What is an HSA?
A health savings account is a specialized type of account designed to help people save money and pay for qualified healthcare expenses in a tax-advantaged way.
It's important to mention that an HSA is a different type of account from a flexible spending account (FSA). FSAs are designed primarily to budget for current-year healthcare expenses. On the other hand, HSAs are a more flexible type of account, but they have stricter requirements for opening one.
How to open an HSA
Often, employers will offer the ability to open and contribute to HSAs for employees enrolled in qualifying healthcare plans (more on that in a bit).
In this case, contributions work similarly to a 401(k): Your HSA contributions are deducted from your paycheck, and the money will be excluded from your taxable income.
If your employer doesn't offer an HSA directly, you may be able to open a health savings account on your own. To name just a couple of examples, Fidelity offers HSAs (and excellent educational resources and guidance), and an institution called HSA Bank specializes in opening these accounts.