Can You Establish a Health Savings Account (HSA) Separate from an Insurance Policy?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses and saving for the future. One common question that arises is whether it is possible to establish an HSA separate from an insurance policy. The short answer is yes, individuals can open and contribute to an HSA without having an accompanying high-deductible health plan (HDHP) or any insurance policy at all.

Here's how you can establish an HSA without an insurance policy:

  • Choose a financial institution that offers HSAs: Many banks, credit unions, and other financial institutions provide the option to open an HSA.
  • Open an HSA account: Fill out the necessary forms and provide the required information to open your HSA account.
  • Make contributions: You, your employer, or any other person can contribute to your HSA up to the annual contribution limit set by the IRS.
  • Use the funds for qualified medical expenses: You can use the HSA funds to pay for eligible medical expenses, including copayments, deductibles, prescriptions, and other medical costs.
  • Enjoy tax benefits: Contributions to an HSA are tax-deductible, grow tax-free, and can be withdrawn tax-free for qualified medical expenses.

While you can open an HSA without an insurance policy, keep in mind that to enjoy the full tax benefits of an HSA, you need to be enrolled in an HDHP.


Health Savings Accounts (HSAs) serve as an excellent method for managing your medical expenses, and yes, you can indeed set up an HSA without an associated insurance policy. This means you have more flexibility to save and plan for your healthcare costs, independent of any insurance ties.

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