Episode 51 of Retirement Tax Matters addresses how high-net-worth retirees in the $2M to $8M range should evaluate managing a six-figure Health Savings Account during retirement. Garrett Crawford, CFP® professional and Adam Reed break down the trade-off between saving an HSA for late-in-life tax-free compounding versus spending those funds earlier to pay qualified health expenses. The conversation examines the administrative hassle of maintaining decades of medical receipts, highlighting why trying to over-optimize account mechanics into your 80s can create unnecessary friction for adult children and healthcare powers of attorney.

We have developed a 5-step framework for what tax planning looks like for High-Net-Worth Retirees between $2M-$8M. It walks you through each season of the calendar year and how we implement tax-return driven financial planning for clients. Request a free resource using this link: https://www.retirementtaxmatters.com/checklist

00:00 Introduction to HSAs in Retirement Planning
01:18 The Shoebox Method vs. Return on Hassle
07:08 Integrating HSAs with Long-Term Care Planning
13:28 IRS Limits for HSA Long-Term Care Premium Payments
15:35 Rules and Pitfalls of Inheriting an HSA
18:20 Itemized Medical Deductions (7.5% AGI) vs. Saving Your HSA

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