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HSA vs. PPO Healthcare Cost Comparison Calculator

Compare HDHP with an HSA versus a traditional PPO health insurance plan, factoring in premiums, deductibles, employer seed contributions, and triple-tax savings.

Calculated Results

Recommended Optimal Choice
HDHP + HSA Saves $1,768/year
Total net annual healthcare cost is significantly lower with HDHP
Total HDHP Net Annual Cost
$2,832.00
Total PPO Net Annual Cost
$4,600.00
Annual Payroll Premium Difference
$2,400.00 saved in HDHP
HSA Triple-Tax Advantage Savings
$528.00
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Frequently Asked Questions

When is an HDHP with an HSA better than a PPO?

An HDHP with an HSA is typically superior in two scenarios: (1) low medical users who rarely visit the doctor and profit from lower monthly payroll premiums, and (2) high earners who leverage the triple-tax-advantaged HSA as a secondary long-term retirement investment account.

What is the triple-tax advantage of an HSA?

An HSA provides: (1) 100% tax-deductible pre-tax payroll contributions, (2) 100% tax-free investment growth and dividends over time, and (3) 100% tax-free withdrawals when used for qualified medical expenses at any age.

What does employer HSA seed money mean?

Many US employers incentivize employees to select HDHPs by depositing $500 to $1,500 of free cash directly into the employee's HSA account on January 1st, effectively lowering your real annual deductible.

Do HSA funds expire at the end of the year?

No. Unlike a Flexible Spending Account (FSA) which has a 'use-it-or-lose-it' annual deadline, HSA funds belong to you forever, roll over year after year indefinitely, and remain with you even if you change employers.