Can an Employer Offer HSA Without Offering Health Insurance?

Employers can offer Health Savings Accounts (HSAs) without offering health insurance coverage. HSAs are individual bank accounts that allow employees to save money tax-free for medical expenses. They offer a triple tax advantage, allowing contributions to be made pre-tax, earnings to grow tax-free, and withdrawals for qualified medical expenses to be tax-free.

Here are some key points to consider:

  • Employers can contribute to employees' HSAs even if they do not provide health insurance coverage.
  • Employees can also make contributions to their HSAs through payroll deductions or personal contributions.
  • Employers can set up payroll deductions for employees who have an HSA, regardless of whether they offer health insurance.
  • HSAs are portable, meaning employees can keep the account even if they change jobs or health insurance plans.
  • Employees can use the funds in their HSA for qualified medical expenses, including deductibles, copayments, and other out-of-pocket costs.

Overall, offering an HSA without health insurance can provide employees with a valuable tool for saving and paying for medical expenses.


Yes, employers can absolutely offer Health Savings Accounts (HSAs) even if they don’t provide traditional health insurance coverage. HSAs empower employees to save money tax-free specifically for medical expenses, creating a financial safety net that should not be overlooked. They enjoy a remarkable triple tax advantage: contributions are made pre-tax, earnings grow tax-free, and funds withdrawn for qualified medical expenses are tax-free as well.

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