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:
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)This topic, taught in full in the California Life & Health Insurance Producer Exam guide. California Life & Health Insurance Producer Exam — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
Practice all 716 questions free — no signup required.
Own the complete California Life & Health Insurance Producer Exam guide — PDF + EPUB, $19.99 →
Related questions on this topic
- A health plan that requires the member to pay $30 every time they visit their primary care doctor is using which cost-sharing tool?
- With respect to Essential Health Benefits on an ACA-compliant plan, an insurer may impose:
- A spouse of a covered employee loses dependent coverage because of divorce. Under federal COBRA, the maximum continuation coverage period available to the divorced spouse is:
- A 'hospital indemnity' policy differs from a major medical policy because it:
- Which of the following is the BEST description of an Exclusive Provider Organization (EPO)?
- A health plan member sees an in-network specialist for a service that costs $500. The plan has a $250 deductible (already met), 20% coinsurance, and a $30 copay for specialist visits. After meeting the deductible, the typical structure is:
Last reviewed: · editorial process