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 under age 65 only
b.Have NO other disqualifying coverage (e.g., full Medicare, general-purpose FSA, or non-HDHP plan) and not be a tax dependent of another
c.Have income below 400% of the federal poverty level
d.Be self-employed only

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. Option A — under 65 is implied by the Medicare disqualifier but is not the full rule. Option C — HSA eligibility is income-blind, unlike ACA subsidies. Option D — HSAs are available to employees, self-employed, and the unemployed alike.

Law Reference: IRC §223 (HSA eligibility)

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