HSA vs Roth IRA: Which One is Better for Retirement Savings?

Explore the differences between HSAs and IRAs to determine which account best suits your financial goals.

By Farther

Saving for retirement means choosing the right accounts to match your goals. When faced with options like an HSA or Roth IRA, deciding which fits best can be challenging. Should you prioritize future healthcare costs or focus on long-term, tax-free withdrawals?

An HSA offers a triple tax advantage and helps cover medical expenses. A Roth IRA provides tax-free growth and flexible access to funds later in life. This guide breaks down how both work, compares their benefits, and helps you make the best choice for your future.

Which one is right for you? Let's dive in!

Key Takeaways

  • HSAs offer triple tax benefits: tax-deductible contributions, tax-free growth, and tax-free withdrawals for medical expenses. They pair with high-deductible health plans (HDHPs).
  • Roth IRAs provide tax-free investment growth and withdrawals after age 59½ if open for five years. Contributions are made with already-taxed income.
  • In 2025, Roth IRA contribution limits are $7,000 ($8,000 if over 50). Income caps apply: single filers above $165,000 cannot contribute directly.
  • HSAs roll over unused funds yearly and can cover rising healthcare costs in retirement. After age 65, non-medical HSA withdrawals are taxed as regular income.
  • Choosing between an HSA or Roth IRA depends on your goals—healthcare savings favor HSAs; long-term retirement flexibility favors Roth IRAs.

How HSAs Work

Health Savings Accounts (HSAs) are tax-advantaged accounts designed for medical expenses. They pair with high-deductible health plans and offer unique benefits for saving and investing.

Tax benefits of HSAs

Contributions to a health savings account (HSA) are tax-deductible. This means you can lower your taxable income while saving. The money in an HSA grows tax- free, and withdrawals for qualified medical expenses are not taxed.

HSAs offer triple tax benefits—contributions, growth, and withdrawals—all tax- advantaged.

Even after age 65, funds used for non-medical expenses are only taxed as regular income. Unlike flexible spending accounts (FSAs), unused money rolls over each year.

Eligibility requirements for HSAs

To enjoy HSA tax benefits, you must meet specific rules. You need to be enrolled in a high-deductible health plan (HDHP). These plans have set deductible limits—$1,650 or more for individuals and $3,300 or more for families in 2025.

You can't have other health coverage that conflicts with the HDHP. This includes Medicare enrollment or being listed on another non-HDHP plan. Dependents also cannot open their own HSAs—they are not eligible unless covered by an individual HDHP themselves.

How Roth IRAs Work

Roth IRAs allow your money to grow tax-free. You can withdraw your contributions anytime without paying taxes.

Tax advantages of Roth IRAs

Contributions to Roth IRAs are made with money already taxed. This means withdrawals, including investment growth, are tax-free if the account has been open for at least five years and you're 59½ or older.

Unlike traditional IRAs, you don't pay ordinary income tax on qualified distributions.

Roth IRAs also offer more flexibility. You can take out your contributions anytime without taxes or penalties. Earnings grow tax-free, providing a great way to boost retirement savings over time.

Contribution limits for Roth IRAs

In 2025, Roth IRA contribution limits are $7,000 for those under 50. If you're 50 or older, you can contribute an extra $1,000 as a catch-up.

Your income affects how much you can add. In 2025, single filers earning above $165,000 and married couples earning above $246,000 can't directly contribute to Roth IRAs.

Comparing HSA and Roth IRA Benefits

HSAs and Roth IRAs both offer tax advantages, but they work differently. Understanding how each supports your savings can shape your retirement strategy.

Tax-free withdrawals

Withdrawals from a Roth IRA are tax-free if you meet certain rules. You must be at least 59½ and the account needs to be open for five years. This applies to both contributions and investment growth.

With an HSA, withdrawals are tax-free when used for eligible medical expenses. Even in retirement, you can use HSA funds this way without paying taxes. Non- medical spending after age 65 gets taxed like regular income.

Investment growth potential

HSAs and Roth IRAs both offer tax-free investment growth. HSAs let you invest your contributions, often in mutual funds or other options, once a certain balance is reached. Any earnings on these investments grow tax-free if used for qualified medical expenses.

Roth IRAs also allow tax-free growth on investments like stocks, bonds, or mutual funds. Unlike HSAs, no medical expense requirement exists to access the gains. Both accounts can serve as powerful retirement savings vehicles due to their potential for compounding over time.

Factors to Consider When Choosing

Your choice depends on your retirement goals and financial situation. Think about health care costs, tax benefits, and how you plan to use the accounts long-term.

Your retirement goals

Consider what your ideal retirement looks like. Do you want steady income or flexibility? Roth IRAs offer tax-free withdrawals for retirement income. HSAs give a dual benefit—saving pre-tax dollars and preparing for healthcare costs after 55.

Saving early matters, but priorities depend on needs. If health expenses might rise, max out your HSA; it also allows growth for medical costs later. For long-term savings goals like an individual retirement account, Roth IRAs could be better than relying solely on an HSA.

Current and future healthcare needs

Healthcare expenses grow as you age. HSAs are useful since they cover eligible medical costs tax-free. If you don't use the funds now, you can save them for future needs.

Roth IRAs don't help with current healthcare costs but offer flexibility for retirement planning. HSAs should be prioritized if your health plan qualifies, as HSA contributions are tax-deductible and funds grow tax-free.

Conclusion

Both accounts offer valuable tax benefits, but they serve different purposes. An HSA is perfect if you want triple-tax advantages for healthcare savings, while a Roth IRA provides tax-free income in retirement.

Consider your current expenses and long-term financial strategy. Do you need a flexible, health-focused savings tool, or are you prioritizing future, tax- free withdrawals? The right choice depends on your goals—so start planning today!

FAQs

1. What is the main difference between an HSA and a Roth IRA?

An HSA is primarily for saving tax-free money to cover qualified medical expenses, while a Roth IRA focuses on retirement savings with tax-free growth and withdrawals.

2. Who qualifies for an HSA?

You must have a high-deductible health plan (HDHP) to qualify for an HSA. Without it, you can't contribute.

3. Should I prioritize my HSA or Roth IRA?

If you have access to both, prioritize maxing out your HSA first because contributions are pre-tax and funds grow tax-free if used for medical expenses. After that, consider funding your Roth IRA.

4. Can I use my HSA like another retirement account?

Yes, but only after age 65 can you take withdrawals for non-medical expenses without penalties—though you'll still pay income taxes on those withdrawals.

5. How do contribution limits compare between HSAs and Roth IRAs?

HSA contribution limits depend on whether you're single or have family coverage under an HDHP; in contrast, Roth IRA contributions phase out based on income levels.

6. Are there investment options with both accounts?

Both HSAs and Roth IRAs allow investments that offer growth opportunities over time—HSAs often include mutual funds or other options similar to individual retirement accounts like IRAs or 401(k)s.

Important Disclosure

This document is for informational purposes only. It is educational in nature and not designed to be taken as advice or a recommendation for any specific investment product, strategy, plan feature or other purpose in any jurisdiction, nor is it a commitment from Farther Financial Advisors, LLC or any of its subsidiaries or related entities to participate in any of the transactions mentioned herein. All sources of information used are deemed reliable and accurate at the time of printing. Advisory services are provided by Farther Finance Advisors LLC, an SEC-registered investment advisor. Investing in securities involves risk, including the potential loss of principal. Before investing, consider your investment objectives, as well as Farther Finance Advisors LLC’s fees and expenses. Farther Finance Advisors, LLC does not provide tax or legal advice; please consult your tax and legal professionals for guidance on these matters.

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