Twelfths

HSA administration
ยท plan year

Health savings accounts look like a savings product and behave like a tax instrument. Eligibility is tested on the first day of every month, so the annual limit is a sum of twelfths at whichever coverage tier applied in each month โ€” and the last-month rule can lift it to the full annual figure in exchange for a testing period that can claw the difference back a year later. This models that arithmetic, and the card-swipe substitution decisions a custodian has to make in real time.

Monthly coverage

Limit derivation

Plan & member facts

Card substantiation

A denial always beats an approval shortcut. An IIAS-certified terminal can still ring up a cosmetic procedure, so the category rule has to survive auto-substantiation rather than be skipped by it โ€” which is why the rules are evaluated together and resolved by precedence instead of returning on the first match.