Should I Do a Roth Conversion If I Have a Large Health Savings Account (HSA)?

You did something most people never do.

You actually left money in your HSA.

Instead of spending every contribution as medical bills came in, you let the account build.

Now you’re approaching retirement with:

• $1.2 million in a traditional IRA or 401(k)
• $100,000 or more in an HSA
• Outside savings
• Social Security ahead of you
• Medicare coming

And you’re considering Roth conversions.

That’s when a bigger question appears:

“Which account should actually pay for what in retirement?”

That’s a much better question than simply asking whether an HSA is “better” than a Roth.

They aren’t the same account.

They don’t have the same rules.

And they don’t need to do the same job.

A large HSA can become part of the retirement tax strategy while your traditional IRA, Roth IRA, and cash each play different roles.

Quick Answer: Does Having an HSA Change Whether You Should Do a Roth Conversion?

It can change the broader retirement analysis.

Having an HSA doesn’t prevent an eligible Roth conversion.

But if you’ve accumulated a meaningful HSA balance, I want to know about it before modeling your retirement.

Why?

Because your accounts may have very different tax characteristics.

You might have:

• Traditional IRA money that can create taxable income when distributed
• Roth IRA money that may provide qualified tax-free distributions
• HSA money that may provide tax-free distributions for qualified medical expenses
• Taxable savings that can provide liquidity

That’s not four piles of identical money.

The HSA Can Be One of Your Most Specialized Retirement Accounts

An HSA has a specific advantage when its rules are satisfied.

Qualified medical expenses can generally be paid with tax-free HSA distributions.

That makes the HSA potentially valuable for a category of retirement spending almost everyone eventually faces:

Healthcare.

And healthcare isn’t some tiny side expense in retirement.

You may eventually face:

• Medicare premiums
• Prescription costs
• Dental expenses
• Vision expenses
• Hearing expenses
• Deductibles
• Copays
• Other qualified medical expenses

The exact HSA eligibility of an expense should always be confirmed under current rules.

Why This Matters for Roth Conversions

Suppose you have a large traditional IRA.

Without planning, future medical expenses may eventually be funded through taxable retirement-account withdrawals.

But if you also have a funded HSA, some qualifying healthcare expenses may potentially be addressed from that account instead.

Meanwhile, Roth assets can potentially be preserved for other retirement spending, flexibility, or legacy goals.

Now the retirement isn’t relying on one account for every expense.

Example: $1.5 Million IRA and $125,000 HSA

Imagine you’re 61 and married.

You have:

• $1.5 million traditional IRA and 401(k)
• $125,000 HSA
• $300,000 cash and taxable investments
• No pension
• Social Security planned later
• Medicare beginning in several years

Your HSA has become large enough that it’s no longer just a checking account for doctor visits.

It’s a meaningful retirement asset.

At the same time, your traditional retirement balance is large enough that future RMDs deserve attention.

So instead of asking:

“Should I spend the HSA or leave it alone?”

I want to ask:

“How should the HSA, traditional IRA, Roth, and outside cash work together over the next 30 years?”

Your Traditional IRA and HSA Have Very Different Jobs

A traditional IRA generally postpones taxation rather than permanently eliminating it.

Taxable distributions are generally included in income.

Applicable RMD rules can eventually require distributions.

An HSA can provide tax-free distributions for qualified medical expenses when applicable requirements are met.

And unlike a traditional IRA, an HSA isn’t subject to the same lifetime RMD structure.

That difference can matter when you’re deciding which account you want to shrink and which account you may want to preserve.

Should You Convert Your HSA to a Roth?

This question comes up because people hear “tax-free” and assume the accounts are interchangeable.

They’re not.

An HSA isn’t simply another traditional IRA waiting to be Roth converted.

Roth conversion rules apply to eligible retirement accounts under applicable law.

Your HSA has its own distribution and tax rules.

The strategy is generally about coordinating the HSA with the Roth conversion, not treating the HSA itself like a traditional IRA conversion candidate.

Should You Use HSA Money to Pay Roth Conversion Taxes?

This deserves caution.

The HSA’s strongest federal tax treatment generally comes when distributions are used for qualified medical expenses.

A distribution used for something else can create a different tax result.

Before age 65, a nonqualified distribution may also be subject to an additional federal tax unless an exception applies.

After age 65, the additional tax treatment changes, but a nonqualified distribution can still be taxable.

Using a tax-advantaged healthcare account to pay an unrelated tax bill may give up one of the reasons you accumulated the HSA in the first place.

Outside Cash May Have a Different Job

Suppose you have:

• $100,000 HSA
• $250,000 cash and taxable investments
• $1.2 million traditional IRA

And you want to convert $100,000.

Maybe outside cash is available to address the conversion tax.

Maybe the HSA remains available for qualified medical expenses.

Maybe that division of labor creates a stronger projected result.

Maybe it doesn’t.

But that’s the comparison I want to make before touching the HSA for a nonmedical expense.

What Happens to the HSA When Medicare Starts?

Medicare creates an important transition for HSA owners.

Once you’re enrolled in Medicare, you generally can no longer make HSA contributions.

That doesn’t mean the existing HSA disappears.

You can continue to own the account and take eligible distributions under applicable rules.

Medicare can end your ability to contribute without ending the usefulness of the HSA you’ve already accumulated.

Be Careful With HSA Contributions Around Medicare Enrollment

This is an area where timing matters.

Medicare enrollment and retroactive coverage rules can affect HSA contribution eligibility.

People approaching Medicare should coordinate HSA contributions carefully with their Medicare enrollment timing.

Don’t assume you can simply contribute the annual maximum through December because you turn 65 during the year.

Your tax and Medicare professionals should review the contribution eligibility for your specific situation.

Can You Use an HSA for Medicare Premiums?

Under current federal rules, HSA funds after age 65 may generally be used tax-free for certain eligible Medicare premiums and other qualified medical expenses.

There are limitations.

For example, Medigap premiums are generally treated differently for HSA purposes.

Current IRS rules should be checked before taking distributions.

But the larger planning point is important:

A well-funded HSA may eventually become a dedicated source of tax-advantaged healthcare dollars during retirement.

What If You Don’t Spend the HSA Right Away?

Some retirees intentionally preserve their HSA while paying current medical expenses from other assets.

The theory is that the HSA remains invested and potentially continues growing tax-deferred.

Then eligible distributions can potentially be taken later for qualified medical expenses.

There can also be rules allowing reimbursement for qualified medical expenses incurred after the HSA was established, provided applicable requirements and documentation are satisfied.

That’s why keeping receipts can matter.

The HSA may provide more flexibility than simply swiping the HSA card every time you visit the doctor.

But Don’t Turn the HSA Into a Trophy Account

This happens too.

Someone becomes so focused on preserving the HSA that they refuse to use it even when healthcare expenses are putting pressure on cash flow.

The goal isn’t to die with the largest HSA possible.

The goal is to use the account in a way that supports the retirement you actually want.

If an HSA distribution qualifies for tax-free treatment and using it protects your other retirement resources, spending the HSA may make perfect sense.

What If You Have a $50,000 HSA?

That’s meaningful money.

But it may not dramatically change the Roth conversion decision by itself.

It can still provide a dedicated healthcare reserve and reduce pressure on other assets.

The larger issue may still be the size of your traditional retirement accounts.

What If You Have a $200,000 HSA?

Now the HSA can become a significant piece of the retirement balance sheet.

You might have:

• $1.5 million traditional IRA
• $200,000 HSA
• $400,000 taxable assets
• $300,000 Roth IRA after several years of conversions

Now you have four pools of money with different characteristics.

That gives you more choices.

More choices can be valuable in retirement, but only if you understand what each account is best suited to do.

Tax Diversification Isn’t Just Traditional Versus Roth

People often talk about retirement tax diversification as having:

Traditional money.

Roth money.

Taxable money.

For someone with a large HSA, there may be another important bucket.

Money specifically positioned for qualified medical expenses.

That can create another layer of flexibility.

What If Healthcare Costs Are Higher Than Expected?

This is one of the reasons I don’t want every available dollar used to address Roth conversion taxes.

You’re 62.

You feel healthy.

Then retirement happens.

Over the next 20 or 30 years, healthcare can change.

You may face expenses you never planned for.

A large HSA can give you a dedicated reserve.

Tax planning shouldn’t make you forget what the H in HSA stands for.

What If Healthcare Costs Are Lower Than Expected?

That’s a good problem.

But now you may carry a substantial HSA balance later into retirement.

At age 65 and beyond, nonqualified HSA distributions generally no longer face the additional tax that can apply to nonqualified distributions before age 65, although the distribution can still be taxable as income.

That gives the account a different fallback characteristic later in life.

It still doesn’t make the HSA identical to a traditional IRA.

The Beneficiary Question Matters

This is one of the biggest differences people overlook.

What happens to an HSA at death can depend heavily on who inherits it.

A surviving spouse who is the designated beneficiary can generally receive more favorable continuation treatment under current federal rules.

A non-spouse beneficiary can face very different tax treatment.

An HSA that is extremely attractive during your lifetime may not create the same inheritance experience as a Roth IRA.

What If Your Kids Are the HSA Beneficiaries?

This is where legacy planning can change the spending strategy.

Maybe you’re preserving the HSA because you think:

“I’ll just leave it to the kids.”

But the tax treatment for a non-spouse beneficiary can be different from the treatment available to a surviving spouse.

That may make spending HSA assets for your own qualified medical expenses more attractive than preserving every dollar solely for inheritance.

Your tax and estate professionals should review the beneficiary consequences.

Compare That With Leaving Roth Assets

Roth IRAs have their own beneficiary distribution rules.

Many non-spouse designated beneficiaries are subject to a 10-year distribution framework under current federal rules, although exceptions and additional rules can apply.

Inherited Roth distributions can have different income-tax characteristics from inherited traditional retirement assets and HSAs.

That’s why I don’t want to treat every tax-advantaged account as equally valuable for legacy planning.

What About Future RMDs?

This is where the traditional IRA becomes the focus again.

Suppose you’re 60 with:

• $1.7 million traditional retirement assets
• $150,000 HSA
• $300,000 outside assets

Your HSA isn’t creating the same lifetime RMD issue.

Your traditional IRA can.

If you don’t need the traditional account because outside assets and the HSA are covering portions of your retirement, the traditional account may remain substantial.

That can make future RMDs worth modeling.

The HSA Can Actually Make It Easier to Ignore the IRA

This is an interesting contradiction.

You have cash for normal expenses.

You have an HSA for qualified healthcare expenses.

You have Social Security.

So you barely touch the traditional IRA.

That feels efficient.

But the IRA may continue growing or declining with its investments while remaining largely untouched.

Eventually applicable RMD rules can force distributions.

Not needing the traditional IRA today doesn’t automatically mean leaving it untouched produces the strongest long-term result.

Should You Spend the HSA Before the Traditional IRA?

There isn’t a universal account-ordering rule that fits every retirement.

The answer can be affected by:

• Your age
• Your tax situation
• Your healthcare expenses
• Your HSA balance
• Your traditional IRA balance
• Your Roth balance
• Your outside assets
• Your RMD timeline
• Your beneficiaries
• Your legacy goals

This is exactly why account sequencing deserves to be modeled.

Should You Spend the Traditional IRA and Preserve the HSA?

Maybe.

If you have qualified healthcare expenses later, preserving HSA assets may provide useful tax treatment.

But spending traditional assets earlier may create taxable income now.

That could interact with:

• Tax brackets
• Social Security taxation
• Medicare premiums
• Marketplace health insurance before Medicare
• Other income

Again, one account decision can change several other parts of retirement.

Should You Convert the Traditional IRA and Preserve the HSA?

That’s another strategy worth testing.

Maybe you use outside cash to address conversion taxes.

The traditional account shrinks.

The Roth grows.

The HSA remains available for qualified healthcare expenses.

Now you have a different mix of future assets.

But the current conversion tax and liquidity cost still need to be justified.

The Medicare IRMAA Issue Still Exists

Having an HSA doesn’t protect you from the income effects of a Roth conversion.

If you’re on Medicare, taxable conversion income can increase modified adjusted gross income used to determine income-related Medicare premium adjustments in a later year.

The HSA may help you address certain qualified healthcare costs.

It doesn’t erase the conversion income.

Different tax advantages solve different problems.

What If You’re Still on ACA Marketplace Insurance?

If you’re retired before Medicare and using Marketplace coverage, taxable Roth conversion income can affect the income used for premium tax credit calculations.

Now you have another interaction:

• HSA assets
• Roth conversion income
• Marketplace health insurance
• Outside cash
• Future Medicare

That makes the pre-Medicare years especially important to model carefully.

The Emotional Side of the HSA

People who build large HSAs tend to be savers.

You’re used to not touching money.

You paid medical expenses out of pocket because you wanted the HSA to keep growing.

That discipline helped build the account.

But retirement eventually changes the question from:

“How much can I accumulate?”

to:

“How should I use what I accumulated?”

“What If We Mess This Up and Regret It?”

You worry about spending the wrong account first.

You worry about paying Roth conversion taxes too early.

You worry about spending the HSA and then having a major medical event later.

You worry about leaving too much money in traditional accounts.

And underneath all of it is:

“What if we mess this up and regret it?”

That’s why I want multiple strategies on the screen before moving the money.

“We Should Be Able to Handle This Ourselves”

You built the HSA because you were disciplined.

You built the IRA because you were disciplined.

You probably managed money successfully for decades.

So you think:

“We should be able to handle this ourselves.”

But retirement distribution planning is different from accumulation.

Now every withdrawal can potentially affect another part of the plan.

The goal isn’t to give up control.

It’s to make the choices visible before you make them.

“I Don’t Want to Ask My Kids for Help”

This is where healthcare planning becomes deeply personal.

You don’t want a future medical problem to turn into a family financial problem.

You think:

“I don’t want to ask my kids for help.”

That’s one reason preserving adequate healthcare resources and accessible liquidity can matter.

Your HSA may be part of that independence.

Your cash is part of it too.

A Roth conversion shouldn’t consume so much liquidity that the rest of your retirement becomes fragile.

How Can the Roth Conversion Tax Be Addressed?

When you have a meaningful HSA, I want to distinguish healthcare assets from general tax-funding assets.

Option 1: Outside Cash or Taxable Assets

Outside assets may be used to address taxes generated by Roth conversions.

This can allow more of the selected conversion amount to reach or remain inside the Roth while potentially preserving HSA assets for qualified medical expenses.

But emergency reserves and retirement liquidity still need to be protected.

Option 2: Retirement Assets or Withholding

Another approach may involve retirement assets or withholding.

This can reduce the amount ultimately reaching or remaining inside the Roth and may create additional tax considerations.

Transaction mechanics should be coordinated before converting.

Option 3: Contractual Carrier Bonus Value

When suitable, certain annuity contracts may provide contractual carrier bonus value that can be included in the broader economic comparison.

In some modeled scenarios, contractual carrier bonus value may economically offset some or potentially all of the conversion-tax cost over the strategy period.

This may potentially reduce the need for additional personal out-of-pocket cash from an overall economic standpoint.

The carrier does not assume your IRS tax liability.

A carrier bonus isn’t an IRS tax credit.

Your tax remains your responsibility.

Bonus terms, vesting, surrender provisions, liquidity restrictions, charges, participation rates, caps, spreads, crediting methods, income features, guarantees, and other contractual provisions need to be evaluated.

This Is Where Roth Blueprint Software Comes In

The question isn’t simply:

“Should I keep my HSA?”

or:

“Should I convert my IRA?”

I want to know what happens when the accounts work together.

Using our Roth Blueprint software, we can assess thousands of potential modeled Roth conversion scenarios within the broader retirement picture.

What Can We Compare?

We can assess different:

• Traditional retirement balances
• Roth balances
• HSA assumptions
• Outside liquidity
• Retirement spending
• Healthcare spending assumptions
• Conversion starting ages
• Annual conversion amounts
• Multi-year conversions
• Variable annual conversions
• No conversion
• Projected conversion taxes
• Different approaches to addressing conversion taxes
• Social Security timing
• Pension income
• Marketplace considerations before Medicare
• Medicare timing
• Potential Medicare premium considerations
• Projected traditional balances
• Projected Roth balances
• Projected RMDs
• Surviving-spouse outcomes
• Beneficiary outcomes
• Legacy outcomes

Then we put the strategies side by side.

Example: Make the HSA and Roth Strategies Compete

Imagine you’re 62.

You have:

• $1.6 million traditional IRA
• $150,000 HSA
• $350,000 cash and taxable investments
• No pension
• Social Security planned later
• Medicare approaching

We might compare:

Scenario A: No Roth conversion and use retirement accounts as needed.

Scenario B: Smaller Roth conversions while preserving the HSA primarily for qualified healthcare expenses.

Scenario C: Larger conversions funded from available outside assets while maintaining a defined HSA and cash reserve.

Scenario D: Variable conversions before and after Medicare based on income and healthcare considerations.

Scenario E: A strategy that considers the eventual beneficiary treatment of the HSA, traditional IRA, and Roth.

Then we compare:

• Current taxes
• Traditional balances
• Roth balances
• HSA resources
• Future RMDs
• Healthcare funding
• Potential Medicare considerations
• Retirement income
• Liquidity
• Surviving-spouse outcomes
• Beneficiary outcomes
• Legacy

Now we’re deciding what each dollar should do instead of assuming every account should be treated the same.

The Retirement Math Method™

This is why we use our Retirement Math Method™.

I don’t start with:

“Never touch your HSA.”

I don’t start with:

“Spend the HSA first.”

And I don’t start with:

“Convert the IRA because Roth is always better.”

Those shortcuts ignore the rest of your retirement.

Maybe preserving the HSA wins.

Maybe using it for qualified medical expenses earlier protects other assets.

Maybe smaller Roth conversions win.

Maybe larger conversions win.

Maybe beneficiary planning changes the account-spending order.

Maybe Medicare changes the conversion timing.

Maybe liquidity changes everything.

Maybe no conversion wins.

I don’t try to sell you on the strategy. I make the strategy prove itself with the math.

Let the math do the talking.

Frequently Asked Questions About Roth Conversions and HSAs

Can I do a Roth conversion if I have an HSA?

Yes. Having an HSA doesn’t prevent an eligible Roth conversion. The accounts have different tax rules and may serve different purposes in retirement.

Can I convert my HSA into a Roth IRA?

An HSA isn’t simply a traditional IRA that can be treated as an ordinary Roth conversion. HSA assets are governed by separate federal rules.

Can I use HSA money to pay Roth conversion taxes?

An HSA distribution used for a nonqualified expense can create income-tax consequences and, before age 65, may also be subject to an additional federal tax unless an exception applies. The HSA’s tax advantages should be considered before using it for an unrelated tax obligation.

Does an HSA have RMDs?

An HSA isn’t subject to the same lifetime required minimum distribution rules that apply to traditional IRAs.

Can I still use my HSA after I enroll in Medicare?

Yes. Medicare enrollment generally affects your ability to make additional HSA contributions, not your ability to keep and use an existing HSA for eligible expenses.

Can my HSA pay Medicare premiums?

After age 65, HSA distributions may generally be used tax-free for certain eligible Medicare premiums under current rules. Not every type of coverage is treated the same, so current eligibility should be confirmed before taking the distribution.

Can I use my HSA for Medigap premiums?

Medigap premiums are generally not treated as qualified medical expenses for HSA tax-free distribution purposes under current federal rules.

Should I save my medical receipts?

Keeping adequate records can be important if you plan to seek future HSA reimbursement for qualified medical expenses incurred after the HSA was established. Applicable requirements should be confirmed with a qualified tax professional.

What happens to my HSA when I die?

The tax treatment can differ based on the beneficiary. A surviving spouse can generally receive different treatment from a non-spouse beneficiary. Beneficiary designations should be coordinated with your broader estate plan.

Can Roth Blueprint include my HSA in the retirement analysis?

Our Roth Blueprint process can assess thousands of potential modeled Roth conversion scenarios using relevant retirement assumptions, including available assets, healthcare spending, conversion taxes, Social Security, Medicare considerations, RMDs, liquidity, surviving-spouse outcomes, beneficiary outcomes, and no conversion.

Your HSA, Roth, and Traditional IRA Don’t Need to Compete for the Same Job

This is the bigger idea.

Your traditional IRA may provide one kind of retirement resource.

Your Roth may provide another.

Your HSA may be positioned for healthcare.

Your cash may protect your independence.

You don’t need every account to do everything.

You need the accounts to work together.

Have a Large HSA and $500,000+ in Tax-Deferred Retirement Assets? Let’s Run the Math.

If you’ve accumulated a meaningful HSA and have $500,000, $750,000, $1 million, $2 million, or more in traditional IRAs, 401(k)s, or other tax-deferred retirement assets, your HSA belongs in the Roth conversion conversation.

When you meet with me, we can use our Roth Blueprint software and Retirement Math Method™ to assess thousands of potential modeled scenarios.

We can compare:

• No Roth conversion
• Smaller annual conversions
• Larger annual conversions
• Multi-year conversions
• Variable annual conversions
• HSA assumptions
• Healthcare spending assumptions
• Projected conversion taxes
• Different approaches to addressing conversion taxes
• Marketplace considerations before Medicare
• Medicare timing
• Potential Medicare premium considerations
• Social Security timing
• Pension income
• Projected traditional balances
• Projected Roth balances
• Projected RMDs
• Retirement income
• Personal liquidity
• Surviving-spouse outcomes
• Beneficiary outcomes
• Legacy outcomes

Then we put the strategies side by side.

Maybe preserving the HSA wins.

Maybe using HSA assets for qualified healthcare expenses protects other retirement assets.

Maybe smaller Roth conversions win.

Maybe larger conversions create the stronger projected result.

Maybe Medicare changes the timing.

Maybe beneficiary planning changes how you use each account.

Maybe doing nothing wins.

That’s what you want to know before moving money between tax buckets you’ve spent decades building.

We don’t sell you a retirement strategy. We run the math and let you decide.

Let the math do the talking.

Schedule Your Roth Conversion Strategy Appointment

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Important Disclosure

This article is for educational purposes only and isn’t intended as individualized tax, legal, accounting, investment, HSA, health-insurance, insurance, Medicare, Social Security, estate-planning, beneficiary, or retirement-planning advice. FPP Financial does not provide tax or legal advice. Health Savings Accounts are subject to eligibility, contribution, distribution, recordkeeping, beneficiary, Medicare, and other federal requirements. HSA distributions used for qualified medical expenses may generally receive federal tax-free treatment when applicable requirements are satisfied. Nonqualified HSA distributions can be taxable and, before age 65, may also be subject to an additional federal tax unless an exception applies. After age 65, different rules apply to nonqualified distributions. Medicare enrollment generally affects eligibility to make HSA contributions, and retroactive Medicare coverage can affect contribution eligibility. Certain Medicare premiums may qualify for tax-free HSA distributions after age 65 under applicable rules, while Medigap premiums are generally treated differently. Rules concerning reimbursement of prior qualified medical expenses require appropriate eligibility and recordkeeping and should be reviewed with a qualified tax professional. HSA beneficiary tax treatment can differ significantly between surviving-spouse and non-spouse beneficiaries. Roth conversions generally create taxable income to the extent converted amounts would otherwise be taxable. Qualified Roth IRA distributions are generally tax-free under current federal rules when applicable requirements are satisfied. Taxable Roth conversion income can affect federal and state income taxes, marginal tax rates, the federal calculation determining how much of Social Security benefits is included in taxable income, ACA Marketplace premium tax credits when applicable, Medicare premiums, estimated tax requirements, liquidity, beneficiary outcomes, and other parts of a financial plan. Required minimum distribution starting ages and rules vary based on birth year, account type, beneficiary status, and current law. An RMD isn’t eligible for Roth conversion. Roth conversions can potentially reduce future traditional retirement-account balances and future RMDs relative to an otherwise identical no-conversion scenario, but no specific tax, HSA, healthcare, Medicare, Social Security, RMD, retirement-income, surviving-spouse, beneficiary, liquidity, or legacy outcome is guaranteed. Tax laws, HSA rules, Medicare rules, Marketplace rules, Social Security rules, retirement-account rules, estate rules, beneficiary rules, healthcare expenses, and investment values can change. Roth Blueprint calculations and other projections are based on assumptions and information entered into the analysis and aren’t guarantees of future tax results, healthcare costs, account values, investment performance, retirement income, Medicare premiums, Social Security outcomes, RMD reductions, surviving-spouse outcomes, beneficiary outcomes, legacy results, liquidity, or product performance. Insurance and annuity products may contain fees, charges, surrender periods, liquidity restrictions, eligibility requirements, bonus provisions, participation rates, caps, spreads, crediting methods, income features, guarantees, and other contractual terms. Guarantees are subject to the claims-paying ability of the issuing insurer. A carrier bonus isn’t an IRS tax credit and doesn’t transfer the client’s tax liability to an insurance company. Statements that contractual carrier bonus value may economically offset some or potentially all of a modeled conversion-tax cost aren’t statements that the tax disappears or that the carrier directly pays the client’s tax liability. Before completing a Roth conversion, making or stopping HSA contributions, taking HSA distributions, enrolling in Medicare, changing health coverage, using retirement or outside assets to address taxes, changing beneficiary designations, purchasing an insurance or annuity product, or making other retirement decisions, consider working with qualified tax, legal, accounting, financial, investment, HSA, health-insurance, insurance, Medicare, Social Security, estate-planning, and other appropriate professionals who can evaluate your individual circumstances and current rules.