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Milad Taghehchian, CPA, CFP(R)

Understanding High-Deductible Health Plans (HDHPs) and Health Savings Accounts (HSAs): A Guide for Self-Employed, Partnerships, and S-Corps

Health insurance can be a complex topic, especially for self-employed individuals or those running small businesses like partnerships or S-corporations (S-corps). One key option to consider is a High-Deductible Health Plan (HDHP), often paired with a Health Savings Account (HSA). In this article, we'll break down the basics of HDHPs, the benefits of an HSA, and the limitations of HSA tax deductions for self-employed individuals, partnerships, and S-corp owners.

What is a High-Deductible Health Plan (HDHP)?

A High-Deductible Health Plan (HDHP) is a type of health insurance plan with higher deductibles and lower premiums than traditional health plans. The main feature of an HDHP is that the insured person must pay for medical expenses out of pocket until they meet the deductible, after which the insurance kicks in to cover eligible healthcare costs.

According to IRS guidelines (2024), for a plan to qualify as an HDHP:

  • For individuals: The minimum deductible is $1,600, with a maximum out-of-pocket limit of $8,050 for 2024.

  • For families: The minimum deductible is $3,200, with a maximum out-of-pocket limit of $16,100 for 2024.

Because of the high upfront costs for healthcare services, HDHPs are typically paired with HSAs to offer a way to save for medical expenses in a tax-advantaged manner.

What is a Health Savings Account (HSA) and Why Is It Beneficial?

An HSA is a tax-advantaged savings account available to individuals enrolled in an HDHP. The purpose of an HSA is to help cover the out-of-pocket costs associated with high-deductible plans, such as doctor visits, prescriptions, and other qualified medical expenses. Here are some key benefits of an HSA:

  1. Tax Deductibility: Contributions to an HSA are tax-deductible, meaning that the money you contribute can reduce your taxable income.

  2. Tax-Free Growth: Any interest or investment gains within the HSA are tax-free, providing an opportunity for long-term savings if not all the funds are used immediately.

  3. Tax-Free Withdrawals: When you withdraw money from your HSA to pay for qualified medical expenses, the funds are not subject to income tax, making it a triple tax-advantaged account.

  4. Portability and Rollover: Unlike some flexible spending accounts (FSAs), HSAs are not subject to a "use it or lose it" policy. The funds roll over from year to year, and the account remains with you even if you switch jobs or insurance plans.

For 2024, the IRS limits HSA contributions to:

  • $4,150 for individual coverage.

  • $8,300 for family coverage.

  • Individuals aged 55 and over can contribute an additional $1,000.

HSA Limitations for Self-Employed Individuals, Partnerships, and S-Corps

While HSAs offer substantial benefits, there are specific limitations regarding how tax deductions apply to contributions for self-employed individuals, partnerships, and S-corps.

  1. Self-Employed Individuals:

    • Self-employed individuals are eligible to contribute to an HSA as long as they are enrolled in an HDHP. However, they cannot deduct their HSA contributions from their self-employment taxes (SECA taxes).

    • HSA contributions can only be deducted from income taxes, not self-employment taxes. This differs from the way self-employed individuals can deduct premiums for health insurance.

  2. Partnerships:

    • Partners in a partnership can contribute to an HSA, but any contributions made on behalf of a partner are treated as guaranteed payments and are subject to self-employment taxes. This reduces the tax savings.

    • The partner can still take a deduction for HSA contributions on their personal tax return, but only from income taxes, not from self-employment taxes.

  3. S-Corporations (S-Corps):

    • For S-corp owners who own more than 2% of the company, contributions to an HSA made by the corporation are considered taxable income to the owner. This amount is included in the owner’s W-2 income and is subject to income tax.

    • However, the owner can still make personal HSA contributions and claim a deduction for those on their individual tax return. But, again, these contributions only reduce income taxes, not self-employment taxes or payroll taxes.

Conclusion

HDHPs and HSAs provide a valuable option for individuals, especially self-employed professionals, partners, and small business owners looking to save on healthcare costs. The combination of tax advantages—deductible contributions, tax-free growth, and tax-free withdrawals—makes HSAs particularly appealing. However, for self-employed individuals, partnerships, and S-corp owners, the ability to deduct HSA contributions is limited to income taxes and does not apply to self-employment or payroll taxes.


It's important to evaluate your healthcare needs, financial goals, and tax situation to determine whether an HDHP and HSA is the right choice for your business or personal healthcare strategy. As always, we recommend speaking to your tax and financial professionals for more details that may apply to your personal situation.

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