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What Criteria Makes a Health Plan HSA Qualified?

Published June 9, 2024

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Short answer: A health plan is HSA qualified when it meets IRS criteria, including being an IRS-certified High Deductible Health Plan (HDHP) with required deductible and out-of-pocket limits and covering certain preventive care without cost-sharing.

IRS criteria for HSA-qualified plans

When it comes to selecting a health plan that is Health Savings Account (HSA) qualified, there are specific criteria that need to be met to ensure eligibility. The main factors that make a health plan HSA qualified include:

  • High Deductible Health Plan (HDHP): The health plan must be categorized as an HDHP by the IRS, meaning it has a minimum deductible amount set by the IRS each year.
  • Minimum Deductible Requirements: For 2021, the minimum deductible for an individual HSA-qualified HDHP is $1,400 and for a family, it is $2,800.
  • Maximum Out-of-Pocket Limits: HSA-qualified HDHPs also have maximum out-of-pocket limits set by the IRS each year. For 2021, the maximum out-of-pocket limit for an individual is $7,000 and for a family, it is $14,000.
  • Preventive Care: The health plan must cover certain preventive care services without requiring cost-sharing from the policyholder.

These criteria are essential for a health plan to be considered HSA qualified, allowing individuals to contribute to their HSA and enjoy tax advantages. Understanding these requirements is crucial when selecting a health plan for HSA eligibility.

To select a health plan that qualifies for a Health Savings Account (HSA), it's crucial to understand the specific criteria outlined by the IRS. The primary requirement is that the health plan must be classified as a High Deductible Health Plan (HDHP). This means it needs to adhere to certain deductible amounts each year.

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