HSA Shop logoHSA Shop

HSA Guide

Are all High Deductible Plans HSA-eligible?

Published January 2, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: Not all HDHPs qualify for HSAs; they must meet IRS criteria including minimum deductibles of $1,400 (self-only) or $2,800 (family) and maximum out-of-pocket limits of $7,000 or $14,000.

Why HSA Eligibility Matters for HDHPs

High Deductible Health Plans (HDHPs) are a popular choice for many individuals and families due to their lower premiums and out-of-pocket costs. However, not all HDHPs are eligible for Health Savings Accounts (HSAs).

To be HSA-eligible, a high deductible plan must meet certain criteria set by the IRS:

IRS Requirements for HSA-Eligible Plans

  • The minimum annual deductible amount for self-only coverage must be $1,400 or more, and for family coverage, it must be $2,800 or more.
  • The maximum out-of-pocket expenses (including deductibles, copayments, and coinsurance) cannot exceed $7,000 for self-only coverage and $14,000 for family coverage.
  • The plan must not cover any non-preventive services before the deductible is met, except for certain preventive care services mandated by the ACA.

Verification and HSA Benefits

It's essential to check with your insurance provider or employer to confirm if your HDHP is HSA-eligible before opening an HSA. Having an HSA can provide tax advantages and help you save for future medical expenses.

Understanding HDHP and HSA Eligibility Standards

High Deductible Health Plans (HDHPs) are often attractive due to their reduced premiums, making them an appealing choice for individuals seeking to manage healthcare costs. However, it's crucial to note that not every HDHP qualifies for a Health Savings Account (HSA).

To be considered HSA-eligible, a high deductible plan must adhere to specific IRS guidelines:

  • The deductible for self-only coverage must be at least $1,400, while for family coverage, it should be $2,800 or above.
  • Out-of-pocket maximums must not exceed $7,000 for individual plans and $14,000 for families, including all copays and coinsurance.
  • Importantly, the plan cannot provide coverage for non-preventive services before the deductible is reached, with some exceptions for preventive care under the ACA regulations.

Always verify with your insurance provider or employer regarding the HSA eligibility of your HDHP before setting up an HSA. Utilizing an HSA can bring significant tax benefits and assist you in accumulating funds for anticipated medical expenses.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles