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Can I Open an HSA Without a HDHP? Exploring Health Savings Account Options

Published June 16, 2022

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Short answer: Yes—opening and contributing to an HSA typically requires an HDHP, but certain scenarios allow opening without one.

General HSA eligibility and common question

Health Savings Accounts (HSAs) have become increasingly popular for individuals and families looking to save for medical expenses while enjoying tax benefits. One common question that arises is whether one can open an HSA without having a High Deductible Health Plan (HDHP).

Typically, to be eligible to open and contribute to an HSA, you must be covered by an HDHP. However, there are some scenarios where individuals can open an HSA without an HDHP:

Scenarios allowing an HSA without HDHP

  • If you have a grandfathered or grandmothered non-HDHP plan
  • If you are enrolled in Medicare but are not receiving benefits
  • If you are a US citizen living abroad

It's essential to understand the rules and regulations around HSAs to make an informed decision about opening one. Although opening an HSA without an HDHP is possible in certain situations, it's essential to consult with a financial advisor or tax professional to ensure you meet all eligibility criteria.

Importance of rules and professional guidance

Health Savings Accounts (HSAs) are designed to help individuals save for qualified medical expenses while benefitting from significant tax advantages. The eligibility criteria typically require individuals to have a High Deductible Health Plan (HDHP) to open an HSA, but this isn't the only route.

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