Tool · Investor Sam Taxes

HSA Triple-Tax Lifetime Value Calculator

July 1, 2026 • By the Investor Sam Editorial Team • Reviewed by Berly Sam Varghese, Editor
The HSA is the only account in the U.S. tax code that gives you a deduction on the way in, tax-free growth, AND tax-free qualified withdrawals. Most people treat it as a health-expense slush fund. This tool shows what happens when you invest HSA contributions and let them compound — compared to what the same contributions would grow to in a regular taxable brokerage account after taxes at every turn.

Example: Annual HSA contribution: 4300 $ · Federal marginal tax rate: 22 % · State income tax rate: 5 % · Years to let HSA grow: 25 · Expected annual investment return: 7 % · Annual qualified medical withdrawals: 500 $

HSA advantage over taxable account$122,757
Projected HSA balance (tax-free)$257,171
Equivalent taxable account balance (after taxes)$134,413
Tax saved on contributions each year$1,161

Worked example

Contributing $4,300/year (2025 self-only limit) at a 22% federal + 5% state rate for 25 years at 7% return, with $500/year in medical withdrawals: the HSA grows to roughly $259,000 tax-free. A taxable account with the same after-tax dollars earning 7% — but paying taxes on dividends and gains each year — reaches about $185,000. The triple-tax advantage: $74,000 extra, purely from the tax structure.

Frequently asked questions

What are the 2025 HSA contribution limits?

The IRS set the 2025 HSA limit at $4,300 for self-only HDHP coverage and $8,550 for family coverage (IRS Rev. Proc. 2024-25). Those age 55+ can add a $1,000 catch-up contribution. You must be enrolled in a High Deductible Health Plan (HDHP) to contribute.

Can I invest my HSA or does it just sit in a savings account?

Most HSA custodians allow investing after a minimum cash threshold (often $1,000–$2,500). Providers like Fidelity and Lively offer HSAs with brokerage-level investment options and low or no fees. The investment advantage is the heart of the triple-tax strategy.

What happens to HSA funds after age 65?

After age 65, HSA funds can be withdrawn for any purpose — not just medical — without the 20% penalty. Non-medical withdrawals are taxed as ordinary income, making the HSA function like a traditional IRA. For medical expenses, withdrawals remain tax-free for life.

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Sources

Berly Sam Varghese · Editor, Investor Sam

Berly Sam Varghese is an engineer who treats money the way he treats any hard problem — something to be engineered, not gambled on. He funded years of education and built real financial stability the patient way, by living below his means and investing rather than borrowing. He writes for the person trying to plan around a tax bill that feels immovable. He reviews and approves every article on Investor Sam and checks the figures against primary sources before anything is published. More about our standards.