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Thursday, October 29, 2026Oct 29

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Is it worth your time and money to set up an HSA?

Health savings accounts can be an administrative headache — but might save you money in the long run. (Emily Siner/Nashville Public Radio)
Health savings accounts can be an administrative headache — but might save you money in the long run. (Emily Siner/Nashville Public Radio) Health savings accounts can be an administrative headache — but might save you money in the long run. (Emily Siner/Nashville Public Radio)

When Mike McKee thinks about saving money for the future, he has a few priorities. Maxing out his retirement is one. Building up his kid’s college fund is another.

Opening up a health savings account? Not so much, even though he qualifies because of his high-deductible health plan.

“I’m so frustrated with the system that has anything to do with medical savings,” said McKee, 42, a self-employed musician in Nashville. “I’m just so turned off emotionally that I have to be really careful to be logical about it.”

More Americans are eligible to open an HSA — a kind of tax-free savings account that lets them sock away money for medical expenses — after changes that were part of new legislation last year. But an HSA can be a headache to set up and navigate.

Here’s what to know about how they work and when they’re worth it.