A married couple earns $480,000 in W-2 wages, $240,000 each. Both are under 50, each is on pace to defer $16,000 to a 401(k) this year, and their family health plan is HSA-eligible but they have not funded the HSA. They take the standard deduction.
A dual-income couple filling their 401(k)s and HSA| Raise each 401(k) from $16,000 to $24,500 over the last paychecks | +$17,000 |
|---|
| Fund the family HSA through payroll | +$8,750 |
|---|
| Taxable income before and after | $447,800 to $422,050 |
|---|
| Federal income tax effect at 32% | about $8,240 |
|---|
| Medicare tax saved on payroll HSA money (1.45% plus 0.9%) | about $206 |
|---|
| Total illustrative federal effect | about $8,446 |
|---|
Both before and after, their taxable income sits inside the 32% bracket ($403,550 to $512,450 for joint filers in 2026), so every dollar moved is worth 32 cents of federal income tax.
HSA money run through a cafeteria plan also skips Medicare tax. They are each above the $184,500 Social Security wage base, so only the Medicare piece applies here. HSA contributions made outside payroll get the income tax deduction only.
The 401(k) increase needs enough paychecks left in the year, which is why the deferral change belongs at the top of an October list.
Illustrative composite with simplified assumptions, not a client result and not a projection of what you will save. Your numbers depend on your full return.