One of the most important
issues for self-employed individuals is the expense of
health care insurance. One of the options to consider is
high-deductible health coverage to keep the cost down and
then setting up a Health Savings Account (HSA) to cover the
deductible if and when you need to use your insurance
coverage.
A Health Savings Account (HSA)
is a tax-exempt trust or custodial account established
exclusively for the purpose of paying qualified medical
expenses of the account beneficiary who, for the months for
which contributions are made to an HSA, is covered under a
high-deductible health plan.
An
"eligible individual" means, any individual who:
-
Is covered under a
high-deductible health plan (HDHP).
-
Is not also covered by any
other health plan that is not an HDHP.
-
Is not enrolled in Medicare
(generally, has not yet reached age 65);
-
May not be claimed as a
dependent on another person's tax return.
As
long as you meet the above requirements, you are eligible
for a Health Savings Account (HSA).
A HDHP is a health plan that
satisfies certain requirements with respect to deductibles
and out-of-pocket expenses. Specifically, for self-only
coverage, an HDHP has an annual deductible of at least
$1,050
and annual out-of-pocket
expenses required to be paid (deductibles, co-payments and
other amounts, but not premiums) not exceeding $5,250. For
family coverage, an HDHP has an annual deductible of at
least $2,100 and annual out-of-pocket expenses required to
be paid not exceeding $10,500.
An individual does not fail to
be eligible for an HSA merely because, in addition to an
HDHP, the individual has coverage for any benefit provided
by "permitted insurance." Permitted insurance is insurance
under which substantially all of the coverage provided
relates to liabilities incurred under workers' compensation
laws, tort liabilities, liabilities relating to ownership or
use of property (e.g., automobile insurance), insurance for
a specified disease or illness, and insurance that pays a
fixed amount per day (or other period) of hospitalization.
Contributions made by an
eligible individual to an HSA are deductible by the eligible
individual in determining adjusted gross income (i.e.,
"above-the-line"). The contributions are deductible whether
or not the eligible individual itemizes deductions.
However, the individual cannot also deduct the
contributions as medical expense deductions under section
213.