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Minnesota health insurance, explained

HSA-eligible health insurance in Minnesota

A Health Savings Account is the one place in health insurance where the tax code is unambiguously on your side: money goes in before tax, grows untaxed, and comes out untaxed for medical costs. The catch is that you can only contribute while you are covered by an HSA-qualified plan. Since January 1, 2026, that includes every bronze plan sold on MNsure, and the same plan bought straight from the insurance company; other plans qualify only if they meet the IRS limits. Here is what qualifies, what you can put in, and who the trade is for.

Written by Pat Bernauer, licensed Minnesota insurance agent (NPN 32897) · Updated

We’re in Northeast Minneapolis and Lakeville, family-owned since 1986 and licensed in all 87 Minnesota counties.

What makes a plan HSA-eligible

Since January 1, 2026, federal law has treated every bronze plan sold on MNsure, and any catastrophic plan sold there, as an HSA-eligible plan, even if its deductible or out-of-pocket maximum is outside the IRS limits below. The same plan bought straight from the insurance company counts too. The IRS sets this out in its Notice 2026-5.

Every other plan has to fit the shape the IRS sets each year. For 2027 plans the deductible has to be at least $1,750 for one person or $3,500 for a family, the most you can pay out of pocket in a year can be no more than $8,700 or $17,400 (for 2026: $1,700 or $3,400, and $8,500 or $17,000), and, apart from preventive care and telehealth, the plan cannot pay for anything before the deductible is met — so no copay for an office visit or a prescription until then. Carriers mark the plans that meet these rules as HSA-eligible, and outside the bronze plans above, that label is what to look for.

How much you can put in

$4,500 for self-only coverage and $9,000 for family coverage in 2027, plus $1,000 a year from age 55. For 2026 it is $4,400 and $8,750 — a year's contributions can be made up to the tax-filing deadline the following April. The account is yours — it does not belong to an employer or a plan, it rolls over indefinitely, and after 65 it can pay Medicare premiums.

Who it suits, and who it does not

It suits people who can absorb the deductible in a bad year and who will actually fund the account — a healthy household, a high earner who wants the deduction, an early retiree building a cushion for Medicare. It suits less well anyone with regular prescriptions or specialist visits who would rather pay a predictable copay, and anyone who would leave the account empty; without the contributions, an HSA plan is just a high-deductible plan.

HSA plans with a MNsure tax credit

Yes, they combine. A tax credit applies to any metal-tier plan on MNsure, including HSA-eligible bronze and silver plans, so a household under the credit line ($63,840 for one, $132,000 for four, for 2027 coverage) can hold an HSA plan at a reduced premium and still contribute. One caution: households that qualify for cost-sharing reductions on a silver plan usually do better taking those than an HSA plan — the reductions can cut the deductible more than the account would save.

Minnesota specifics

Medical Assistance and MinnesotaCare are not HSA-qualified plans, so someone on those programs cannot contribute. And enrolling in Medicare ends HSA contributions. Anyone who delays Medicare past 65 should stop contributing six months before enrolling, because Part A is backdated up to six months and contributions in those months are penalized.

Questions we get about this

Is every high-deductible plan an HSA plan?

Not every one. Since January 1, 2026, every bronze plan sold on MNsure counts, and so does the same plan bought straight from the insurance company, whatever its deductible. Any other plan has to keep its deductible and out-of-pocket maximum within the IRS limits, and cannot pay for anything but preventive care and telehealth before the deductible. Carriers mark the plans that qualify.

Can I have an HSA plan through MNsure and get a tax credit?

Yes. The credit applies to HSA-eligible plans like any other. If you also qualify for cost-sharing reductions, compare a silver plan with those reductions first.

What happens to the money if I change plans?

Nothing — the account is yours. You keep it, spend it on medical costs tax-free, and stop contributing only for months when you are not on a qualified plan.

Can I use an HSA once I am on Medicare?

You can spend it — on Medicare premiums, deductibles and other medical costs — but you can no longer contribute once enrolled in any part of Medicare.

Ask us the version that is about you.

Pat or Spencer reads every request personally. Certified MNsure brokers, independent since 1986, and there is no charge for the conversation.

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