Recent comments in /f/personalfinance

sciguyCO t1_jefaynf wrote

It boils down to what kind of timeline you hope/expect to have before needing to draw from that balance. Some people plan to grow their HSA balance all the way until retirement. Others use it more as a supplemental emergency fund (potential to draw earlier). Others have enough ongoing medical expenses that they keep their HSA primarily cash to cover those, getting only the "tax free on contribution / withdrawal" savings, skipping out on the "tax free growth".

The longer you intend to leave the funds invested, the more likely you are to ride out any downswings of more volatile (though often higher return) investments like stock funds. Over the long term, things like stock funds are somewhat expected to grow more than a conservative option like a CD.

So the answer is "whatever fits best with your financial situation and plans".

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t-poke t1_jefapjk wrote

Yes, you can do that.

Open up an HSA at Fidelity (the only one of the big 3 brokerages that offers an HSA) and roll it over. My HSA provider sucks, so every quarter, I roll over my balance to an HSA at Fidelity. Just submitted my request this morning.

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WingedBeagle t1_jef9kb4 wrote

Does your work allow you to rent out a house they’re providing to you? That’s kind of a big part of the plan, considering they’re letting you live there contingent to you working for them.

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clearwaterrev t1_jef9jdg wrote

I would assume total medical bills between $10-15k for a healthy pregnancy and hospital birth with no significant complications. That gives you a starting point for calculating coinsurance costs. If your baby is born quite early or needs surgery, then your costs will be much, much higher and you'll almost certainly hit your out of pocket max. 10-15% of babies born in the US spend some amount of time in the NICU, so it's not very unlikely you'll have high costs due to a NICU stay or other complications.

If I assume your total healthcare costs are about $12k before insurance, then your total cost with the HSA plan is $6,680 for the year. If you go with the PPO plan, then it's $8,404 for the year.

If you have meaningfully higher costs due to complications, the HSA is the better pick because the out of pocket max is lower and the premiums are substantially lower.

I'd pick the HSA plan, and max out your HSA so you are spending tax-free dollars to pay your medical bills.

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