With Health Savings Accounts (HSAs), individuals and businesses buy less expensive health insurance policies with high deductibles. Contributions to the accounts are made on a pre-tax basis. The money can accumulate year after year tax free, and be withdrawn tax free to pay for a variety of medical expenses such as doctor visits, prescriptions, chiropractic care and premiums for long-term-care insurance.

Participating employers can also contribute to accounts, on behalf of their employees.

Here are the 2023 limits for individual and family coverage, which were announced by the IRS in Revenue Procedure 2022-24. They are determined after the IRS applies cost-of-living adjustment rules, and the changes in the Consumer Price Index for the relevant period. For 2023, the amounts are going up more than they have in recent years due to inflation.

• HSA Contribution Limits. The 2023 annual HSA contribution limit for individuals with self-only HDHP coverage will be $3,850 (up from $3,650 for 2022), and the limit for individuals with family HDHP coverage will be $7,750 (up from $7,300 for 2022).

• High-Deductible Health Plan (HDHP) Minimum Required Deductibles. The 2023 minimum annual deductible for self-only HDHP coverage will be $1,500 (up from $1,400 for 2022) and the minimum annual deductible for family HDHP coverage will be $3,000 (up from $2,800 for 2022).

• HDHP Out-of-Pocket Maximums. The 2023 maximum limit on out-of-pocket expenses (including items such as deductibles, co-payments and other amounts, but not premiums) for self-only HDHP coverage will be $7,500 (up from $7,050 for 2022), and the limit for family HDHP coverage will be $15,000 (up from $14,100 for 2022).

• Catch-up Contributions. The HSA catch-up contribution amount for participants age 55 and older at the end of the tax year will be $1,000 for 2023 (unchanged from 2022).

The Benefits of an HSA

• You can claim a tax deduction for contributions you, or someone other than your employer, make to your HSA even if you don't 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 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." It stays with you if you change employers or leave the work force.

(Source: The IRS)

Qualifying for an HSA

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 generally have no other health coverage except what is permitted under regulations. (Exceptions include dental, vision, long-term care, accident and specific disease insurance.)

• You aren't enrolled in Medicare.

• You cannot be claimed as a dependent on another person's tax return.

(Source: The IRS)

For more information about HSAs, contact your employee benefits and accounting advisor.

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