A Health Savings Account HSA is a tax-exempt trust or custodial account set up with a qualified HSA trustee (a qualified HSA trustee can be a bank, and insurance company, or anyone already approved by the IRS to be a trustee of IRAs or Archer MSAs) in which money is saved exclusively for future medical expenses. This account must be used in conjunction with a High Deductible Health Plan (HDHP).
HSA LImits
| Contribution limit | HDHP min deductible | Maximum OOP | |||||
|---|---|---|---|---|---|---|---|
| Year | Self-only | Family | Self-only | Family | Self-only | Family | Ref |
| 2011 | $3,050 | $6,150 | $1,200 | $2,400 | $5,950 | $11,900 | RP-10-22 |
| 2010 | 3,050 | 6,150 | 1,200 | 2,400 | 5,950 | 11,900 | RP-09-29 |
| 2009 | 3,000 | 5,950 | 1,150 | 2,300 | 5,800 | 11,600 | RP-08-29 |
| 2008 | 2,900 | 5,800 | 1,100 | 2,200 | 5,600 | 11,200 | RP-07-36 |
| 2007 | 2,850 | 5,650 | 1,100 | 2,200 | 5,500 | 11,000 | RP-06-53 |
| 2006* | 2,700 | 5,450 | 1,050 | 2,100 | 5,250 | 10,500 | RP-05-70 |
| 2005* | 2,650 | 5,250 | 1,000 | 2,000 | 5,100 | 10,200 | RP-04-71 |
*Until the Tax Relief and Health Care Act of 2006 (HR 6111), PL-109-432, as implemented through Rev. Proc. 2007-36, the actual contribution limit was the lower of the actual deductible or the amount shown above, and the limit applied monthly at 1/2 of the annual limit.
What are the Benefits of a Health Savings Account?
- You can claim a tax deduction for contributions you, or someone other than your employer, make to your HSA even if you do not itemize your deductions on Form 1040.
- Contributions to your HSA made by your employer (including contributions made through a cafeteria plan) may be excluded from your gross income.
- The contributions remain in your account from year to year until you use them.
- The interest or other earnings on the assets in the account are tax free.
- Distributions may be tax free if you pay qualified medical expenses.
- An HSA is "portable" so it stays with you if you change employers or leave the work force.
Qualifying for a Health Savings Account
To be an eligible individual and qualify for an HSA, you must meet the following requirements.
- You must be covered under a high deductible health plan (HDHP), described later, on the first day of the month.
- You have no other health coverage except what is permitted under Other health coverage, later.
- You are not enrolled in Medicare.
- You cannot be claimed as a dependent on someone else's tax return.
High Deductible Health Plan (HDHP)
A High Deductible Health Plan has:
- A higher annual deductible than typical health plans, and
- A maximum limit on the sum of the deductible and the annual out-of-pocket medical expenses that must be paid for covered expenses. Out-of-pocket expenses include copayments and other amounts, but do not include premiums.
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