Can I Open an HSA and Decline Employee Medical Coverage?

Health Savings Accounts (HSAs) are becoming an increasingly popular way for individuals to save for medical expenses while enjoying tax benefits. Many employees may wonder if they can open an HSA and decline their employer's medical coverage. The answer is yes, you can open an HSA and decline employee medical coverage, but there are certain considerations to keep in mind.

Here are some key points to consider:

  • Opening an HSA does not require you to enroll in your employer's medical coverage. You can have an HSA as long as you are covered under a high-deductible health plan (HDHP).
  • By declining your employer's medical coverage, you may miss out on their contributions to your healthcare expenses, which are a common benefit offered by many companies.
  • If you are eligible for an HSA and choose to decline your employer's medical coverage, you will be responsible for funding the HSA contributions on your own. These contributions are tax-deductible and can be used to pay for qualified medical expenses.
  • Remember that contributions to an HSA are subject to annual limits set by the IRS. Make sure you stay within these limits to avoid any penalties.
  • Having an HSA gives you more control over your healthcare expenses and allows you to save for future medical needs.

Overall, opening an HSA and declining employer medical coverage is possible, but it's essential to understand the implications and take responsibility for funding your HSA contributions.


Yes, you can absolutely open an HSA if you opt out of your employer's medical coverage, making it a viable option for those who want more autonomy over their healthcare finances.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter