The HSA: More Than a Medical Checking Account

Insights That Drive Better Decisions

Stay ahead with expert perspectives on markets, risk, and opportunity, grounded in a disciplined approach to long-term wealth management.

Many people open a health savings account because their employer set one up. In Corey’s experience, they then use the debit card when a medical bill arrives and treat it like a checking account.

On the latest episode of Dime After Dime, host Tony Stich sits down with Corey Grant to talk about what an HSA can be when it’s treated less like a checking account and more like part of a long-term plan. Tony shares his own early experience with one, and the two cover a range of common questions about HSAs.

Why So Many HSAs Sit Untouched

Corey shares what he’s seen in how people tend to use these accounts and offers a few theories on why. They range from what an employer happens to offer, to account minimums, to the simple habit of thinking of the account like a checkbook. Tony adds a story about what he did when he first opened his own, before he’d done the research.

Then comes the question Tony asks Corey to explain “like I’m five”: what does the phrase “triple tax advantage” actually mean, and how is it different from the tax treatment of a 401(k), a traditional IRA, or a Roth? Corey walks through the comparison in plain English.

Eligibility, Mechanics, and a Receipts Strategy

Tony guesses that half the audience assumes they aren’t eligible, and the two discuss who is, along with the hesitation many people feel about high-deductible health plans. Corey explains why he personally chose one, and Tony shares his perspective. They also cover how employer contributions factor in, what happens if someone contributes too much, and how the annual contribution limit comes into play.

Corey then lays out an approach built around keeping receipts, and Tony describes how he uses it himself. The two get into the day-to-day mechanics, how to think about investing inside the account, and what happens to it at a certain age. There’s even a moment where they discover a benefit neither had put a name on before.

Portability, Beneficiaries, and Where It Ranks

A common misconception online is that an HSA disappears when you change jobs. Corey sets the record straight and explains how the account compares to a flexible spending account. They also cover what happens to the account for a spouse or other beneficiary, and when an HSA may not be the right fit.

Tony saves a pair of questions for the end. He asks Corey to rank the HSA against a 401(k) and a backdoor Roth IRA, and then asks what one step a listener with an HSA should take this week. Corey’s answer to the second one involves a number he looks up on the spot.

On the latest episode of Dime After Dime, host Tony Stich and Corey Grant explain the triple tax advantage, how a receipts strategy works, and what to know about HSA eligibility, portability, and beneficiaries.

Watch or listen to the full conversation on the Dime After Dime YouTube channel, Apple Podcasts, or Spotify.

Moran Wealth Management LLC is an SEC registered investment adviser. Registration as an investment adviser does not imply a certain level of skill or training. The publication of Moran Wealth Management’s videos and commentary should not be considered by any consumer or prospective client as a solicitation or attempt to effect transactions in securities or the rendering of personalized investment advice. A copy of Moran Wealth Management’s current written disclosure statement as set forth on Form ADV discussing Moran Wealth Management’s business operations, services, and fees is available upon written request or at adviserinfo.sec.gov.

© 2026 Moran Wealth Management. All Rights Reserved.

This commentary is for informational purposes only and does not constitute investment advice, a recommendation, or an offer or solicitation to buy or sell any securities. The views expressed are those of the author(s) as of the date of publication and are subject to change without notice. Past performance is not indicative of future results.

This material may have been prepared using data and analysis from a variety of sources, including but not limited to: Bloomberg, FactSet, Morningstar, S&P Global, Moody’s, Refinitiv, Capital IQ, CRSP, FRED, IMF, World Bank, OECD, and other third-party research providers. Additionally, portions of this content may have been generated or reviewed with the assistance of artificial intelligence tools, including OpenAI’s large language models or similar technologies. While we believe these sources to be reliable, we do not guarantee their accuracy or completeness.

Alternative Investments (e.g., private equity, hedge funds, real estate) are speculative, illiquid, and carry high risk, including potential loss of principal. They are not suitable for all investors. Diversification does not guarantee profit. Consult your advisor regarding suitability.

Moran Wealth Management is a registered investment adviser with the U.S. Securities and Exchange Commission (SEC). Registration does not imply a certain level of skill or training. For more information about our services, fees, and potential conflicts of interest, please refer to our Form ADV Part 2A, available upon request.

© 2026 Moran Wealth Management. All Rights Reserved.

Insights That Drive Better Decisions

Stay ahead with expert perspectives on markets, risk, and opportunity, grounded in a disciplined approach to long-term wealth management.

Stay Informed with Our Latest Insights

Stay ahead with timely insights and expert commentary from Moran Wealth Management®.