Can I Have an HSA or FSA Account Without Insurance?

When it comes to Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs), the role of insurance can sometimes be a bit confusing. So, you may wonder, can you have an HSA or FSA account without insurance?

The answer is that while having an HSA or FSA is typically linked to having a high deductible health insurance plan, you are not required to have insurance to open and contribute to an HSA or FSA.

Here's a breakdown:

  • You can have an HSA without insurance: An HSA is a savings account that allows you to set aside pre-tax money for qualified medical expenses. You can open and contribute to an HSA even if you do not have health insurance, as long as you meet the eligibility requirements.
  • You can have an FSA without insurance: Similarly, an FSA is a flexible spending account that allows you to use pre-tax dollars for eligible medical expenses. You can enroll in an FSA without having health insurance, but some employers may require you to have a qualifying insurance plan.

Having an HSA or FSA can be beneficial for managing healthcare costs even if you are not covered by insurance. However, keep in mind that there are limits to how much you can contribute to these accounts each year, and you must use the funds for qualified medical expenses.


Many people are unsure about whether they can open a Health Savings Account (HSA) or a Flexible Spending Account (FSA) without having health insurance. The good news is that both accounts offer flexibility regarding insurance coverage.

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