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Things that wealthy people know that the average person doesn't, part one. Wealthy people understand that HESA's are one of the best kept secrets when it comes to saving for retirement. Now, HESA's were designed to help those with high-deductible health plans offset some other medical costs. But because of all of the tax advantages that you get with having an HESA, it's actually better to use it as an investment account for retirement. What you'll want to do if you can is to pay for your medical expenses out of pocket instead. Max out your annual contributions to your HSA every year and make sure you get that thing invested in the stock market. So think of it like a health IRA. Set it and forget it.