But what should consumers watch out for? Are there good HSAs and bad HSAs?

The answer is ?not really.? All HSAs are made to be quite similar, by federal law. They must conform to the national standards.

However, there are some subtlies that differentiate HSAs as, not good or bad, but maybe good and better.

The first thing to ask about an HSA is about the fees that the HSA custodian charges. Find out all the fees, including setup fee and annual fees. It is reasonable to pay a small setup fee ($25 or more) but I would not expect an annual fee to be charged.

Your next question should be directed towards the investment options. Many HSAs offer only a ?money market? type of account. This is really not desirable. The best option for investing your HSA money (which could become quite substantial if you do not use it up year-after-year) is in a low-risk mutual fund. My suggestion is to invest the HSA money in a government bond fund or a corporate bond fund. These funds often make more than 5% gains in a year, but they do not suffer the dramatic ups and downs of stock mutual funds.

You do not want an HSA to be jumping up and down in value, because it might not be there when you really need it. And you never know when that will be.

You might also want to compare your comfort level between a local insurance agent versus an HSA Website. For me personally, I prefer a local agent who I can talk to and see in her office. An HSA Website makes me a little nervous. I probably wouldn?t put my money into an Internet bank for the same reason.

Health Savings Accounts (HSA) are here to stay, and they are going to change healthcare as we know it. Be part of the future! HSAs are available today!