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I am way overthinking this.

Instead of taking a distribution from our HSA to reimburse our medical expenses, I could leave it in there and pay 25 bps in expenses for an S&P 500 index fund, but be able to use any gains tax free for future medical expenses (or have it taxed as normal income once I'm 65).

OR

I can go ahead and take the distribution and invest it in a taxable brokerage account with an S&P 500 index ETF at 4 bps.

The answer is obvious, right?


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