FAQs >Health Savings Accounts >Why should I consider getting an... Why should I consider getting an HSA? You may save money in the short and long term by: Deducting 100% of your HSA contributions from your taxable income Having the money in your HSA accrue interest and/or gains on a tax-free basis Paying no penalties or taxes when you use your HSA to pay for qualified medical expenses Having a high-deductible HSA-compatible health insurance plan, which typically has a lower premium than a plan with a lower deductible Note: Some HSAs charge a small monthly maintenance fee.