[quote=Dougie944]At 65yo that money can be pulled out like a 401k with no medical need.[/quote]
But then it would be taxed.
The beauty of an HSA is it’s deducted from your income going in, and it’s not taxed coming out if you use it for medical expenses. Your account pays for your deductible, so it’s all tax-free. It rolls over every year and keeps growing, and you can invest it anywhere you want (cd’s for example).
I pay less with an HSA and get better service. The “high deductible” costs less than the premiums for regular insurance, the account is tax-free, and rolls over every year. I think it’s the best thing Bush did.