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Health Savings Account (HSA)

 

What is a Health Savings Account (HSA)?

An HSA is a tax-advantaged savings account paired exclusively with a High-Deductible Health Plan (HDHP). Funds deposited into an HSA are 100% tax-free when contributed, grow tax-free, and remain tax-free when spent on qualified medical expenses (such as doctor visits, prescriptions, dental, and vision care).

Funding Options

Employer Contributions: The employer may directly contribute funds (“seed money”) into your account to assist with meeting your deductible.

Employee Pre-Tax Payroll Deductions: You can contribute funds directly from your paycheck on a pre-tax basis, lowering your overall taxable income.

Direct Contributions: You can also contribute post-tax dollars directly to your account and claim a tax deduction when filing your personal income tax return.

Annual IRS Contribution Limits (2027)

The IRS establishes maximum combined annual contribution limits (employer + employee combined).

  • Self-Only Coverage: Up to $4.500 per year.

  • Family Coverage: Up to $9,000 per year.

  • Catch-Up Contributions: Individuals aged 55 and older can contribute an additional $1,000 per year.

Account Ownership & Portability

  • It Belongs to You: Unlike a Flexible Spending Account (FSA), HSA funds are 100% owned by the employee from day one.

  • No “Use-It-or-Lose-It”: Unused funds automatically roll over from year to year indefinitely – there is no deadline to spend them.

  • Portability: If you change jobs, retire, or leave the health plan, the HSA and all funds inside it remains yours for life.

Medicare Restrictions & Rules

  • Contribution Eligibility: Once you enroll in any part of Medicare (Part A, B, C, or D), you are no longer eligible to make new contributions to an HSA (or receive employer contributions).

  • Using Existing Balances: If you have an existing HSA balance prior to Medicare enrollment, you can continue to use those funds tax-free for qualified medical expenses indefinitely, including paying for Medicare Part B, Part D, and Medicare Advantage premiums. You cannot use HSA funds tax-free to pay for Medicare Supplement (Medigap) insurance premiums. 

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Learn more about Health Savings Accounts (HSAs) to decide if it would be a good fit for you and your family. 

HSA Contribution Limits

City of Urbana | 400 S. Vine St., Urbana, IL. 61801 | 217-384-2326

The City of Urbana Welcomes Diversity! 
We foster an environment that values and encourages mutual respect, inclusion of all people, and utilizing differences and similarities as an organizational asset. EOE.

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