The two articles entitled Qualifying for a Health Savings Account Can Save Money and How Can a Health Savings Account Reduce Medical Costs and Taxes? addressed the following questions:

• What is a health savings account (HSA)?
• Who qualifies to set up an HSA?
• What are the features of an HSA?
• What are the features of a high-deductible health plan (HDHP)?
• How can an HSA reduce medical costs and taxes?

The article HSAs Can Reduce Medical Costs and Taxes – A Practical Example examined some possible scenarios in which an HSA can help save medical costs and taxes. But how should the funds in an HSA be handled in order to receive favorable tax treatment?

Getting Started With a Health Savings Account

According to IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, an HSA must be set up with a trustee. A qualified HSA trustee may be a bank, an insurance company, or anyone approved by the IRS. In some cases, the trustee may be provided through the health insurance company, but in other cases the policy holder must set up the account with the trustee himself.

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