An HSA makes a lot of sense for someone young and generally healthy. You spend a small amount each month for an insurance plan with a high deductible that covers catastrophic care, then a bit more each month goes into a savings account and you draw from that account for routine care. You'll still spend $40 every time you go to your doctor (really? Just $40? Our doctors pretty much start at $100 a visit. Or are you talking about a co-pay? With the HSA you'll pay the full price of the visit from your account, not a smaller co-pay for visits, because the insurance plan you're paying for doesn't cover these things). With the HSA, you don't have to "use it or lose it" each year. The money in the account is your own and any unused amount rolls over to the next year.
The only thing I'd worry about is the possible asthma. HSA's are great, as I said, for the young and generally healthy. But they suck for people with chronic conditions that need regular care. If your asthma is mild (as it sounds like it is), it's probably not an issue, but it's something to think about.



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