Health Savings Account (HSA) and Limited Purpose FSA

💛 Save now, grow tax-free, and invest in your future wellbeing.

If you’re enrolled in the Regence Gold HSA 1800 Preferred plan, your Health Savings Account is one of the most powerful tools for long-term savings. It’s triple tax-advantaged — meaning your contributions, investment growth, and qualified withdrawals are all tax-free.

Highlights

• Tenpoint contribution: $150/month (employee-only) or $300/month (employee + dependents)
• IRS limits (2026): $4,400 individual / $8,750 family (+ $1,000 catch-up if 55+)
• Managed by: Rippling
• Funds roll over year to year — and they’re always yours to keep

Eligible Expenses

HSAs can be used for the same types of eligible medical expenses as an FSA — including deductibles, copays, prescriptions, dental, vision, and many expenses eligible with a Letter of Medical Necessity (LMN):

• GLP-1 medications prescribed for medical use (not cosmetic)
• Weight-loss, fitness, or nutrition programs prescribed by your doctor
• Acupuncture, chiropractic, and mental health services
• Fertility treatments, prenatal care, and lactation support
• Long-term care premiums (subject to IRS limits)
• Service animals, adaptive devices, and home accessibility modifications
• Medicare premiums and out-of-pocket costs (after age 65)

💡 Letter of Medical Necessity (LMN): Required for certain expenses such as weight-loss programs, GLP-1 medications, or therapy animals. Your healthcare provider can provide a brief letter confirming medical need—keep this for IRS documentation.

Why It Matters

Your HSA can help you pay for today’s medical expenses or grow into an extra retirement account for tomorrow. Unused balances invest and grow tax-free, and can be withdrawn penalty-free for medical costs at any time.

💰 Example: If you’re enrolled for employee-only coverage, Tenpoint contributes $1,800 per year — covering your entire deductible. If you also contribute $200/month, you’ll save $720 in taxes at a 30% rate and could build over $12,000 in five years, even before investment growth.

How It Works

1. Enroll in the Regence Gold HSA 1800 Preferred plan
2. Set your own monthly contribution amount (in Rippling)
3. Use your Rippling benefits card to pay for eligible expenses directly, or save receipts to reimburse yourself later
4. Your funds never expire and remain with you even if you change jobs or retire

💡 Pro tip: The same Rippling card can be used for your HSA, FSA, DCFSA, and Commuter Benefits accounts — making it easy to keep all your pre-tax savings in one place.

📝 Good to know: You can’t contribute to an HSA while enrolled in a non-high-deductible plan, covered under Medicare, or claimed as a dependent on another person’s tax return. Always track your contributions to avoid exceeding IRS limits — excess amounts are taxable and may incur penalties.

🔍 Learn More

For more information on how to use and maximize your HSA:

• 💸 IRS Publication 969 — official guidance on HSAs and other tax-favored accounts
• 🧾 HSA Store Eligibility List — searchable list of eligible expenses and products
• Rippling Benefits Portal — manage contributions, balances, and claims in one place
• 🧠 USI Benefit Resource Center — expert guidance on eligibility, investment options, and tax considerations

💡 Health Savings Account (HSA): Should I Choose the HSA Plan?

If you’re considering the Regence Gold HSA 1800 Preferred plan, this section helps you decide whether it’s a good fit for your healthcare and financial goals.

This plan may be right for you if:

• You typically have low annual healthcare costs and want to save on premiums.
• You’d like to build tax-free savings for future medical needs — or even retirement.
• You want control and flexibility to decide when and how to spend or invest your healthcare dollars.
• You’re comfortable paying your deductible out of pocket before the plan begins paying (and want to use your HSA funds to do it).

This plan may not be the best fit if:

• You or your dependents have frequent doctor visits, prescriptions, or ongoing treatments and prefer predictable copays.
• You’d rather not pay higher upfront costs before your plan begins covering expenses.
• You’re enrolled in any other health coverage (like Medicare or a spouse’s plan that isn’t HSA-compatible).

Pro tip: Even if you rarely use medical care, an HSA can serve as a powerful supplemental retirement account — because after age 65, you can use your balance for any purpose (not just medical expenses) with no penalties, just regular income tax.