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Health Savings Account (HSA) FAQs

Trusted Care Team avatar
Written by Trusted Care Team
Updated yesterday

What is an HSA?

An HSA (Health Savings Account) is a savings account that allows you to set aside pre-tax dollars to use toward qualified medical expenses.
You can elect to contribute to an HSA if you are enrolled in a qualified High Deductible Health Plan (HDHP) and stay within the annual IRS contribution limits.

What are the advantages of an HSA?

  • Funds roll over year to year — no "use it or lose it."

  • Portable: You keep the account if you leave Trusted Health or change health plans.

  • Tax savings: Contributions lower your taxable income.

  • Investment opportunities: After reaching a balance of $1,000, you can invest your HSA funds.

  • Retirement benefits: Unused funds can help cover future healthcare or be part of your retirement planning.

How do I enroll in an HSA?

You are automatically enrolled in an HSA when you enroll in a qualified HDHP through Trusted Health.
Note: You are not required to contribute even though the account is created.

How do I contribute?

  • After enrollment, you must complete a federal verification process. Anthem will send instructions for providing personal documentation through the Anthem member portal.

  • If verification is not completed within 90 days, the account will close, and contributions cannot be made.

  • You can elect and manage your contribution amount anytime through ADP:
    Navigate to: Myself > Pay > Direct Deposit.

How much can I contribute to an HSA?

In 2025, contribution limits are:

  • $4,300 if enrolled in employee-only coverage

  • $8,550 if covering yourself plus dependents

You can update your contribution amount anytime during the year.

What should I know before contributing?

You cannot contribute to an HSA if:

  • You are enrolled in the Anthem PPO plan

  • You are covered under a non-HDHP plan (your own or your spouse’s)

  • You are enrolled in Medicare

  • Your spouse is enrolled in a Healthcare FSA

How do I use my HSA to pay for expenses?

You can use your HSA funds for eligible healthcare expenses, including:

  • Medical plan covered services

  • Prescription and over-the-counter medications

  • Dental care (e.g., orthodontia)

  • Vision care (e.g., glasses, Lasik)

  • Medical equipment

  • Chiropractic and acupuncture services

Payment options:

  • Use your HSA debit card at the time of service

  • Pay out of pocket and reimburse yourself through the Sydney Health app or Anthem portal

Important:
Always save your receipts and Explanation of Benefits (EOBs) for tax and audit purposes.

Can I use HSA funds for my dependent’s expenses?

Yes, you can use HSA funds to pay for eligible dependents' healthcare costs—even if they aren’t enrolled on your medical plan—as long as they qualify as tax dependents.

If covering a domestic partner who isn’t a tax dependent, you can contribute up to the family limit but cannot use HSA funds for their expenses.

How do I invest my HSA funds?

  • Once your balance exceeds $1,000, you can start investing.

  • Access investment options via the Sydney Health mobile app or Anthem portal under "Spending Accounts."

What are the tax advantages of an HSA?

  • Contributions are pre-tax (federal income tax-free).

  • Interest and earnings grow tax-free.

  • Withdrawals are tax-free when used for qualified expenses.

  • Non-qualified withdrawals:

    • Taxed as income

    • If under age 65, an additional 20% penalty applies.

Note: Some states may tax employer contributions as income.

What happens to my HSA if I’m between contracts?

  • Your HSA will convert to a retail account (managed by Wealthcare Saver) about two weeks after your contract ends.

  • You’ll be responsible for administration fees starting the month after your contract ends.

  • You will receive a new debit card to use between contracts — keep your Anthem debit card for future use if you return.

  • If you start a new contract, your account will revert to an employer-sponsored account and fees will stop.

Wealthcare Saver Contact:

  • Hours: Monday–Friday, 8:00 AM–8:00 PM EST

  • Phone: 866-287-2520

Can HSA funds be transferred?

  • If you have an HSA from a prior employer, you can transfer funds into your Anthem HSA by contacting Anthem.

  • If you leave Trusted Health, you can transfer funds to another HSA administrator at your new provider.

Note: Funds will be temporarily unavailable during the transfer process.

Quick Reminders

✅ HSA = your money — it rolls over and follows you
✅ Keep receipts for eligible expenses
✅ Stay within contribution limits
✅ Invest funds after $1,000 balance
✅ Use Sydney Health app or Anthem portal to manage your HSA

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