What is a Self-Directed HSA?
A Self-Directed HSA (health savings account) is a tax-protected account in which you can invest your HSA funds in a wider variety of assets. Although you can use a Self-Directed HSA for long-term saving, you can also use earnings tax-free when they apply to qualified medical expenses. This makes the HSA, particularly when self-directed, one …

A Self-Directed HSA (health savings account) is a tax-protected account in which you can invest your HSA funds in a wider variety of assets. Although you can use a Self-Directed HSA for long-term saving, you can also use earnings tax-free when they apply to qualified medical expenses. This makes the HSA, particularly when self-directed, one of the best tax vehicles for exercising some flexibility in your finances.
The Advantages of a Self-Directed HSA
A Self-Directed HSA gives you more control over how your health savings grow. Unlike traditional HSAs, which often limit you to basic investment options, a Self-Directed HSA lets you invest in a broader range of assets. That means you can put your money into real estate, private lending, or other alternative investments. And you can do so while maintaining the tax advantages of a traditional HSA.
One of the biggest benefits is the ability to claim a tax deduction for contributions, even if you don’t itemize deductions on your tax return. If your employer contributes to your HSA? Those funds aren’t included in your taxable income, giving you even more tax savings. Over time, your contributions stay in the account, rolling over year after year, which allows your savings to grow without the pressure of a use-it-or-lose-it deadline.
Tax-Free Growth and Qualified Withdrawals
Because a Self-Directed HSA offers tax-free growth, it functions like a retirement account…with the additional flexibility of covering medical expenses in the here and now. That adds some convenience that retirement accounts don’t have. Any interest or earnings in your investments aren’t subject to taxes as they are in a personal investing account, allowing your account balance to compound over time. If you use the funds for qualified medical expenses, those withdrawals remain tax-free, making an HSA one of the most flexible savings vehicles available.
Even if you don’t need to tap into your HSA right away, keeping funds invested long-term can provide security for future healthcare costs. Many people use an HSA to prepare for expenses in retirement, covering things like Medicare premiums, long-term care, and out-of-pocket medical bills. Since the account stays with you no matter where you work, you won’t lose access to your savings if you switch jobs or leave the workforce.
Maximizing the Flexibility of a Self-Directed HSA
A Self-Directed HSA works best when you use it strategically. Really think about how you want the account to function. Because you have a wider variety of investment choices, you can tailor your account to fit your financial goals. Some investors prefer steady, low-risk assets like secured notes or real estate-backed loans, while others may seek higher returns through private business lending.
While an HSA provides tax advantages, the IRS still enforces rules on qualified expenses. It’s not as if you can use an HSA for any old expense—and while food might be medicine in some cases, you can’t use an HSA to pay for groceries. That’s just one example.
Overall, many personal finance gurus recommend maxing out an HSA if you can because it offers so much flexibility. After all, we’re all going to incur some medical expenses. But if you have a tax-protected account that grows your wealth while giving you the flexibility to deal with those expenses in the here and now, you’re essentially going to have another “moat” protecting your personal finances. And that keeps you feeling better about your whole life, which means you’ll sleep better at night knowing you have that kind of protection built into your financial strategy.
Interested in learning more? Reach out to us here by dialing 866-7500-IRA.
Get 15 minutes of free expert advice.
If you're not sure whether a self-directed IRA is right for you, schedule a 15-minute call with our industry veteran team. We'll explain the possibilities, help you evaluate your options, and answer all your questions - no pressure, no obligations.