06/15/2026
đź’° This is an updated version of a post I ran a couple of months ago.
The 2026 HSA limits are $4,400 for self-only coverage and $8,750 for family coverage, plus a $1,000 catch-up at 55.
Payroll HSA contributions skip both income tax and F**A, a benefit no 401(k) or IRA contribution provides, worth about $337 a year on a maxed self-only contribution.
The invest-it-instead strategy depends on paying current medical costs out of pocket and keeping receipts, because the IRS lets you reimburse yourself years later for any qualified expense incurred after the HSA was opened.
After 65, non-medical withdrawals are taxed as ordinary income with no penalty, which makes the HSA work roughly like a traditional IRA but with no required minimum distributions.
The last-month rule has a catch: become eligible in December and you can fund the full year, but if eligibility does not last through the following December, the excess is added to your income plus a 10% tax.
At death, a spouse inherits the HSA as their own, but for any other beneficiary the account terminates and the full balance is taxable income in the year of death.
A reader asked what reduces that taxable amount: qualified medical expenses the decedent incurred before death, as long as the beneficiary pays them within one year after the death.
That single rule is why an HSA that shines during your lifetime is one of the weakest accounts to leave to adult children.
*The content shared here is for educational and informational purposes only. It is not personalized investment, tax, legal, or financial advice. Consult a licensed professional before making decisions based on your specific situation.*