HSA Triple Tax Advantage

Contributions are pre-tax, growth is tax-free, withdrawals for medical expenses are tax-free. See what an HSA is actually worth compared to a regular investment account.

$
$
%
%
$
Annual Tax Savings on Contributions
$946
22.0% combined rate
HSA Balance at Retirement
$334,428
After 25 years at 7%
vs. Taxable Account (same contributions)
$196,887
HSA wins by $137,541
Tax Drag Cost (Taxable Account)
$137,541
What you'd give up vs HSA
Account Comparison at Retirement
HSA
Final Balance
$334,428
Lifetime Tax Savings (contributions)
$23,650
Medical Withdrawals Taxed
No (qualified expenses)
Advantage vs Taxable
$137,541
Advantage vs IRA
$107,441
Traditional IRA
Final Balance (pre-tax)
$291,009
After-Tax Value
$226,987
Medical Withdrawals Taxed
Yes, at ordinary income rate
RMDs Required
Yes (at age 73)
Balance Growth: Every 5 Years
YearHSA BalanceTaxable AccountTraditional IRA
Year 5$37,680$20,457$26,459
Year 10$79,307$48,750$63,569
Year 15$137,691$87,879$115,619
Year 20$219,578$141,994$188,620
Year 25$334,428$216,835$291,009
The most powerful HSA strategy: pay all qualified medical expenses out of pocket, save your receipts, and let your HSA grow tax-free indefinitely. No deadline to reimburse yourself: a receipt from 2026 can be used to take a tax-free withdrawal in 2045. This turns your HSA into a stealth retirement account with no RMDs and tax-free medical withdrawals at any age.