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Elective Medical Procedures Whereas in Debt

That is my second yr with a Well being Financial savings Account. Final yr we solely had routine physician’s appointments, and I had banked a good sum of money into the HSA. Our household out-of-pocket-max is $7,000 in order that’s the quantity I make investments.

This yr, and one other $7,000 being invested, I knew I wished to make the leap on a few elective medical procedures I’d been interested by for fairly a while.

Why now? HSA vs FSA

For the primary a number of years at my job (the place I began work in 2015), I had a Flex Spending Account. The explanation I’d opted for an FSA initially is that it allowed for extra protection with our insurance coverage (decrease deductible). That was essential to me on the time, on condition that a few of our medical bills had been variable and sudden (helloooooo, kidney stones!)

The massive down-side to an FSA is that the funds are use-it-or-lose it. In consequence, I’d contribute much less cash yearly because it didn’t roll over from yr to yr. The “professional” for each FSAs and HSAs is that the cash is deducted from my paycheck pre-tax, which is a pleasant tax benefit.

I switched to an HSA after monitoring medical bills for a number of years (so now they’re extra predictable!). Additionally, being in a relationship with my now-husband helped as a result of I had extra stability by way of earnings and dwelling bills, and many others.

The down-side of an HSA is that you need to use a excessive deductible plan and also you pay for many medical care 100% out-of-pocket till your deductible is met. That’s why I’ve chosen to speculate our out-of-pocket max ($7,000/yearly) so we’ve got a pleasant buffer just-in-case of catastrophic occasion. That stated, we’re now into yr 2 and haven’t hit our deductible, even with my routine specialist visits (as a consequence of persistent kidney stones I see a urologist and nephrologist each 6 months). We’ve a pleasant little stockpile of cash rising in our HSA.

Lengthy-term, the plan is to speculate that cash and watch it develop. Will probably be there for any medical bills and, ideally, will develop to a considerable quantity to assist us in retirement with medical bills. However on the short-term, I’ve had a pair elective medical procedures I’ve been actually itching to get taken care of. Since we had the cash sitting in our HSA both approach – why wait?! I dubbed 2022 the “Yr of Elective Procedures.”

Elective Medical Procedures

Massive caveat – you may NOT use HSA funds for elective beauty surgical procedure. My elective procedures don’t fall into that class.


The primary process I had accomplished early this summer time – I acquired LASIK eye surgical procedure! I used to be very nervous about this process, however had been eager to get it executed for years. As I watched our HSA funds rising, I knew I wished among the cash to go towards my imaginative and prescient. I wouldn’t have imaginative and prescient insurance coverage and was paying out-of-pocket for annual eye exams, contact lenses, and glasses. I used to be spending roughly $1200-1500/yr for eye bills. My LASIK surgical procedure value $3700 and I used to be in a position to pay for it totally out of my HSA. It value me nothing from my common paycheck/checking/financial savings and I determine it is going to pay for itself in 3 years’ time! Cash effectively spent and it’s been priceless to have the ability to get up and immediately SEE!


The second process is definitely occurring later immediately. I’m having a bilateral tubal with salpingectomy. In layman’s phrases, I’m having my fallopian tubes eliminated. This process is one-part elective and one-part medical necessity. The dialog began with my physician as a result of I need to have a hormone-free everlasting contraception. I don’t want any gadgets implanted in me and I can not danger a being pregnant. Resulting from my well being background, a being pregnant may very well be deadly (I had HELLP syndrome with my twins and am at elevated danger of recurring HELLP syndrome if I had been to get pregnant once more). I don’t need to take any possibilities.

In chatting with my physician, it was really useful that I’ve my tubes eliminated as a consequence of a household historical past of ovarian most cancers, which originated within the fallopian tubes. By eradicating my tubes, I get the everlasting hormone-free contraception I desired, and in addition decrease my dangers of ovarian most cancers down the street.

This was a tricky and private determination for me and I don’t actually need to speak politics or debate totally different contraception choices. Should you vehemently disagree with my alternative, that’s your proper. However this was your best option for me and my household. That stated, I didn’t make the choice calmly. I’m afraid of going underneath basic anesthesia. I really had this appointment scheduled for November 2021 and cancelled after I acquired chilly toes. It’s occurring this time although. In case you are a praying sort, I recognize any prayers (or good vibes, effectively needs, and many others.). I’ll be going underneath the knife at roughly 3pm Arizona time immediately! I’ve been assured it’s a fast and simple surgical procedure (as simple as main stomach surgical procedure will be), however I’m an enormous scaredy cat so I nonetheless have nervousness in regards to the process.


Jury continues to be out about how a lot the salpingectomy goes to set me again. Google tells me that they value roughly $11,000 and my insurance coverage has me paying 10% copay, approx. $1,100. However the U.S. well being care system is fairly messy, in my view. It’s been actually powerful to get precise prices. My physician’s workplace says this process is 100% coated (identical to my contraception drugs are 100% coated by insurance coverage). However I’d be shocked and amazed if I didn’t obtain some sort of invoice afterward. I obtained a invoice from the surgical procedure heart for $350 and have already paid it. Mainly – I don’t actually know what to anticipate by way of value, however I’ve little doubt that I’ve acquired sufficient in our HSA to cowl it, no matter it could be.


Is it controversial to be paying for elective medical procedures whereas nonetheless within the depths of debt-payoff? IDK. To me, I’d nonetheless be investing the identical quantity in my HSA no matter whether or not I had these medical procedures or not. I really feel like I would as effectively be caring for my medical wants – in any case, that’s what the cash is for!

As I stated, I do have a long-term plan to let this cash develop, make investments it throughout the HSA, and have it assist as a buffer all through retirement. However for now….why not use it if I’ve acquired it? Particularly because it doesn’t impression any of my take-home pay.


What are your ideas? Would you be open to finishing elective medical procedures whereas nonetheless deep in debt?

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