HSA FAQs

No. Use of the HSA Advance fund has no tax implications. At year end, you will receive Form 5498-SA showing the amount contributed to your HSA during the year. If you have questions, contact your tax preparer or visit IRS.gov for tax preparation resources.

Your HSA Advance repayment balance is automatically repaid as your payroll deductions and employer contributions are applied to your HSA until the advance is paid in full.

You can access HSA Advance details any time using the Accounts Page in your Member Account. It will tell you your Total Available Balance, which will include what is in your HSA currently plus any unused funds from HSA Advance. It will also show you a breakdown of your different accounts, including the Advance Balance, which is the amount available in your HSA Advance fund.

On the Account Activity page, you can select to view activity for your HSA or your HSA Advance account. There, you can see all transfers that have been made, and if you have an outstanding HSA Advance balance that needs to be repaid.

If your employer allows for HSA Advance, it is included with your HSA automatically; there is no option to opt out. If you don’t wish to use this feature, be sure to carefully monitor your HSA cash balance using the Surency mobile app or online Member Account to ensure that payments do not exceed your balance.

No. Unlike a bank overdraft advance, HSA Advance does not accrue interest, and you do not pay any additional fees if you access funds in the account.

Your HSA Advance funds will be available for eligible expenses according to your employer's policy. Typically, they will be available on the first day of your Plan Year.

If you make a payment for an eligible expense using your Benefits Card or through your Member Account, and you do not have enough funds in your HSA or investment account(s) to cover the expense, HSA Advance will automatically advance funds, up to your advance limit, at the point of payment.

Likewise, if you pay for an eligible expense with personal funds and request reimbursement from your HSA, funds will be advanced at the time of reimbursement. The amount available will be determined based upon your annual contribution amount, and your employer’s policy regarding this benefit.

NOTE: You must use your HSA available balance, as well as funds in your HSA investment account, before HSA Advance funds are applied to the expense.

No. If your employer allows HSA Advance, it is included automatically as part of your HSA. You will see your available HSA Advance funds in your online Member Account.

HSA Advance is a special feature of certain Health Savings Accounts (HSAs) if your employer’s policy allows it. HSA Advance allows you to access future HSA funds upfront, before they have been contributed. For example, if you have claims that are greater than the balance of your HSA Account (including investment account(s)), you can access HSA Advance funds to help cover the cost. It works similar to a bank’s overdraft protection but doesn’t accrue interest or require additional fees. The amount available in the HSA Advance fund is determined based upon your annual contribution amount and your employer’s policy regarding this benefit.

If you are covered by a traditional, general-purpose FSA or HRA, you are not eligible to contribute to a health savings account (HSA). Below we discuss the impact of the Grace Period and carryover on the HSA’s eligibility. 

Grace Period Impact on HSA Eligibility: A participant with a general-purpose FSA that contains a grace period and has a year-end balance is ineligible for HSA contributions until the first calendar month after the grace period ends. The same is true for the participant’s spouse, if the spouse’s medical expenses are eligible for reimbursement from the general-purpose Health Care FSA.  

Carryover Impact on HSA Eligibility: The adverse effect of members not being able to enroll in an HSA if they have funds remaining at the end of the Plan Year can be avoided if the plan allows employees to decline or waive their carryovers prior to the beginning of the next Plan Year. An employee who declines or waives a general-purpose Health Care FSA carryover under the plan's terms may contribute to an HSA during the next Plan Year if he or she is otherwise HSA-eligible. Another way that employers can help employees avoid the adverse effect on HSA eligibility of a general-purpose Health Care FSA carryover is to amend their cafeteria plans to allow or require that the unused amounts be carried over to any of the following HSA-compatible Health Care FSAs (i.e. a limited-purpose FSA).

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Choose your Surency account type below to log in and access your account. Reimbursement accounts include FSA, DC FSA, LP FSA, HSA, HRA, Commuter, LSA, QSEHRA, Adoption Assistance, Travel Benefits, Direct Billing and Premium Only Plans.

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