It’s tax-advantaged. You can contribute to it with pre-tax income (so it doesn’t count as income towards taxes), and if you use it for medical expenses it’s not taxed on the way out, either. If you withdraw from it after retirement just for the cash, it’s taxed and acts like an IRA.
So yeah the big advantage is that if you use one and plan ahead to have this ready to pay for qualified medical expenses, it’s tax-free. And if you end up not needing it, it’s retirement money.
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