HSAs and EBHRAs in 2022

The IRS announced next year’s contribution limits for health savings accounts (HSAs), as well as requirements for high-deductible health plans (HDHPs) to which HSAs must be linked (Rev. Proc. 2021-25). It also announced the limit for Excepted Benefit Health Reimbursement Arrangements (EBHRAs) for 2022.

HSAs. For 2022, the maximum deductible contribution to an HSA is $3,650 ($50 more than in 2021) for self-only coverage, or $7,300 ($100 more than in 2021) for family coverage.  The annual contribution limit is $1,000 higher if you are age 55 by the end of the year but not on Medicare. However, if both spouses meet this age requirement, they must have separate HSAs to each contribute an additional $1,000. Starting with the month you enroll in Medicare, you may not make any further HSA contributions.

You can only contribute to an HSA if you have health coverage through an HDHP. To be an HDHP in 2022, a self-only coverage plan must have a minimum annual deductible of $1,400 (unchanged from 2021), and an out-of-pocket limit (excluding premiums) of $7,050 ($50 more than 2021). For family coverage, the minimum annual deductible is $2,800 (unchanged from 2021), and the cap on out-of-pocket costs (excluding premiums) is $14,100 (up from $14,000).

EBHRAs. Employees who work for companies large or small may be able to have an EBHRA to pay for certain items not coverage by health insurance, such as vision care and dental care. The EBHRA supplements, not supplants, a group health plan. The maximum amount per employee for 2022 is $1,800, which is the same limit as in 2020 and 2021.