HSAs can be a smart choice for many people—including those who rarely use their insurance, those who use it often, and even those in between. Low utilizers benefit from lower premiums and tax savings, while high utilizers can still save overall by paying for care with pre-tax dollars. Even medium utilizers often come out ahead when factoring in premium and tax savings. The key is to compare your options and be open to shopping for care when it makes sense.

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