Health Savings
Account (HSA)

Take control of your healthcare savings with a self-directed Health Savings Account (HSA). Account holders at Directed IRA can invest their HSA in alternative assets like real estate, crypto, private lending, private funds, and more.

What is a Self-Directed HSA?

A Health Savings Account (HSA) is a triple tax advantaged savings account designed for individuals with High-Deductible Health Plans (HDHPs). It allows account holders to contribute pre-tax dollars, which can be used to pay for qualified medical expenses.

 

Triple Tax Advantage
• Contributions to your HSA are tax-deductible.
• Investment growth inside of your HSA grows tax-free.
• Withdrawals for eligible expenses are tax-free.

 

Self-Directed HSAs expand these abilities by allowing account holders to manage and invest their HSA funds outside of stocks, bonds, mutual funds, and ETFs. This opens the door to a long list of popular investment types not approved by the majority of HSA providers (real estate, crypto, notes, funds, etc.).

 

Like Traditional IRAs, contributions are tax-deductible, reducing your taxable income. At the same time, they provide tax-free growth and tax-free withdrawals for eligible medical expenses, similar to the benefits of Roth IRAs. This unique structure makes the HSA a powerful tool for both short-term and long-term financial planning.

 

Can I self-direct my existing HSA?

 

An HSA can only invest in alternative assets if your custodian allows it. All account types at Directed IRA, not just HSAs, can be self-directed into alternative assets. Directed IRA is an industry-leading provider of self-directed accounts and has more than 1,000 5-star reviews. Transferring your existing HSA funds to a new Self-Directed HSA is also a straightforward process, which you can learn more about here.

How to Self-Direct Your HSA

Open a Self-Directed HSA

New HSAs can be opened in less than 5 minutes using our online portal. Fill out a new account application or book a call to speak to our team, go over your questions, and get started.

Fund Your Account

Fund your new account by initiating an account transfer, rollover, or direct contribution (ACH, Check, Wire).

Start Investing

Account holders at Directed IRA can invest in any asset allowed by law. This includes alternative assets like real estate, funds, precious metals, private equity, and more.

Pricing & Fee Schedules

Frequently Asked Questions

What are the features and benefits of Health Savings Accounts (HSAs)?
  • Eligibility: To open and contribute to an HSA, you must be enrolled in a high-deductible health plan (HDHP) as defined by the IRS. HDHPs typically have lower premiums but require higher out-of-pocket expenses before insurance coverage begins.

 

  • Contributions: HSAs can be funded with pre-tax dollars (you get a tax deduction) by the account holder up to annual contribution limits set by the IRS. These limits may vary depending on whether the account covers an individual or a family plan.

  • Tax Advantages: Contributions are tax-deductible, meaning they lower your taxable income. Additionally, any growth through interest or investments in the account is tax-free, and withdrawals for eligible medical expenses are also tax-exempt, creating a triple tax benefit.

  • Qualified Expenses: HSA funds can be used for a wide range of IRS-approved medical expenses such as doctor visits, prescription medications, dental procedures, vision care, and even certain over-the-counter products. This flexibility supports both routine and unexpected healthcare costs.

  • Rollover & Portability: Unlike flexible spending accounts (FSAs), HSA funds are not subject to the “use it or lose it” rule. Any unused amount remains in the account and rolls over to the next year, allowing for long-term savings

  • Alternative Investments: HSA funds can be “self-directed” into alternative assets like real estate and private funds using an SDIRA custodian like Directed IRA.

  • Non-Medical Use: While HSA funds are primarily intended for healthcare expenses, they can still be accessed for non-medical purposes. However, such withdrawals are subject to income taxes and a 20% penalty if you’re under 65. After age 65, the penalty is waived, and non-medical withdrawals are taxed as regular income.

Absolutely. A self-directed HSA takes the flexibility of traditional HSAs one step further, allowing you to invest in alternative assets like real estate, and private equity. For instance, imagine using your HSA to invest in a private real estate fund. The income and appreciation from that investment grow tax-free within the HSA, giving you unparalleled growth potential. Directed IRA specializes in helping account holders self-direct their retirement and savings accounts so they can invest in what they know.

Self-directed HSAs allow you to invest in alternative assets like real estate and private companies, while brokerage HSAs typically limit you to cash or mutual funds. Self-Directed accounts, often called SDIRAs, are ideal for individuals seeking greater autonomy in their investment strategy and those who are comfortable with the additional complexity and risks involved.

 

Investment Options

 

  • Regular HSA: Typically limited to a set list of basic investment choices, such as savings accounts or conservative mutual funds, offered by a brokerage HSA provider.
  • Self-Directed HSA: Allows broader investment opportunities, including stocks, bonds, ETFs, real estate, private placements, and even cryptocurrency, allowing for greater diversification.

 

Control Over Funds

 

  • Regular HSA: The provider handles most of the administrative tasks, and your role is limited to choosing from their pre-approved options.
  • Self-Directed HSA: The account holder takes full control, managing investment decisions and choosing assets based on their financial goals and risk tolerance.

 

Complexity

 

  • Regular HSA: Easier to manage with minimal involvement since the provider limits choices and handles administrative tasks.
  • Self-Directed HSA: Requires knowledge and diligence in managing investments.

 

Fees

 

  • Regular HSA: Usually lower fees, as providers charge for basic account maintenance and standardized investment offerings for brokerage products where the broker is being paid for order flow.
  • Self-Directed HSA: Higher fees may apply due to the manual processes and administrative requirements of managing alternative investments and the involvement of custodians. Self-Directed HSA custodians are not paid or commissioned on investments. Learn more.

Transfers from an existing HSA to a new Self-Directed HSA are typically done as a trustee-to-trustee transfer to avoid tax penalties and maintain the account’s tax-advantaged status. Once you’ve opened a new HSA account at Directed IRA, visit our Fund Account page to learn more about different funding options and log in when you’re ready to make a transfer request. Our team will then process your HSA transfer and deposit funds in your account. When you’re ready to place an investment, visit our Invest Account page to get started.

How much you can contribute to your HSA depends on various factors, such as the type of HDHP coverage you have, your age, and the specific dates you qualify or no longer qualify as an eligible individual. Contribution limits for HSAs are set by the IRS and may adjust annually, so always check for the latest updates. For 2025, the contribution limits are as follows:

 

  • For self-only HDHP coverage, you can contribute up to $4,300.
  • For family HDHP coverage, the contribution limit is $8,550.

More Resources on Self-Directed HSAs

Beginner’s Guide: How to Self-Direct Your IRA

Directed IRA Webinars

Self-Directed IRA Summit

Directed IRA Podcast

Beginner's Guide:
How to Self-Direct Your IRA

By downloading Beginner's Guide: How to Self-Direct Your IRA, you opt-in to receive marketing communications from Directed Trust Company. Unsubscribe at anytime.

Self-Directed IRA Getting Started Resources

New to self-directed retirement accounts? These resources are designed to help you understand the fundamentals and get started the right way.

 

Access curated webinars, guides, and educational content covering investment options, account structures, and the rules that govern self-directed IRAs.

 

Enter your information below to access the resources. 

By downloading The Self-Directed IRA Handbook Resources, you opt-in to receive marketing communications from Directed Trust Company. Unsubscribe at anytime.

Get Access to SDIRA Handbook Resources

Mat Sorensen, Attorney, CEO, and Founder of Directed IRA, wrote the #1 book on self-directed IRAs – selling over 50,000 copies nationwide. The Self Directed IRA Handbook is a comprehensive guide written for both investors and advisors alike. Get access to your SDIRA Handbook resources today!

By downloading The Self-Directed IRA Handbook Resources, you opt-in to receive marketing communications from Directed Trust Company. Unsubscribe at anytime.

#1 Book
on Self-Directed IRAs

Mat Sorensen, Attorney, CEO, and Founder of Directed IRA, wrote the #1 book on self-directed IRAs – selling over 50,000 copies nationwide. The Self Directed IRA Handbook is a comprehensive guide written for both investors and advisors alike. Download your free copy today!

By downloading The Self-Directed IRA Handbook, you opt-in to receive marketing communications from Directed Trust Company. Unsubscribe at anytime.