health related items

Health Savings Accounts (HSA)

A Health Savings Account (HSA) is a great way for you to save money for your healthcare costs. The money you contribute to an HSA is tax deductible, giving you a tax-free way to pay for qualified medical expenses such as:

  • Doctor’s fees
  • Dental work
  • Prescriptions
See a full list of eligible expenses

A Gateway HSA puts you in control of your own healthcare spending, even if your health insurance coverage changes. You decide when and how to use the funds in your account.

You get:

  • An FDIC-insured interest-bearing account where your money is kept
  • A tiered interest rate—the higher your account balance, the more interest you earn
  • Free ATM/debit card you can use to pay for qualified medical expenses
  • Free check imaging
  • Free online access to your account
  • Low annual fee—just $10 per year

Your earnings grow tax deferred, and distributions for qualified medical expense are tax free. What’s more, any contributions your employer makes to your account are not considered income for federal income tax purposes, which means you don’t have to pay tax on that income.

There’s no minimum balance, and unlike a Healthcare Flexible Spending Account (FSA), your balance carries over from year to year. Plus, your HSA can be used to cover qualified expenses for your spouse and dependents.

 View our HSA rates


Eligibility requirements

You are eligible for an HSA if you:

  • Are covered under a high-deductible health plan (HDHP)
  • Are not also covered by any other health plan that is not an HDHP (with the exception of plans providing preventive care and a few other plans)
  • Are not enrolled in Medicare
  • Cannot be claimed as a dependent on another person’s tax return

HDHP Annual Deductible

Tax Year

Self-Only Coverage

Family Coverage

2023

$1,500

$3,000

2024

$1,600

$3,200

 

Contribution limits and maximum out-of-pocket expenses

If you meet the eligibility requirements for an HSA, you, your employer, your family members, and others may contribute to your HSA. This is true whether you’re self-employed or unemployed. You can even deduct all contributions other than those made by your employer, as long as they do not exceed the maximum annual contribution limits set by the Internal Revenue Service (IRS) each year. The IRS also sets maximum out-of-pocket limits for expenses.


Contribution Limits

Tax Year

Standard Limit

Catch-up Contribution Amount*

Self-Only

Family

2023

$3,850

$7,750

$1,000

2024

$4,150

$8,300

$1,000

*If you are age 55 or older by the end of the tax year and not yet enrolled in Medicare, you can make a catch-up contribution.

 

Maximum Out-of-Pocket Expenses

Tax Year

Self-Only Coverage

Family Coverage

2023

$7,500

$15,000

2024

$8,050

$16,100