What is the deductible limit for a high-deductible health plan in 2025?

Asked by: Prof. Karen Beier  |  Last update: May 23, 2025
Score: 4.1/5 (38 votes)

What Are the High-Deductible Health Plan (HDHP) Limits for 2025? Key takeaways: High-deductible health plans (HDHPs) are known for having high deductibles in exchange for lower monthly premiums. For 2025, an HDHP is any plan with a deductible of at least $1,650 for an individual or $3,300 for a family.

What is the deductible for HDHP 2025?

For calendar year 2025, a “high deductible health plan” is defined under § 223(c)(2)(A) as a health plan with an annual deductible that is not less than $1,650 for self-only coverage or $3,300 for family coverage, and for which the annual out-of-pocket expenses (deductibles, co-payments, and other amounts, but not ...

What is the deductible for high deductible plan G in 2025?

1 - Plans F and G also have a high deductible option which require first paying a plan deductible of $2,870 (in 2025) before the plan begins to pay. Once the plan deductible is met, the plan pays 100% of covered services for the rest of the calendar year.

What is the maximum contribution to a high-deductible health plan in 2024?

For calendar year 2024, the annual limitation on deductions under § 223(b)(2)(B) for an individual with family coverage under a high deductible health plan is $8,300. (2) High deductible health plan.

What is the maximum out-of-pocket limit for 2025?

For the 2025 plan year: The out-of-pocket limit for a Marketplace plan can't be more than $9,200 for an individual and $18,400 for a family.

How does a High-deductible Health Plan (HDHP) work?- Kaiser Permanente

26 related questions found

What are the HSA rules for 2025?

IRS announces 2025 contribution and benefit limits
  • The medical Flexible Spending Account (FSA) contribution limit is $3,300.
  • The Healthcare Savings Account (HSA) contribution limits will increase to $4,300 for individuals and $8,550 for family coverage.
  • The contribution limit for retirement plans is $23,500.

What is the maximum out-of-pocket for Part D in 2025?

In 2025, the coverage gap will be eliminated, and annual out-of-pocket Part D costs are capped at $2,000. This means if you take high-cost medications covered by Part D, you could see major savings. After meeting the out-of-pocket limit, you pay $0 for covered drugs for the rest of the year.

What is the maximum contribution for 2025?

Highlights of changes for 2025. The annual contribution limit for employees who participate in 401(k), 403(b), governmental 457 plans, and the federal government's Thrift Savings Plan is increased to $23,500, up from $23,000. The limit on annual contributions to an IRA remains $7,000.

What is the maximum deductible for a high deductible health plan?

Under the section heading Health Savings Account (HSAs), the paragraph under Employer Contributions, the annual limitation on deductions of an individual with family coverage under a HDHP is $8,300.

What is the IRS deductible limit for 2024?

In 2024, the standard deduction is $14,600 for single filers and married persons filing separately, $21,900 for a head of household, and $29,200 for a married couple filing jointly and surviving spouses.

Does out-of-pocket maximum include hospital stays?

Once the out-of-pocket maximum is met, your insurance plan should cover the full cost of eligible medical services, including prescription drugs, for the rest of the year. Hospital stays: Hospital stays do generally count towards your out-of-pocket maximum.

Why can't Medicare patients pay out-of-pocket?

In order to serve a Medicare patient, even if they want to pay out of pocket, [the clinics] have to have some sort of agreement with the patient. This law basically protects people who are sick right now and need care.

What is the standard deduction for 2025?

Standard deduction for 2025 tax year

The 2025 tax year standard deduction for married couples filing jointly rises to $30,000 — an $800 increase from $29,200 for the 2024 tax year. For single taxpayers, the standard deduction is $15,000, a $400 increase from the 2024 deduction of $14,600.

Has the IRS announced 2025 FSA limits?

An employee who chooses to participate in an FSA can contribute up to $3,300 through payroll deductions during the 2025 plan year.

What is the IRS deductible limit for 2025?

For family coverage in tax year 2025, the annual deductible is not less than $5,700, increasing from $5,550 in tax year 2024; however, the deductible cannot be more than $8,550, an increase of $200 versus the limit for tax year 2024.

What is the deductible for 2025 HDHP?

Per the 2025 guidance, an HDHP musts have a deductible of at least $1,650 for individual coverage and a deductible of at least $3,300 if you have a family plan. In addition, the plan's out-of-pocket limit must be no higher than $8,300 for an individual plan or $16,600 for a family plan.

What is the maximum embedded out-of-pocket limit for 2025?

​ACA Maximum Out-of-Pocket

​Note that all non-grandfathered group health plans must contain an embedded individual out-of-pocket limit within family coverage if the family out-of-pocket limit is above $9,200 (2025 plan years) or $9,450 (2024 plan years).

What is the maximum HSA contribution for 2025?

2025 HSA contribution limits

The HSA contribution limits for 2025 are $4,300 for self-only coverage and $8,550 for family coverage.

Can I max out 457 and Roth IRA in the same year?

Yes, as long as you don't exceed the $6,500 for the 50+ catch up limit or $19,500 for the special or three-year catch up provision in a calendar year as a combination of Roth and pre-tax savings.

What is the maximum TSP contribution for 2025?

2025 TSP Contribution Limits

Standard Employee Contribution Limit: The limit for employees under 50 years old will increase to $23,500 (up from $23,000 in 2024), an additional $500 in 2025 toward your TSP, allowing you to grow your retirement savings more quickly.

What is the donut hole for 2025?

Good news for 2025: In 2025, the Medicare Part D coverage gap, also known as the “donut hole,” will be eliminated under the Inflation Reduction Act (IRA). Part D plan members will also enjoy the security of an annual maximum out-of-pocket cost for prescription drugs.

What are the changes for United Healthcare in 2025?

UnitedHealthcare is introducing 140 new plans for 2025, many of which offer new designs and benefits more tailored to specific consumer populations and needs. UnitedHealthcare's footprint of America's most-chosen Dual Special Needs Plans (D-SNPs) will expand to reach 135,000 additional dual-eligible consumers.

What is the difference between a deductible and an out-of-pocket maximum?

A deductible is the cost a you pay on health care before the health plan starts covering any expenses, whereas an out-of-pocket maximum is the amount a you must spend on eligible healthcare expenses through copays, coinsurance, or deductibles before the health plan starts covering all covered expenses.