
Insights
December 9, 2024
Should I Spend My HSA On My Kid’s Braces?
In Family Needs, Wealth Strategy

Ah, the Health Savings Account (HSA)… with its quick rise to fame, the HSA has gained popularity as a company benefit. The HSA is loved far and wide by financial advisors as a flexible and tax-efficient tool to cover medical expenses in retirement. However, it can be tempting to utilize the funds before retirement – especially when it comes to covering larger healthcare needs like paying for your kid’s braces. I mean, the money is just sitting there, right? But we’re not here to tempt you. We’re here to explore the hidden costs and considerations you should be aware of before dipping into your HSA funds to cover orthodontic treatments.
Here are four reasons why using your HSA to pay for braces might not be the best financial decision:
1. Long-Term Savings Drain
We briefly touched on the popularity of the HSA, but let’s dive into exactly what makes an HSA so unique and desirable. Firstly, funds contributed to an HSA are pre-tax dollars. Secondly, those funds can be invested and grow tax-free. Lastly, you’re able to make tax-free withdrawals for eligible medial expenses. These three things are what make an HSA a tax-advantaged account.
The key benefit of an HSA lies in itsability to accumulate tax-advantage funds over time for future medical expenses. With the rising costs of long-term care, your HSA may play an important role in funding those future medical expenses. To get a sense of what you may need to have saved to cover healthcare costs in retirement, calculate an estimate at https://certifiedcalculator.com/retirement-health-care-cost-calculator/.
2. Limited Contribution Room
HSAs come with annual contribution limits. To find current HSA contribution limits, visit https://www.irs.gov/forms-pubs/about-publication-969. By using a significant portion of your HSA funds on braces, you lose out on saving for other important medical expenses in future years.
3. Lost Investment Growth
The money in your HSA can be invested in a diversified investment portfolio to grow tax-free over time. By withdrawing a substantial sum for orthodontic treatment, you miss out on the opportunity for that money to compound and grow significantly over the years.
For example: GoodRx Health estimates traditional metal braces, which are typically the cheapest option, average between $3,000 and $7,000.[2] With the HSA contribution limits, you will likely spend most, if not all, of one year’s contribution on that single expense, essentially losing out on one of the primary advantages of this account: tax-free investment growth.
4. Insurance Coverage and Other Discounts
Before turning to your HSA, take time to explore other options for covering the cost of braces. Check to see if your dental insurance plans offer coverage for orthodontic treatment, and if your orthodontist offers a discount for paying cash up front. It’s advisable to consider these alternatives before depleting your HSA funds.
While HSAs can be a valuable tool for managing healthcare expenses, using them to pay for your kid’s braces may not be the best choice. We recommend paying for orthodontic costs out-of-pocket and leaving the HSA to accumulate tax-free growth for medical expenses during retirement. If you have any questions about how to optimize your HSA as part of your financial plan, contact a Coldstream Wealth Manager today.
[1] https://www.goodrx.com/conditions/dental-care/how-much-do-braces-cost
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