Pre-Tax Deductions Explained: 401(k), HSA, FSA and Health Premiums

How 401(k), HSA, FSA and health premium deductions lower your taxable pay — what each one reduces, the 2026 limits, and the states that differ from federal rules.

Updated September 29, 20262026 tax year
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Pre-tax deductions — 2026 guide from PaycheckByState

What are pre-tax deductions?

Pre-tax deductions come out of your gross pay before income tax is calculated, so they lower your taxable wages and your tax bill. Because the tax you save partly offsets the money you set aside, a $100 pre-tax contribution costs less than $100 of take-home pay.

Which taxes each deduction reduces

DeductionFederal income taxSocial Security & MedicareState income tax
Traditional 401(k) / 403(b)ReducedNot reducedReduced in most states (not PA, NJ)
Roth 401(k)Not reducedNot reducedNot reduced
HSA through payrollReducedReducedReduced (not CA, NJ)
Health premiums (Section 125)ReducedReducedReduced in most states
Health FSA / dependent care FSAReducedReducedReduced in most states

Traditional 401(k) and 2026 limits

For 2026 you can defer up to $24,500 into a 401(k), 403(b) or 457 plan. Workers 50 and older can add an $8,000 catch-up (total $32,500), and those aged 60–63 have a higher catch-up limit of $11,250. IRA limits are $7,500 plus a $1,100 catch-up. Contributions come out of each paycheck before federal income tax but are still subject to Social Security and Medicare.

Roth vs traditional

A Roth 401(k) is funded with after-tax money, so your take-home pay falls by the full contribution — but qualified withdrawals in retirement are tax-free. A traditional contribution lowers your tax now and is taxed on withdrawal. A rough rule: choose traditional if you expect a lower tax rate in retirement, Roth if you expect a higher one. Many people split contributions.

HSA and FSA

A health savings account (available with a high-deductible health plan) allows $4,400 (self-only) or $8,750 (family) in 2026, plus a $1,000 catch-up at 55. Payroll HSA contributions avoid income tax and FICA — the best tax treatment of any account. Flexible spending accounts (health and dependent care) also come out before tax and FICA, but unused balances are subject to plan rules, so check your employer's carryover or grace-period terms.

Health premiums through a Section 125 plan

If your employer offers a cafeteria plan, your share of medical, dental and vision premiums usually comes out pre-tax, lowering income tax and FICA. The savings appear automatically on your pay stub.

State exceptions to know

  • Pennsylvania and New Jersey tax 401(k) deferrals as state wages.
  • California and New Jersey do not exclude HSA contributions from state taxable income.
  • Most Ohio municipal income taxes apply to gross wages, ignoring 401(k) deferrals.

Our calculator models these exceptions. Pick your state in the calculator to see the exact result.

Worked example: a $6,000 traditional 401(k) on a $75,000 salary

StateTake-home drops byTax savedEffective cost of $1 saved
Texas (no state income tax)$4,680$1,3200.78
California$4,200$1,8000.70
Pennsylvania (no state exclusion)$4,680$1,3200.78

The tax saved depends on your federal bracket plus your state's treatment. Use our state pages to see the same analysis for every state.

Frequently asked questions

Do pre-tax deductions reduce Social Security and Medicare tax?

Traditional 401(k) contributions do not reduce Social Security and Medicare (FICA) wages. HSA contributions and health premiums paid through a Section 125 cafeteria plan do.

What is the 2026 401(k) contribution limit?

$24,500 for employee deferrals, plus a $8,000 catch-up for age 50 and older ($32,500 total) and a higher $11,250 catch-up for ages 60–63.

What is the 2026 HSA limit?

$4,400 for self-only coverage and $8,750 for family coverage in 2026, plus a $1,000 catch-up if you are 55 or older.

Is a Roth 401(k) better than a traditional 401(k)?

It depends on whether your tax rate is higher now or in retirement. Roth costs more take-home today but is tax-free later; traditional saves tax now.

Try it with your numbers

Sources

Estimates for information only, not tax advice. See our disclaimer and editorial policy.

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On this page (11 sections)
  1. What are pre-tax deductions?
  2. Which taxes each one reduces
  3. Traditional 401(k) & 2026 limits
  4. Roth vs traditional
  5. HSA and FSA
  6. Health premiums (Section 125)
  7. State exceptions
  8. Worked example
  9. FAQ
  10. Try it with your numbers
  11. More guides