What Is Health Savings Account (HSA)?

An HSA is a tax-advantaged savings account available to employees enrolled in a High Deductible Health Plan (HDHP). Contributions are pre-tax, growth is tax-free, and qualified medical withdrawals are tax-free — the only "triple tax advantage" in the US tax code. For 2026, the contribution limit is $4,400 for individuals and $8,750 for families. HSA funds roll over year to year and belong to you even if you change employers.

Common paystub code: HSA

Where You'll See Health Savings Account (HSA)

• On your paystub (earnings statement) under earnings, deductions, or taxes
• On your annual W-2 form (or 1099 for contractors)
• In payroll software (ADP, Paychex, Gusto, QuickBooks)
• In employer payroll reports and IRS filings

Related Terms

• Flexible Spending Account (FSA)
• Health Insurance Premium
• Pre-Tax Deduction
• high-deductible-health-plan

Generate a paystub showing Health Savings Account (HSA) clearly with our free paystub generator, or browse the full payroll glossary (44+ terms explained).

This paystub generator is a simulation/mockup tool for personal record-keeping and verification purposes only.