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High Deductible Health Plans (HDHPs)

An HSA-qualified “high deductible health plan” (HDHP) is required to open and contribute to an HSA. Generally, this is health insurance that does not cover first dollar medical expenses. Federal law requires that the health insurance deductible be at least:
          $1,100* — Self-only coverage
          $2,200* — Family coverage

In addition, annual out-of-pocket expenses under the plan (including deductibles, co-pays, and co-insurance) cannot exceed:
          $5,600* — Self-only coverage
          $11,200* — Family coverage

In general, the deductible must apply to all medical expenses (including prescriptions) covered by the plan. However, plans can pay for “preventive care” services on a first-dollar basis (with or without a co-pay). “Preventive care” can include routine pre-natal and well-child care, child and adult immunizations, annual physicals, mammograms, papsmears, etc.


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