HSA Limits 2027: $4,500 and $9,000, and How to Get the Most From Them

Updated 10/24/2026

Quick answer: For 2027 you can put up to $4,500 into a Health Savings Account (HSA) with self-only high-deductible coverage, or $9,000 with family coverage, plus $1,000 more if you are 55 or older. Your employer’s deposits count toward the same limit. A family in the 22% federal bracket that fills $9,000 through payroll keeps about $2,668 a year that would otherwise go to tax.

The 2027 numbers

2026 2027
HSA limit, self-only $4,400 $4,500
HSA limit, family $8,750 $9,000
Extra if 55 or older $1,000 $1,000
HDHP minimum deductible (self / family) $1,700 / $3,400 $1,750 / $3,500
HDHP out-of-pocket maximum (self / family) $8,500 / $17,000 $8,700 / $17,400
Source: IRS Revenue Procedure 2026-24.

Why an HSA beats a normal savings account

An HSA is the only common account where money can avoid tax three times: it goes in before income tax, it grows without tax, and it comes out tax-free when you spend it on qualified medical costs. When you contribute through payroll, it also skips the 7.65% Social Security and Medicare tax.

The dollar math

You contribute through payroll Tax rate saved Kept per year
$9,000 family, 22% bracket 22% + 7.65% $2,668.50
$9,000 family, 12% bracket 12% + 7.65% $1,768.50
$4,500 self-only, 22% bracket 22% + 7.65% $1,334.25
Illustration for a state with no income tax, such as Texas. State tax savings add to these numbers where they apply.

Who can contribute

  • You are covered by a high-deductible health plan (HDHP) that meets the IRS minimums above.
  • You generally have no other health coverage that is not an HDHP.
  • You are not enrolled in Medicare.
  • No one can claim you as a dependent.

Pay yourself back later

You do not have to spend the HSA on this year’s doctor visits. You can pay medical bills out of pocket, keep the receipts, leave the HSA invested, and reimburse yourself later for qualified expenses you had after the HSA was opened. Keep every receipt in one folder.

Is an HDHP right for your family?

An HDHP has a higher deductible, so compare the full year: premiums plus the medical costs you expect, minus your employer’s HSA deposit and your tax savings. Families with low, predictable medical use usually come out ahead. Families expecting large bills should run both plans before choosing.

If you change jobs or leave the U.S.

The HSA belongs to you, not your employer, so it moves with you. Money taken out for non-medical costs before age 65 is taxed and generally hit with an extra 20% tax.

Put it on autopilot

  • Pick a per-paycheck amount in open enrollment so the full limit fills by December.
  • Turn on auto-invest above a cash cushion your family is comfortable with.
  • Payroll HSA amounts can usually be changed during the year; ask HR how often.

See the HSA next to your 401(k), childcare and other benefits: Family Money Autopilot.

Sources

This is education, not tax, legal or financial advice. Check your plan documents or a tax professional for your situation.