Can a Self-Employed Small Business Have HSA and No Health Insurance?

Being self-employed comes with its own set of challenges, especially when it comes to health insurance. Health Savings Accounts (HSAs) have become a popular option for individuals and small businesses looking to save on healthcare costs. But can a self-employed small business have an HSA without traditional health insurance coverage? Let's explore this question in detail.

HSAs are a tax-advantaged savings account that allows you to save money for medical expenses. To be eligible for an HSA, you must be enrolled in a high-deductible health plan (HDHP). While most self-employed individuals can open an HSA, it's important to note that having an HSA does not fulfill the requirement of having health insurance.

Here are some key points to consider:

  • Self-employed individuals can have an HSA even if they do not have traditional health insurance coverage.
  • An HDHP is required to have an HSA, but having an HSA does not mean you have health insurance.
  • HSAs can be a valuable tool for saving on healthcare costs, especially for those who are self-employed.

While it is possible for a self-employed small business to have an HSA without traditional health insurance, it's important to weigh the pros and cons before making a decision. Consulting with a financial advisor or healthcare professional can help you determine the best course of action for your unique situation.


As a self-employed individual, navigating the complexities of health insurance can feel overwhelming. However, Health Savings Accounts (HSAs) present a flexible avenue to manage healthcare expenses. You might wonder, can you still have an HSA without taking on a traditional health insurance plan? Let's break it down.

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