Reply to Is HSA preferrable over regular health insurance plans?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]You have to run the math. For us, the premium saved each month x 12 is more than our deductible. Plus we can use the HSA.[b] It’s a mental shift because every minor trip to the ped is now $160 (or whatever) so that takes some getting used to.[/b] We don’t actually pull from the HSA to pay it. [/quote]

This. We made the shift to an HSA plan a few years ago. The first year was a mental adjustment, because it felt like pulling money out of savings for every sick visit. I had to tell myself that the HSA money didn't count as money yet because it would have already been spent as a premium under the regular PPO, and treat it like monopoly money until the end of the year. We don't have any chronic conditions or high cost recurring medical expenses, but if we did, we would switch back to the regular PPO. This year we've had (already!) a few specialist visits for our kids (pulmonologist for asthma testing, pediatric endo for a potential issue, etc.), so may not save as much this year as last. But even this year is a "loss," the 5 year average still puts us much farther ahead. But [b]for regular healthy families that are done having kids, the math usually works out in favor of the HSA.[/b][/quote]

The math almost, always works in favor of the HSA, regardless of spend once you incorporate tax savings.
HSA Incremental Savings - Lower premiums, employer seed money, tax savings.
HSA Incremental costs - Higher deductible, Higher copay threhold.

The incremental savings typically offset the incremental costs.[/quote]

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