Getting Started with Your First HSA
Just enrolled in an HDHP? Your HSA is confusing at first - eligible expenses, contribution limits, reimbursement rules. We'll help you figure it out.
Sound familiar?
Overwhelmed by HSA rules and what qualifies
Not sure when to use HSA vs. pay out-of-pocket
Afraid of making mistakes that trigger IRS penalties
Don't know where to start tracking expenses
How HSA Trackr helps
Clear, plain-English guidance on what's HSA-eligible
Start with a simple system - just snap receipt photos
Learn the shoebox strategy to maximize your HSA over time
No penalties for using our tracker - we just help you organize
Learn the Shoebox Strategy for First-Time HSA Users
Pay out-of-pocket, invest your HSA, reimburse yourself years later tax-free. See how first-time hsa users are using this strategy to turn medical expenses into long-term wealth.
Read the full guideCommon HSA expenses for first-time hsa users
Doctor Visits
$20–$300 per visit (varies by type and insurance)
Prescription Medications
Varies widely - $5–$500+ per prescription
Over-the-Counter Medications
$5–$30 per item
Dental Cleaning
$75–$200 per cleaning
Eye Exam
$50–$250 per exam
First Aid Supplies
$5–$50 per item
Urgent Care
$100–$300 per visit
Annual Physical
$0–$250 (often covered by insurance)
Frequently Asked Questions
What is an HSA and how does it work?
A Health Savings Account (HSA) is a tax-advantaged account for medical expenses. You contribute pre-tax dollars, the money grows tax-free, and withdrawals for qualified medical expenses are tax-free. It's like a retirement account specifically for healthcare.
What's the difference between an HSA and FSA?
HSAs roll over forever and are yours even if you change jobs. FSAs are 'use it or lose it' - most funds expire at year-end. HSAs also have higher contribution limits and can be invested for long-term growth.
What happens if I use HSA funds for non-medical expenses?
Before age 65, you'll pay income tax plus a 20% penalty on non-qualified withdrawals. After 65, the penalty goes away (but you still pay income tax). This is why tracking eligible expenses matters.
Do I have to use my HSA right away?
No. Many people pay out-of-pocket and let their HSA grow. You can reimburse yourself later - even years later - as long as the expense occurred after you opened your HSA. This is the 'shoebox strategy.'
How much should I contribute to my HSA?
If you can afford it, max it out. In 2024, that's $4,150 (individual) or $8,300 (family). At minimum, contribute enough to cover your expected medical expenses. Every dollar you contribute reduces your taxable income.
Start tracking your HSA today
Join thousands of first-time hsa users who use HSA Trackr to organize medical expenses. Free forever, no credit card required.
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