The ages and stages of HSAs: Maximizing benefits at every decade

February 23, 2026
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Health savings accounts, or HSAs (Member FDIC), are versatile financial tools that offer significant tax advantages and can help you save for medical expenses at every stage of life. Whether you're just starting your career or enjoying retirement, understanding how to leverage your HSA can make a big difference. Let’s explore the benefits of HSAs across different age groups.

HSAs in your 20s

In your 20s, you’re likely to have lower healthcare expenses, making it an ideal time to start contributing to an HSA. Here’s why:

  1. Building a financial cushion: Contributing to an HSA early allows you to build a financial cushion for unexpected medical expenses.
  2. Tax advantages: Contributions are tax-deductible, and any growth in the account is tax-free.
  3. Investment opportunities:* You have the option to invest a portion of your HSA dollars to allow your account to grow in the market for long-term savings. (*Investment products: Not FDIC Insured — No Bank Guarantee — May Lose Value.)

HSAs in your 30s

As you move into your 30s, your healthcare needs might increase, especially if you start a family. HSAs can help manage these costs:

  1. Covering family expenses: HSAs can be used for a wide range of medical expenses, including those for your spouse and children.
  2. Long-term savings: Continue to contribute to your HSA to build a substantial fund for future medical costs.
  3. Tax-free withdrawals: Withdrawals for qualified medical expenses remain tax-free, providing significant savings.

HSAs in your 40s

In your 40s, healthcare costs may start to rise, making your HSA even more valuable:

  1. Increased contributions: Consider maximizing your contributions to take full advantage of the tax benefits.
  2. Planning for the future: Use your HSA to save for potential future medical expenses, including those in retirement.
  3. Employer-sponsored LPFSA: If your employer offers a limited-purpose flexible spending account (LPFSA) alongside your HSA, it can make sense to use it for orthodontic expenses or prescription eyewear. LPFSAs are designed for dental and vision costs, allowing you to preserve your HSA for future healthcare needs while still taking advantage of tax savings. 

HSAs in your 50s

Your 50s are a critical time for retirement planning, and your HSA can play a key role:

  1. Maximize contributions: Continue to contribute the maximum amount to your HSA, including catch-up contributions if eligible.
  2. Account growth: Focus on growing your HSA to ensure you have sufficient funds for healthcare costs in retirement.
  3. Tax-free growth: Take advantage of the tax-free growth on your HSA savings.
  4. Catch-up contributions: If you’re 55 or older, you and your spouse can make additional catch-up contributions to your HSA.

HSAs in your 60s

As you approach retirement, your HSA becomes an essential part of your healthcare strategy:

  1. Medicare premiums: You can use your HSA funds to pay for Medicare premiums, providing a tax-free way to cover these costs.
  2. No penalties: After age 65, you can withdraw HSA funds for non-medical expenses without penalties, though you’ll pay income tax on these withdrawals.
  3. Healthcare costs: Continue to use your HSA for qualified medical expenses, which remain tax-free.
  4. Maximizing your HSA contributions: Focus on maximizing your HSA contributions while you still can — these funds can be a powerful resource for healthcare costs in retirement. However, as you approach Medicare eligibility, remember that you cannot contribute to an HSA once enrolled in any part of Medicare. 

HSAs in your 70s and beyond

In your 70s, your HSA can help manage healthcare costs and provide financial flexibility:

  1. Ongoing medical expenses: Use your HSA to cover ongoing medical expenses, including long-term care and prescription medications.
  2. Tax-free withdrawals: Continue to benefit from tax-free withdrawals for qualified medical expenses.
  3. Financial flexibility: If you need to use HSA funds for non-medical expenses, you can do so without penalties, though you’ll pay income tax on these withdrawals.

We’re here to help

By understanding the benefits of HSAs at each stage of life, you can make informed decisions that maximize your savings and provide financial security for your healthcare needs. Whether you’re just starting out in your career or enjoying retirement, an HSA can be a valuable tool in your financial toolkit. And if you have any questions along the way, your friends at Omnify are happy to help talk through them.

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