Understanding the Rules of an HSA: Your Comprehensive Guide

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but they come with specific rules that account holders must follow. Knowing the rules governing HSAs is essential to maximizing the benefits of these accounts. Let's delve into the key rules of an HSA:

Key Rules of an HSA:

  • Eligibility Requirements: To open an HSA, you must be covered by a high-deductible health plan (HDHP) and not enrolled in Medicare.
  • Contribution Limits: There are annual contribution limits set by the IRS. For 2021, the limit is $3,600 for individuals and $7,200 for families.
  • Qualified Expenses: HSA funds can be used for eligible medical expenses such as doctor's visits, prescriptions, and dental care.
  • Tax Benefits: Contributions to an HSA are tax-deductible, and withdrawals for qualified medical expenses are tax-free.
  • Roll-Over: Any unused funds in an HSA roll over from year to year, unlike a Flexible Spending Account (FSA).

Understanding and adhering to these rules will help you make the most of your HSA and save on healthcare costs.


Health Savings Accounts (HSAs) are not just a way to save on healthcare expenses but a smart strategy for financial planning. It is crucial to understand the specific rules surrounding HSAs to reap the benefits fully.

Key Rules of an HSA:

  • Eligibility Requirements: You need a high-deductible health plan (HDHP) to qualify for an HSA, and remember, if you’re on Medicare, you won’t be able to open a new HSA.
  • Contribution Limits: These limits are updated regularly, so for 2023, the contribution limit is $3,850 for individuals and $7,750 for families, so check each year!
  • Qualified Expenses: Your HSA funds can be spent on a wide range of medical expenses, including preventive care, mental health services, and even some over-the-counter medications.
  • Tax Benefits: Not only are contributions tax-deductible, but interest and investment earnings grow tax-free, making HSAs an excellent opportunity for taxpayers.
  • Roll-Over: Unlike Flexible Spending Accounts (FSAs) where funds may expire, your HSA balance rolls over year after year, providing flexibility in how you manage your healthcare costs.

By adhering to these essential guidelines, you can leverage your HSA to save money now and in the future for medical expenses, ensuring peace of mind during times of uncertainty.

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