washington — not by the people who actually need care.

HSAs offer a smarter path forward. They give you freedom, control, and peace of mind. They’re not just about paying today’s bills; they’re about preparing for tomorrow.

Here are six reasons why HSAs are a smart, freedom-focused solution:

1. Financial independence

With an HSA, you don’t have to rely on one-size-fits-all insurance plans or government programs. You can choose the care that fits your needs.

2. Long-term savings potential

Your HSA balance rolls over every year and can even be invested. That means your health care savings can grow over time, helping you plan for retirement and unexpected medical costs.

3. Promoting personal choice

AFP believes in the power of a Personal Option in health care — where you choose what’s best for your health and your family. HSAs are a great example of that. You decide how and when to use your health care dollars.

4. Reform opportunity: expanded access

Right now, you can use your HSA for many common medical costs. However, outdated rules limit who can open and use these accounts. Reforming those restrictions would open the door for millions more Americans to benefit.

Here’s how expanding access would help:

  • Let anyone open an HSA: You shouldn’t need a specific type of insurance plan to qualify.
  • Allow employer contributions to more plans: Workers with different insurance arrangements should still be able to get support.
  • Unbundle HSAs from high-deductible plans: People should be free to pair an HSA with the best coverage.
  • Include more health expenses: HSAs should cover a wider range of services, including direct primary care and mental health.

These common-sense reforms would remove outdated barriers and expand bottom-up solutions, allowing more Americans to realize the benefits of HSAs on their own terms.

5. Built-in tax advantages

HSAs aren’t just smart; they’re tax smart. You save in three powerful ways:

1. Contributions are tax deductible
2. Your balance grows tax free
3. Withdrawals for qualified medical expenses aren’t taxed

That’s a triple tax benefit that helps you keep more of what you earn now and in the future. It’s a clear win for anyone who values personal responsibility and financial freedom.

HSAs vs. government-run health care

We’ve seen what happens when the government tries to take over health care: more rules, higher prices, and fewer choices. That’s not the answer.

HSAs do the opposite. They give power back to the people. You get to decide what’s best for you and your family.

That’s the future AFP is fighting for. A future where freedom, opportunity, and personal responsibility lead the way.

Ready to take charge?

At Americans for Prosperity, we believe prosperity is possible for every American. But it starts with empowering people — not politicians.

Health Savings Accounts are a great step toward that goal. They give you more control, more access, and better care.

Let’s restore health care to what it should be — personal, voluntary, and driven by you. Because when people are free to make decisions that reflect their needs, real progress happens.

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