HSA Contribution Calculator
This calculator will help you to determine how much, if anything, you can contribute to a Health Savings Account (HSA). A HSA is a tax-exempt trust or custodial account that you set up with a U.S. financial institution in which you can save money exclusively for future medical expenses. This account must be used in conjunction with a High Deductable Health Plan (HDHP).

Reference: For a full description of HSAs please refer to Treasury Release JS-1061.

Select your type of health plan:
Health plan annual deductible amount:
Number of Whole Months your HDHP will be in force in 2004:
Will you be age 55 or older during 2004?:
If you will turn age 55 in 2004, which month?:
Does your health plan qualify as an HDHP?:
Base contribution allowed:
Catch-up amount allowed:
Total maximum annual contribution allowed:
Maximum monthly contribution:





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