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Wednesday, July 31, 2013
HSA Funding
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Congratulations!  You have your HSA-qualified policy in place.  You have opened your health savings account and are ready to start funding it!

In a perfect world, you would sit down and write a check for the full amount you can fund for the year, based on your coverage.

2013 Single Coverage:  $3,250.00 ( + $1,000 catch up contribution if you are 55 or older) = $4,250.00

2013 Family Coverage:  $6,450.00 ( + $1,000 catch up contribution if you are 55 or older) = $7,540.00

As nice as that sounds, not everyone can fully fund their HSA.  But with our handy HSA Medical Expense Worksheet, you can fund what you think you will need based on last year's expenses.  With a little planning, you can be ahead of the game when it comes to paying for qualified medical expenses.

Medical Expense Worksheet

The beauty of a funded HSA is having money available when you need it.  If you anticipate a medical expense coming up, you can fund your account for the amount and use it immediately.  You get the tax break.  If you don’t have as many expenses as you thought you might, you can let the funds roll over and grow each year.
Funding your HSA – any way you look at it, it’s a win-win situation!

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Posted by HSA Admin at 7/31/2013 6:17:00 PM
Wednesday, July 24, 2013

American Health Value Staff Spotlight SeriesStaff Spotlight Series: Every now and then we  spice up our typical posts on HSAs, health insurance & wellness to offer up a better opportunity for all of you out there to get to know all of us here at American Health Value on a more personal level. To that end, we’ve created a series of blog posts called our “Staff Spotlight Series”.

In this installment, Fran, our Director of Operations wanted to write a post about cancer and how it has directly impacted her life through the recent loss of her sister.  We hope you all enjoy what she has been so gracious to share as much as we did.

Is it just my imagination or are occurrences of cancer on the rise? Sometimes when something touches your life you become more sensitive to it, and that may well be the case for me in this instance.

I lost my sister to cancer in 2012. It’s amazing how many lives one person can touch. She was someone’s daughter, sister, aunt, mother, grandmother, and friend. She was an exceptional nurse and mentor. The impact her life (and death) had on each of us cannot be measured. No one can fill the roles she embraced in her 56 years of living. 

According to a February 2012 press release from the American Institute for Cancer Research:

“The number of new cancer cases that occur in the US each year is expected to surge as the population grows and ages; by the year 2030, that number will be over 50 percent higher than it is now.”

However, a March 2012 article by CBS News states

“….. the latest report that looked at three decades worth of U.S. cancer rates…….found the overall cancer death rate has dropped by 1.5 percent annually in adults and 1.7 percent in children.”

The statistics and reports don’t matter much to those who have lost someone to cancer. My sister is more than a statistic. The reports mentioned above really mean nothing to me in the overall scheme of things. Believe me, watching someone you love die will quickly bring clarity to your own life.

I recently asked my daughter what profound things her 18 years of living had taught her, she responded:

1.    Confidence is key
2.    Flawless means embracing your flaws
3.    Have a cat, love a cat, be a cat (okay, you’ve got to remember she’s 18)
When I asked her what her Aunt Elaine’s life and death had taught her, she said to embrace life and embrace death. 
Elaine definitely embraced every moment of her life! When it was her time to die, she embraced it with dignity and style, causing us to laugh and cry right along side her.
She often started a conversation with the phrase “here’s the deal”. So I’m going to say to you…..
Here’s the deal, the Cancer Facts & Figures 2013 published by the American Cancer Society states:
“The World Cancer Research Fund estimates that about one-quarter to one-third of the new cancer cases expected to occur in the US in 2013 will be related to overweight or obesity, physical inactivity, and poor nutrition, and thus could also be prevented”.
So, here’s the deal, it is very apparent there are things you can do now to reduce your cancer risk due to environmental factors. Recommendations for individual choices are outlined as follows in the Cancer Facts & Figures 2013:
1.    Achieve and maintain a healthy weight through life.
  • Be as lean as possible throughout life without being underweight.
  • Avoid excess weight gain at all ages. For those who are currently overweight or obese, losing even a small amount of weight has health benefits and is a good place to start.
  • Engage in regular physical activity and limit consumption of high-calorie foods and beverages as key strategies for maintaining a healthy weight.
2.    Adopt a physically active lifestyle.
  • Adults should engage in at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity activity each week, or an equivalent combination, preferably spread throughout the week.
  • Children and adolescents should engage in at least 1 hour of moderate- or vigorous-intensity activity each day, with vigorous-intensity activity at least three days each week.
  • Limit sedentary behavior such as sitting, lying down, and watching television and other forms of screen-based entertainment.
  • Doing any intentional physical activity above usual activities, even if currently inactive, can have many health benefits.
3.    Consume a healthy diet, with an emphasis on plant foods.
  • Choose foods and beverages in amounts that help achieve and maintain a healthy weight.
  • Limit consumption of processed meat and red meat.
  • Eat at least 2½ cups of vegetables and fruits each day.
  • Choose whole grains instead of refined-grain products.
4.    If you drink alcoholic beverages, limit consumption. People who drink alcohol should limit their intake to no more than two drinks per day for men and one drink per day for women. For certain cancers, the risk increases substantially with the intake of more than two drinks per day.
Could Elaine have benefited from some of the advice in Cancer Facts & Figures 2013? Perhaps. My family and I are not inclined to live with “what if’s”. It doesn’t change the reality of “what is”. I will tell you the reality of watching someone die of cancer is harsh, and the reality of loving them through the process is indescribable.
My sister Laura recently wrote some thoughts about Elaine and I would like to share a few of them with you.
Elaine was:
  • My breath of fresh air. 
  • The cold in the winter that takes your breath away. 
  • A quiet soul at times.
  • A waterfall of suspense and laughter.
She did everything with great gusto, relishing every moment. Shopping for shoes with her once was enough; she was a crazy shoe shopper!
Elaine, who was happy to spend hours alone just walking, or reading, or fishing, suddenly needed us by her side even when she was sleeping. The “Laura are you there?”, the countless falls, and the “What are you doing in there?”.   The wanting to help but not being able to.
It is just as crazy and scary and loving to bring someone into the world as it is to give them back to God…
There was one more thing Laura said that we can all practice now…..”I would have hugged her again and said I love you!” 
Here’s the deal, who are you going to do that to today?

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Posted by HSA Admin at 7/24/2013 10:59:00 PM
Wednesday, July 17, 2013
HSA Choices
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Wine, leather boots, jeans, flannel sheets, cast iron pans, decision making…  Can you guess what these items have in common?  If you said "they all get better with age", you are correct!

As we get older, we gain more knowledge through education and our own personal experiences.  Our ability to make better decisions about things life has in store for us increases.  For this post, we wanted to pass on some of our knowledge to educate you about two very relevant topics: your healthcare and your money.

What better way to do this than to talk about Medicare (as everyone will have to have it in one form or another), and relate it to health savings accounts, our area of expertise.  So without further ado, here’s a basic crash course on Medicare and HSAs.

The Basics of Medicare

Medicare and Your HSA
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Part A: Hospital coverage

It helps pay for inpatient hospital care, skilled nursing care, hospice care and other services.  Most people don't have to pay anything for Medicare Part A.  If you have had a job for at least 10 years with a company that offers Medicare-covered employment, then you don’t have to pay for Part A.  If you don't meet this requirement, you may have to pay a premium for Part A.  Part A is also paid for by a portion of Social Security tax.
Part B: Medical Coverage  
It helps pay for doctor’s fees, outpatient hospital visits, and other medical services and supplies that are not covered by Part A.  Part B is paid for by the monthly premiums of people enrolled, and by general funds from the U.S. Treasury.  Most people pay monthly premiums for Medicare Part B.
Part C: Medicare Advantage 
Medicare Advantage plans allow you to choose to receive all of your health care services through a provider organization.  These plans may help lower your costs of receiving medical services, or you may get extra benefits for an additional monthly fee.  You must have both Parts A and B to enroll in Part C.
Part D: Prescription Drug Coverage  
Medicare Part D is a prescription plan that reduces the cost of formulary drugs.  Part D is optional, and there is a premium paid for by those who are enrolled in this plan.  Unlike Part A in which you are automatically enrolled and must opt out if you do not want it, with Part D you have to opt in.  There may be a penalty for not enrolling in a prescription plan.
HSA Options When Delaying Medicare
Delay Medicare
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If you have a job you love and choose to continue to work past the age of 65, you will delay your starting date to receive Social Security benefits.  Automatic enrollment in Medicare may not occur for you.  You will need to contact Medicare for instructions in enrolling.
Delaying enrollment in Medicare is a personal decision and requires time and research to see if you will benefit from such a delay.  Medicare enrollment affects your eligibility to continue to fund your HSA.  One requirement to fund an HSA is you cannot be covered by any other health plan that is not an HSA plan.  Medicare is not a qualified plan.  If you continue to work and stay on your employer-sponsored HSA plan and enroll in Medicare as well, you would not be able to fund your HSA for the months you are covered by Medicare.
If you do not enroll in any part of Medicare, including Part A, you are able to take advantage of continuing to fund your HSA. Nothing changes.  You can contribute up to the maximum allowed by the IRS increasing your nest egg.  You also still have the option of using the funds in your HSA for qualified medical expenses for yourself, spouse and any dependents or saving the money for use later. 
HSA Options When Enrolling in Medicare
HSA Choices
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Once you enroll in Medicare, contributions to your HSA need to be prorated based on the month you enroll in Medicare.  If you enroll in August, then you can fund the amount for 7 months of having qualified coverage.  You do not have to contribute the allowed amount by the month you enroll in Medicare.  You have the same deadline as any HSA account holder.  The deadline to fund your HSA for 2013 is April 15, 2014 or the date your file your tax return, whichever comes first.
You can pay for Medicare premiums from your HSA when you turn 65.  This does not include supplemental premiums.  If your Medicare premiums are deducted from your social security allowance, you may be able to reimburse yourself from your HSA.
These premiums for your spouse can also be paid from your HSA as long as the account holder is 65 or older.  If your spouse is enrolled in Medicare, but you as the account holder are not 65 yet, your spouse’s premiums cannot be paid from your HSA. 
If you choose to close your account when you turn 65, the balance in your account becomes taxable income to you, but there are no penalties.  But, if you choose to keep your account opened and use the funds for HSA-qualified medical expenses, the monies remain tax-free…and this is a good thing!
Relax, You’ve Earned It
So now that you’ve got all the information you need, go put on your Tony Lamas and a favorite pair of Levi’s, cook some eggs and bacon in your cast iron pan and sit back and enjoy a glass of Ste. Chappelle Chardonnay.  When the moon comes out and the stars are shining, you can climb into your flannel sheets and have sweet dreams knowing that you have made the most educated and mature decision about your healthcare dollars.
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Posted by HSA Admin at 7/17/2013 10:43:00 PM
Wednesday, July 10, 2013
HSA Funding Check Up
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Can you believe it’s already July? The 4th has come and gone and here we sit, a little over halfway through 2013!  It seems as though this year has flown by, so we thought we’d steady the ship here at our “halfway point” and shoot out a friendly reminder about funding your health savings account and all the benefits to doing so.

There are a few different scenarios and variables when it comes to funding your HSA, such as whether your policy is “single” or “family”.  Or whether you’re over 55 or not, which would allow you to make the additional $1,000 catch-up contributions.  We’ll do our best to cover the basics, but if you have a question or there’s something we didn’t cover, let us know in the comments or give us a call and we’d be glad to answer any questions you’ve got!
Year-To-Date HSA Snapshot
Let’s get started here and break down what your HSA contributions should look like at this “halfway point” if you were funding on an even, monthly basis to max out your annual contribution limit.  We’ll give you a breakdown of single vs. family coverages, in addition to the optional “catch-up” contribution you can make if you happen to be over age 55.
It’s important to keep in mind while you’re reading this, that regardless of what you’ve contributed thus far this year, there’s no reason to panic.  You can fund your HSA any way you would like, and at any time throughout the calendar year all the way up into the following year prior to filing your taxes or April 15th, whichever comes first.  You can fund it all in one lump sum, in chunks here and there, or steady even payments throughout the year.  It’s your money, your choice, and this is just a guideline and/or friendly reminder to take a look at what you’ve funded so far this year to stay on track.
Single Coverage Snapshot
Single Coverage HSA
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The standard, generic version of the health savings account is one that is tied to a single coverage (no dependents) high-deductible health plan.  As with any health savings account, there are certain deductible limits that qualify your policy to be eligible to open an HSA in the first place.  For more information on HSA-qualified plans, visit our website on HSA Deductible Requirements.
So with that out of the way, for 2013, the annual maximum contribution for a single coverage HSA is $3,250.  If you’re planning on fully funding your HSA, you’re going to want to currently be sitting at a year-to-date of $1,625. 
How did we come to this figure?  We simply took the annual maximum allowed ($3,250) and divided by 12 to get your monthly contribution amount ($270.83).  We then multiplied that by 6 to show where all of us should be at this halfway point, if we were planning on funding on a steady monthly pace.
If you’re 55 or older, you would add an additional $1,000 to the front end of that equation to account for your optional catch-up contributions, which would look like this: Take $4,250 divided by 12 to get your monthly contribution amount ($354.16). Multiply that monthly amount by 6 to get your “halfway point” and you’d arrive at $2,124.96, which is your current year-to-date if you’re staying on track.
Family Coverage Snapshot
Family Coverage HSA
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An HSA that is tied to a “family coverage” HDHP (insurance policy includes dependents) allows you to contribute significantly more money every year than the standard “single coverage” variety.  For 2013 with “family coverage”, you can contribute an annual maximum of $6,450. 
With that in mind, let’s calculate what your year-to-date should reflect, halfway through 2013.  We would take the $6,450 and divide by 12 to get your monthly contribution amount ($537.50). From there, we simply multiply that by 6 to get your projected “halfway” figure, which would be $3,225.
If you happen to be 55 or older, you’re eligible for the $1,000 “catch up” contribution, which alters those totals.  Your annual maximum increases to $7,450, so here are the figures for that scenario: 
$7,450 divided by 12 is $620.83, which is the monthly amount you would want to contribute to your HSA to stay on track to maxing out throughout the year.  $620.83 multiplied by 6, will give us our halfway point that should be reflected in your current year-to-date contribution totals if you’re planning on staying on track.  That total is $3,724.98.
Benefits to Funding Your HSA
The reason we want to point out these “halfway” figures, is because we want to be sure everyone is taking full advantage of their health savings account and all the benefits that come along with funding it. 
One of the strongest benefits is the triple tax advantage you receive when you fund your HSA.  The money is tax-free when you deposit it, which effectively reduces your taxable income.  The money is spent on HSA-qualified medical expenses tax-free, allowing you to pay for both planned and unplanned medical expenses with tax-free money throughout the year.  And lastly, remember that an HSA is literally a savings account, which means it earns interest on the balance, tax-free. 
It’s also worth highlighting here, that the HSA is a very powerful tool for retirement planning.  The unused funds you contribute to your HSA roll over year after year, allowing you to build up a significant balance in the event of a major medical expense, but also as a sort of “Medical IRA”.  Once you turn 65, you can continue to use those funds to pay for normal HSA-qualified medical expenses, your Medicare and/or Long-Term Care premiums, or you can pull the funds out altogether as supplemental retirement income to add to your nest egg. 
Please remember however, that if you decide to pull your funds out for non HSA-qualified expenses after age 65, that money is considered taxable income.  If you pull your funds out for non HSA-qualified expenses prior to age 65, those funds will be considered taxable income and you will be hit with a 20% penalty from the IRS for doing so.
Here’s a great flyer from our website you can print off & use however you want to remind you of some of the benefits to funding your health savings account. Hand it out to employees, friends & family, your clients (if you’re an agent), etc.
Don’t Stress, Contact Us with Questions
We hope we’ve provided a nice friendly reminder about funding your HSA and the benefits to doing so.  As we said above, it’s important to remember there’s no need to panic if you’re planning on taking full advantage of the maximum contribution limits, but you’re nowhere near the year-to-date averages we highlighted in this post.  You can fund your HSA however you want (as long as it’s under the annual maximum allowed) and whenever you want, all the way through calendar year 2013 and into calendar year 2014 prior to filing your income tax returns, or April 15th, whichever comes first.
If you have any questions at all about HSA funding, HSA rules and regulations, the benefits to funding your account, or even if you’d just like to sit and chat…please don’t hesitate to contact our office!  We look forward to hearing from you and walking you through whatever questions you may have, from the simple, short and sweet to the most complicated and technical scenarios.  HSAs are what we do, and we would love the opportunity to help you get the most out of your health savings account any way we can.

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Posted by HSA Admin at 7/10/2013 11:05:00 PM
Thursday, June 20, 2013
HSA Massage Rules
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When looking at HSA dollars and how to spend them, it’s important to consider how one expense can be qualified and another similar expense is not.  A good example of the grey area in the otherwise "black vs. white", "yes vs. no", "qualified vs. non-qualified expense" HSA world we live in, would be “massage”.

Massage therapy appears nowhere in the long list of eligible HSA expenses that the IRS provides.  But in certain, clearly defined circumstances it can become an eligible expense from your health savings account.  Consider the following scenario:

Sally was involved in a fender bender.  After the accident she went to her chiropractor, got an adjustment and got back to daily life.  She worked through the first few days after the wreck just fine, but after 4 days the real pain set in.  She went to her general practitioner to be examined. 

He could see that nothing was broken, but the impact of the accident had left her with a twisted muscle in her lower back.  The pain was exacerbated by Sally’s desk job.  Dr. Smith wrote Sally a prescription for two therapeutic massages, knowing they would aid her recovery. 

HSA Prescription Requirements
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Therapeutic massage/body work is similar to relaxation massage, but it is more concentrated on correcting things like strained muscles and repetitive use injuries.  Dr. Smith saw massage as a viable option for Sally, to both ease her pain and speed healing.  He knew that two visits would help get the back muscle to relax and get her back into the swing of things.  With the doctor’s prescription, Sally was able to use her HSA dollars.  She also made sure that she had a very good paper trail in the case of an audit by the IRS. 

If Sally had not gone to see Dr. Smith and instead went to a spa/massage center in her neighborhood, she could not use her HSA funds to pay for her treatment.  The doctor’s prescription is the key.  Unless a procedure is deemed medically necessary, you cannot use your HSA funds to pay for it. 

Dr. Smith made the call.  His prescription made Sally’s massage treatment a qualified HSA expense.  Sally put her prescription for two therapeutic massages into her HSA folder and matched the receipts.  She was careful not to misuse funds.  Perfect!

Navigating HSA Rules
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Massage is a great example of one of those vague and tricky areas that may or may not be an eligible HSA expense, based on a few very important factors.  The golden rule if you’re ever in doubt, is to get a prescription from your doctor for whatever medicine or procedure you’re questioning.

The moral of the story is that when you’re navigating the grey area of qualified HSA expenses, it’s always in your best interest to make sure you use your HSA funds correctly.  This isn’t always easy, so please keep in mind there are several resources to help you determine whether or not a certain expense will be deemed eligible for funds from your health savings account. 

First, you can check the official IRS position on the issue by consulting IRS Publication 502.  We know that’s a little tedious to read through, so you can easily visit our webpage on Eligible HSA Expenses and use our convenient dropdown features to help you quickly find what you’re looking for.  But if you want a quick and easy answer, you can always contact our office and we would be more than happy to answer any questions you may have on the matter. 

Let us know what you think in the comments below, and share this post with others who have health savings accounts to help them out!

Be smart and safe with your HSA and as always, we look forward to hearing from you!

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Posted by HSA Admin at 6/20/2013 7:06:00 PM
Monday, June 10, 2013

BMI OutdatedSometimes we like to change up the pace here on our company blog and write about some topics that are a little more focused on health and wellness.  For this week’s blog post, we’re going to tackle the infamous “Body Mass Index” scale, and explain what a useless and outdated formula this truly is on so many different levels.  The fact that some of today’s “experts” even recommend still using this formula to somehow calculate your level of health and fitness is truly appalling, and the quicker we can put an end to this misinformation the better.

The Body Mass Index (BMI) is defined as “a measure for human body shape based on an individual's weight and height”, according to Wikipedia.  It was devised around 1830 (yes, almost 200 years ago) and as the definition states above, only uses HEIGHT and WEIGHT to calculate your health and fitness levels, nothing more.  That being the case, let’s take a look at some very important factors it fails to consider: gender, age, body fat percentage, muscle mass, bone density, body type, activity level, diet, family history…just to name a few.

BMI Formula

I suppose it would be one thing if this old formula was just a piece of history we looked back and laughed at, but unfortunately it isn’t.  In fact, it’s recommended by none other than the U.S. Department of Health and Human Services for gauging your health to this very day.  People seeking out the government’s help because they probably have no real education in health and fitness are being told that a BMI calculator is going to tell them what they need to know.  Here’s an excerpt from our government’s official website on health and fitness:

“Finding out your body mass index (BMI) is the best way to learn if you are at a healthy weight." 

"Use this Body Mass Index (BMI) calculator to find out your BMI and what it means for you.”

So what’s the problem? 

Using BMI as the “standard” measure for gauging fitness presents a very large problem, because almost all of the individual results are completely inaccurate due to a total lack of information. The reasons for the inaccuracies typically vary by gender, and create different problems for different reasons based on those outcomes.
BMI Body Comparison
For men, the results aren’t accurate or realistic because they tend to say you’re more out of shape than you actually are.  Because it only takes height and weight into account, healthy and athletic men (due to their muscle mass) tend to register as “overweight” and/or “obese”.  Just for fun, let’s take a look at a couple examples of what the BMI considers to be “overweight” and/or “obese” men.

Lebron James

Height:  6' 8"

Weight:  250

BMI Rating:  27.9

Classification:  "Overweight"

 Lebron James

Ray Lewis

Height:  6' 1"

Weight:  240

BMI Rating:  31.1

Classification:  "Obese"

 Ray Lewis
I think we can agree that these people are well-accustomed to the inside of a gym, not to mention all the effort that goes into maintaining their rigorous diet and conditioning training.  Without question they are extremely fit and healthy individuals, which clearly illustrates the BMI has some major flaws in reporting men’s results at a bare minimum.
But what about women’s results? 
Women’s results tend to be skewed in the opposite direction, which is actually a whole lot scarier than the men’s scenario.  In an interesting twist, the BMI tends to tell women they are healthier than they really are.  In fact, a recent study revealed that 48% of women were misclassified as “normal” using the BMI, when in fact they were “overweight” and/or “obese” when formally tested by a physician. 48 percent!!
That is a frightening number, and clearly gives very inaccurate results to the people who need to be made most aware that they should make some healthier choices and start a diet and exercise program to better their health. Take a look at this excellent video clip below that illustrates exactly what we’re talking about in regards to the BMI and how it classifies women’s health:

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Because this test is strictly all about height and weight, the problems seem to stem from the old adage (not quite 1830 old…), “muscle weighs more than fat”.  Men tend to carry more muscle mass, which increases their weight on the scale, therefore increasing the likelihood of a miscategorization as “overweight” or “obese”.  Women on the other hand, tend to carry less.  In fact, the less muscle mass one carries, the worse off from a health and fitness standpoint they probably are.  So because women (and especially unhealthy women) tend to carry less, they tend to weigh less, increasing the likelihood of a miscategorization of an overweight or obese person of “normal” or “average”.
Muscle vs. Fat
The bottom line, is that the only real way to determine one’s health and fitness level (men or women) is to measure their body fat percentage, which the BMI simply doesn’t do.  As Dr. Eric Braverman stated in the video above, “BMI doesn’t tell you how much fat [or adiposity] you have.  That is the predictor of heart disease, cancer, stroke, gall bladder and fertility problems, depression, anxiety, sleep disorder, etc.”. 
The good news, is measuring your body fat percentage is relatively easy to do these days.  In addition to walking into any gym in your area and having yourself tested, you can easily get these measurements in the privacy of your own home.  Here’s a few easy ways to accomplish this:
  • Skin Fold Calipers w/ a Free Online Calculator: Skin fold calipers are inexpensive (about $3) and are very accurate in measuring your body fat percentage when done correctly.  You can use a free online calculator to do the math for you, in addition to showing you how and where to measure.
  • Biometric Impedance Analysis: This technology comes with many new bathroom scales, and can also be found in handheld devices.  It’s relatively inexpensive ($20 or so) to get your hands on, and obtains its results by sending a small electric charge through your body and back to the device.  Muscle has a much higher water content than fat, making it much more conductive to electricity.  The more resistance to the charge, the higher the body fat content.  The accuracy is spotty at times, and although it sounds new and great, it’s still not quite as reliable as the good old calipers.
  • Anthropometric Measurements: This is arguably the least accurate home method of the three, but is cheap and simple to administer.  Simply grab a cloth measuring tape and measure yourself in several gender-specific locations.  Throw those numbers into a free online calculator, and get a ballpark measurement of your body fat.  The problem with this method however, is that the body fat isn’t directly measured.  It’s an estimation at best.

With all of today’s research, technology and resources available to the general public via the internet, we really need to get away from using simple and outdated formulas like the BMI.  It “over-corrects” for men’s health and fitness levels, labeling healthy men as “overweight” and “obese”.  However, its most prevalent and fatal flaw is how it “under-corrects” for unhealthy women, giving false-negative results to overweight and obese women telling them they’re in the “normal” range.  These test results are skewed in all directions, and for far too many people.

We all know (or should know) that the number one predictor of your overall health and fitness has nothing to do with your height or your weight, and everything to do with your body fat percentage, so spread the word!  The BMI has GOT TO GO, and should immediately be replaced with educational resources leading to information and testing that is accurate and responsible for everyone regardless of age, gender, height or weight.

So let’s all ditch the BMI, grab some calipers, and get happy, healthy and fit for ourselves and for our families!

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Posted by HSA Admin at 6/10/2013 10:28:00 PM
Thursday, May 30, 2013
Image courtesy of Stuart Miles at

You have decided to jump on the consumer-driven healthcare bandwagon.  The choice was quite clear for you as you see the fantastic value in using tax-free dollars to pay for medical expenses for both yourself and your family.  It’s kind of a no-brainer.

What may not be so clear, is who to use as your HSA administrator.

You know you need to open an account, start making deposits and getting the maximum benefits out of your HSA .  You want to be able to trust that your account is being handled properly.  We can help make the choice crystal clear.

Consider the following:

How long has the company, bank, or credit union been handling HSAs? 

American Health Value has been taking care of health savings accounts and their owners since 1996.  We treat our members with respect and call many of them our friends.  Our custodian bank has assets in excess of $3 billion.  This means your money is safe.

How do I access my money?
If you are a member with us, your account is opened in your name and you can use a debit card or checks to make purchases.  Your funds are not mingled with other account holders and you have 100% percent control of your money at all times.  If you are looking at an administrator that also does FSAs and/or HRAs, your money may be pooled with other accounts.  Find out what provisions are made to ensure your money is available to you whenever you need it. 
With our online banking platform, you have 24/7 access that is simple and secure.  You can also make quick online transfers and deposits, and can take advantage of our free bill pay features!
Are my funds insured for my protection?
AHV members have the security of FDIC insurance up to the legal maximum.  Accounts are also covered by SIPC insurance.  As an added safety measure, American Health Value carries a separate professional liability policy.
What are others saying about the company and service?
Personal experience from others is the best indicator of what you can expect when dealing with an HSA Administrator.  Be sure to ask for testimonials!  We are endorsed by carriers, insurance agents, and account holders across the country, and prominently feature these testimonials on our website.
Can you talk with someone whenever you want?
Call the company you are considering and see if you can actually speak with a real person.  Is there an automated system or phone tree?  How many buttons do you have to push before you speak with someone?  Can they answer all your questions to your satisfaction?  Courteous, knowledgeable and friendly specialists are what you get when you call American Health Value.  Give us a call at 800-914-3248 and see what we mean!
American Health Value
You are someone who looks for value in everything you do, so don’t drop the ball now.  Get the best HSA Administrator out there, and give us a call at American Health Value.  We look forward to hearing from you!

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Posted by HSA Admin at 5/30/2013 11:28:00 PM
Wednesday, May 22, 2013

I rarely pass by active duty military or a Veteran in uniform without stopping to say “thank you”.  I’ve even been known to anonymously pick up the tab for a group of active duty military who may be setting at a table close to me in a restaurant.  Our military is worthy of great respect.

Occasionally I come across something that puzzles me a bit in regards to Veterans, and my blog today is about one of those puzzling moments. 

Health Savings Accounts (HSAs) were signed into law in 2003. HSAs, when coupled with a high-deductible health insurance plan, allow consumers to put money aside in a tax-deferred account to pay for current and future medical expenses. 

Each year the government sets the limit for how much can be deposited into these accounts.  For 2013 you can deposit $3,250 (or $6,450 if you have dependents on your health insurance).  You can also deposit an additional $1,000 if you are 55+.

This is true for everyone but Veterans, and this is what puzzles me.

I admit I don’t understand the logic in the legislation, but the facts are clearly laid out.  If you use VA benefits for anything other than dental, vision, or preventive care, you are ineligible to deposit money into your HSA for three months.  If you use your benefits once, you reduce your allowed deposits into your HSA by one-fourth.  Use them twice and you could be cutting your allowed HSA deposits by half. Puzzling indeed!

There is some encouraging news, however.  A Veteran recently asked me if going to the VA for a service-related injury would disqualify him for depositing into his HSA.  It was a good question and well worth running by our contact at the Treasury Department. 

According to our contact, going to the VA for a service-related injury does not disqualify you from making deposits into your HSA.  Why?  Because the VA visit is for a specific “accident” related injury.  The HSA legislation does allow for accident coverage in addition to the qualified health insurance, and this treatment falls into that category.  That news certainly made my day!

It is also heartening to know there has been legislation introduced on more than one occasion that would disregard VA benefits entirely when considering HSA deposits.  No news on this yet.  It’s comforting to know we have national heroes who protect our freedoms and our form of government so these wheels of a free republic can turn.

If you’re a Veteran or active duty military – Thank You.  Next time your meal is paid for at a restaurant remember that it’s because someone appreciates your service.  It’s a small token of a grateful heart.

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Posted by HSA Admin at 5/22/2013 10:26:00 PM
Thursday, May 16, 2013

Concierge Medicine & Your HSAConcierge medicine is defined as “a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer”.  Basically, you pay a monthly and/or annual fee to have unprecedented access to a doctor for enhanced care and services as defined under their concierge agreement.

With concierge medicine you could receive 24/7 access to a doctor, same day appointments, longer appointment times and a greater degree of personalized attention.  The doctor may still bill your insurance (or you could be responsible for this), but you will not pay any additional funds for services covered at 100% under your agreement.

The lowest cost we found for this service via an internet search was $39/month, but average concierge fees can range anywhere from $1,500 to $15,000 per year.  It appears you can go with either the Volkswagen Bug or the Bentley!  It depends what you’re looking for in your concierge care and how much you’re willing to spend.

When it comes to covering the annual fee for this service, one of the first places people consider paying from is their HSA.  However, HSA funds can only be used for qualified expenses that have already happened.  They cannot be used in anticipation of future expenses.  For this reason, a concierge fee cannot be paid from an HSA.

But hold on…..there is still a silver lining!  You can reimburse yourself for HSA-qualified medical expenses received under your concierge membership during the year.  Confused?  No problem, it’s a little complicated.  Here’s a scenario to help make things a little more clear:

  • Let’s say you paid $2,500 for your concierge membership. 

  • During that year, you used your membership for $1,000 in medical services that were HSA-qualified and were not reimbursed by insurance. 

  • If your physician provides an invoice showing the actual cost of qualified medical expenses received under your concierge agreement, you can reimburse yourself for that $1,000 from your HSA.

  • You cannot, however, reimburse yourself from your HSA for concierge services that are in excess of your annual concierge fee. 
Qualified medical expenses that are not part of your concierge services can be reimbursed from the HSA if they have not been reimbursed by insurance.

Just a friendly reminder….documentation is everything!  If you reimburse yourself for concierge services received, be sure to keep detailed records in case of an IRS audit of your HSA.

What isn't complicated to understand, is that concierge medicine certainly seems to have a growing appeal.  2012 saw a 25% increase from the previous year in private physicians providing this service!

Concierge medicine is just one more option to consider when you sit down and budget your healthcare dollars.  Some will find it to be a perfect fit in their overall healthcare planning, while others may not see a benefit for their unique situation.  In consumer-driven healthcare, having options is healthy….and after all, isn’t “healthy” where we all want to be?

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Posted by HSA Admin at 5/16/2013 11:00:00 PM
Tuesday, May 7, 2013

Finding the HSA Sweet SpotWe all know that health savings accounts can help you save money on your healthcare costs by doing great things like lowering insurance premiums, reducing your taxable income, and helping you put aside money for healthcare both before and during retirement.  But we’re here today to discuss one of the lesser-known HSA strategies; a strategy we’re calling the “HSA Sweet Spot”.

The HSA Sweet Spot is the definition of healthcare Zen.  It is unique to health savings accounts, and when you find it, can completely change your perspective on how you both spend and save your healthcare dollars.
So, what is this HSA Sweet Spot?  Its "technical" definition, is when the balance in your health savings account grows to the point at which it completely covers your annual maximum out of pocket on your high deductible insurance plan.  That was a mouthful, and it contained a fair amount of “industry jargon”, so what does that mean to the average person? 
It basically means that you’ve got enough money in your HSA to fully cover any major medical event that may come up in the future, effectively freeing you of the monetary stress that goes along with having to deal with whatever healthcare-related issues are at hand.  In short, it simply means peace of mind.  Let’s take a look at a couple functional examples to help paint this picture clearly.
In order to have an HSA, you must first have an HSA-qualified high deductible insurance policy (HDHP).  For an individual in 2013, an HSA-qualified HDHP would have a minimum deductible of $1,250 and a maximum out of pocket of $6,250.




HSA Contribution Limits *





*If insurance is effective after January 1 and you deposit the contribution limit, you must maintain your qualified insurance coverage through the end of the following calendar year to avoid possible taxes and penalties on part of your contribution.


This range of numbers relates to the amount of money you’re required to pay before your insurance kicks in.  So in the event of an emergency or catastrophic event, the minimum you’d be required to pay is $1,250 and the maximum you’d be on the hook for is $6,250.  But…how does this relate to the HSA Sweet Spot? 

Simple.  Let’s say you’ve got a $2,500 deductible, with a health savings account.  When you have a balance of $2,500 or more in your HSA, congratulations!  You’ve hit the HSA Sweet Spot.  If at this point something were to happen to you or your family (Heaven forbid), you’d be completely covered with zero liability.  You could simply write a check for your entire deductible straight from your HSA (in this case $2,500), and your insurance carrier would pick up the rest of the tab so you can focus on getting the healthcare treatment you need, without having to worry about how you’re going to pay for all of it.
Once you’ve gotten to the HSA Sweet Spot, a new world of opportunities opens up with both your health savings account and the rest of your finances.  Consider the following strategies and scenarios:
Shifting to Investments
HSA Investments
For starters, any additional money that goes in on top of your policy’s maximum out of pocket could simply be put into investments.  You’ll always be earning interest on the funds sitting in your HSA, but since you’ve got your maximum out of pocket covered for the year, you could choose to invest any additional funds to earn some extra money.  Our account holders have access to over 6,000 different stocks, bonds and mutual funds to choose from when investing their HSA dollars.
Tending to Other Financial Needs 
HSA Freedom
Is money a little tight these days?  We’re all aware that today’s economy isn’t the greatest.  But remember, you’ve already got your healthcare bills covered for the entire year (if you even need it), so you may want to think about spending some of the funds that would’ve gone into your HSA on something else.  Groceries, college funds, home improvements, or whatever comes up.  Although it’s a great strategy to sock away the annual maximum contribution ($3,250 for an individual in 2013) to reduce your tax liability, you may simply just need to use those funds elsewhere, and you have the freedom to do that with your potential healthcare costs totally covered.
"Deductible Walking" 101
HSA Deductible Walking
 Ok, we’ve saved the best for last.  Have you ever heard of “deductible walking”?  No?  We’re not surprised, we’re pretty sure we just coined the term.  This one’s more of a long-term strategy, but bear with us here and you could save some serious money over time.  Let’s say you’ve got a $2,500 deductible, as we’ve used as a previous example. With that $2,500 deductible, let’s say your monthly premiums on your HDHP are $250.  You’ve got more than $2,500 saved away in your HSA, so your potential healthcare costs are covered…  Here’s where it gets creative.
Next year when you’re looking to renew your insurance policy, think about bumping up your deductible and maximum out of pocket.  This will lower your monthly HDHP premiums (saving you money) and all you need to do is bump up the balance in your HSA to match the new maximum out of pocket.  You could even use the savings in premiums to do it!  Once you’ve done that, you’re back to your HSA Sweet Spot with your new HDHP, and you’re saving money every single month on the premiums.  Take a look at the chart below to see a visual example of what we mean:


"Deductible Walking" - 2013 vs. 2014

2013 Figures

2014 Figures

Monthly Premium
Monthly Premium
$100 (Deposit to HSA)


“Walk” up your deductible and “walk” down your premiums each year, and you’ll be building a bigger balance in your HSA while simultaneously saving money on premiums every time you renew your policy (all while being fully covered in the event of a large healthcare event).  You can increase your deductible all the way up to the indexed annual maximum (for an individual in 2013, that would be $6,250) to save the most money you possibly can on your premiums and subsequently use those savings to max out your HSA each year, effectively reducing your tax liability, and saving for retirement and future healthcare expenses.  It’s a bit of a long-term, advanced HSA strategy but it’s definitely a win-win!
Contact Us with Questions
That’s it for our summary of the HSA Sweet Spot, but as always, please reach out and contact us if you have any questions!  Some of these topics can get a little convoluted, and as much as we try to steer clear of industry jargon we understand sometimes all these acronyms can make your eyes glaze over.  Luckily HSAs are the only thing we focus on, so we eat, sleep and breathe them.  We’re always happy to answer any questions anyone may have.  Until next time, have a wonderful day!

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Posted by HSA Admin at 5/7/2013 4:33:00 PM
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