Planning for Health Success
With recent changes to tax legislation, you can create and plan that truly supports your health care needs.
Starting in 2026, HSAs and Direct Primary Care will finally work together!
Starting in 2026, HSAs and Direct Primary Care will finally work together!
In IRS Notice 2026-05, the IRS confirms that qualifying Direct Primary Care service arrangements can be used alongside HSAs, removing a longstanding barrier for patients who want both relationship-based primary care and tax-advantaged health savings.
Beginning January 1, 2026: DPC Will NOT Disqualify HSA Eligibility
Patients enrolled in a qualifying DPC arrangement may continue to contribute to an HSA, provided they are otherwise HSA-eligible (i.e., enrolled in a qualifying High-Deductible Health Plan).
Under prior IRS interpretations, DPC was often treated as “other coverage,” which could disqualify HSA contributions. That barrier is now removed.
HSA Funds MAY Be Used to Pay DPC Fees
The IRS now recognizes Direct Primary Care membership fees as eligible medical expenses, meaning:
Patients may use HSA dollars to pay DPC monthly or annual membership fees
Payments may be made tax-free from an HSA, beginning in 2026
This gives patients greater flexibility and affordability when choosing DPC.
What is an HSA?
An HSA (Health Savings Account) is like a special savings account designed specifically for medical expenses. Think of it as a piggy bank that the government gives you tax breaks for using - but only if you use the money for healthcare stuff.
How HSAs Work 🏥
You put money into the account (usually through payroll deduction)
The money can be used to pay for medical expenses like:
Doctor visits
Prescription medications
Dental care
Vision care
Medical equipment
Any money you don’t use stays in the account and grows over time
Why HSAs Are Beneficial 📈
Triple Tax Advantage (This is huge!)
Tax-deductible contributions: Money you put in reduces your taxable income
Tax-free growth: Any interest or investment gains aren’t taxed
Tax-free withdrawals: Money comes out tax-free when used for qualified medical expenses
Other Benefits:
The money never expires (unlike some other accounts)
It’s portable - you keep it even if you change jobs
After age 65, you can withdraw for any reason (though non-medical withdrawals are taxed like a regular retirement account)
Who Benefits Most? 🎯
Best for:
Healthy people who don’t have many medical expenses
High earners who want to reduce their tax bill
People planning for retirement (medical costs increase with age)
Self-employed individuals looking for tax advantages