HSA Contribution Limits for 2026

2026 HSA limits at a glance

Why the HSA is the most tax-advantaged account in the code

An HSA is the only account with a triple tax advantage: contributions are pre-tax (or above-the-line deductible), growth is tax-free, and withdrawals for qualified medical expenses are tax-free. No other account, including the Roth IRA, combines all three.

After age 65, HSA withdrawals for non-medical expenses are taxed as ordinary income (no penalty), making the account function like a Traditional IRA. Used for medical expenses at any age, the withdrawal stays tax-free forever.

Spouse + family-coverage gotchas

Married couples with family HDHP coverage share the $8,750 family limit but can split it however they choose between two HSAs. Each spouse 55+ adds a $1,000 catch-up only to an HSA in their own name, a single joint account doesn't allow two catch-ups.

Frequently Asked Questions

Can I contribute to an HSA if I'm on Medicare?

No, once enrolled in Medicare (typically age 65), HSA contributions must stop, even if you're still working. You can keep using the existing HSA balance for qualified medical expenses, including Medicare premiums.

What counts as a qualified medical expense?

Most out-of-pocket medical, dental, vision, and prescription costs, plus Medicare premiums (after 65) and qualified long-term care insurance premiums. Cosmetic procedures and over-the-counter items without a prescription generally don't qualify (with exceptions added under the CARES Act).

Can I invest my HSA balance?

Yes, most HSA custodians let you invest balances above a small cash threshold (often $1,000) in mutual funds or ETFs. Long-term investors typically pay current medical expenses out of pocket and let the HSA grow as a stealth retirement account.

Primary sources

• IRS Rev. Proc. 2025-19, 2026 HSA inflation adjustments , Internal Revenue Service. Verified May 10, 2026.
• IRS Publication 969, HSAs and other tax-favored health plans , Internal Revenue Service. Verified May 10, 2026.