With the cost of health insurance premiums rising, small businesses are finding it hard to provide health care coverage. An HSA offers a new viable alternative. Health Savings Accounts (HSA) is a special type of savings account that allows employees to contribute part of your income tax-free and use it in the future for medical, long term care, and/or retirement expenses. You can only get an HSA if you also have qualified high-deductible health coverage. HSA savings are owned by the individual, you keep the accounts no matter where – or if – you work. They also roll over from year to year, so you can accumulate savings over time. Some HSAs accumulate interest and dividends that are tax-free or tax-deferred. The money in these accounts can be used towards all kinds of medical expenses, including those not covered by your high-deductible health plan, such as dental care or over-the-counter medication. An HSA is also a form of tax-deferred retirement account that can be more easily drawn upon for emergencies than their IRA counterparts.