2016 HSA Limits & New Out-Of-Pocket RuleJune 29, 2015
On May 5, 2015, the IRS published the 2016 limits for HSA contributions and qualified High Deductible Health Plans (HDHP):
|Self-Only Coverage||Family Coverage|
|HSA Maximum Contribution:||$3,350||$3,350*||$6,650||$6,750|
|HDHP Minimum Deductible:||$1,300||$1,300*||$2,600||$2,600*|
|HDHP Maximum Out-Of-Pocket:||$6,450||$6,550||$12,900||$13,100|
|ACA Maximum Out-Of-Pocket:||$6,600||$6,850||$13,200||$13,700|
- If the HDHP has a Maximum OOP self-only $3,000 / family $6,000, then the limits apply as usual up to $6,000 for the family. The HDHP family Maximum ($6,000) is lower than the ACA self-only Maximum ($6,850), so the plan is not affected by the new rule.
- If the HDHP has a Maximum OOP self-only $5,000 / family $10,000, then the new ACA self-only Maximum OOP of $6,850 applies. If any covered family member reaches $6,850 in claims, then any further claims for that individual must be paid 100% by the plan while the rest of the family continues to incur claims until the full family level HDHP Maximum OOP has been reached.
Note: If the HDHP family Maximum OOP is $6,850 or lower, then the plan will continue to operate as it always has with no changes. Only plans with family limits higher than $6,850 will have to navigate this duality of Maximums.