How can a self-employed person use an HSA?

If you carry a qualifying high-deductible health plan (HDHP), you can open and fund a health savings account — and it's especially valuable when self-employed because it's a rare triple-tax-advantaged account. In 2025 you can contribute up to $4,300 for self-only coverage or $8,550 for family, plus $1,000 more if you're 55+. Contributions are deductible (reducing both income and, in effect, your taxable base), the money grows tax-free, and withdrawals for qualified medical expenses are tax-free. Unlike an FSA, the balance rolls over forever and is yours to keep, so many people invest it and let it grow as a stealth retirement account, since after age 65 you can withdraw for any purpose paying only ordinary tax. Confirm your marketplace plan is HSA-eligible before contributing. Keep receipts so you can reimburse yourself tax-free later.