To be eligible to contribute to a Health Savings Account (HSA) in 2026, an individual must be covered by a High-Deductible Health Plan (HDHP) AND:

a.Be self-employed, because an HSA is open only to sole proprietors and partners and is closed to an employee whose coverage comes through a group plan
b.Be under age 65 on the last day of the tax year, because the right to make HSA contributions ends on the accountholder's 65th birthday
c.Have NO other disqualifying coverage (e.g., full Medicare, general-purpose FSA, or non-HDHP plan) and not be a tax dependent of another
d.Have household income below 400% of the federal poverty level, the same ceiling that governs eligibility for premium tax credits on the exchange

Explanation

Under IRC §223, HSA eligibility requires that the individual (1) be covered by a qualifying HDHP with minimum deductibles and maximum out-of-pocket limits set annually by the IRS, (2) have NO other 'disqualifying' health coverage — this includes Medicare enrollment (any part), a general-purpose health FSA, a spouse's non-HDHP plan that covers them, or being entitled to VA benefits within the prior 3 months (with exceptions), and (3) not be claimed as a dependent on another taxpayer's return. The under-age-65 condition is implied by the Medicare disqualifier but is not the full rule. The 400%-of-federal-poverty-level ceiling does not apply here — HSA eligibility is income-blind, unlike ACA subsidies. And the self-employed-only restriction is wrong — HSAs are available to employees, self-employed, and the unemployed alike.

Law Reference: IRC §223 (HSA eligibility)

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