Can You Have a Consumer Driven Health Plan Without HSA or HRA?

When it comes to consumer-driven health plans, Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) often go hand in hand. But can you have a consumer-driven health plan without either of these accounts?

The short answer is yes, you can have a consumer-driven health plan without an HSA or HRA. While HSAs and HRAs are commonly used with high deductible health plans (HDHPs) to provide tax advantages and savings for medical expenses, they are not mandatory for a consumer-driven health plan.

Consumer-driven health plans focus on giving individuals more control over their healthcare spending and decisions. These plans typically have high deductibles and lower premiums, encouraging individuals to be more cost-conscious when seeking medical care.

Here are a few options for consumer-driven health plans without an HSA or HRA:

  • Flexible Spending Account (FSA): An FSA is another type of tax-advantaged account that allows individuals to set aside pre-tax funds for eligible medical expenses. While an FSA is different from an HSA, it can still help individuals save on healthcare costs.
  • HSA alternatives: Some employers offer alternative ways to save for healthcare expenses, such as a health reimbursement arrangement or employer-funded account.

While HSAs and HRAs are popular choices for consumer-driven health plans, they are not the only options available. It's essential to explore different healthcare account options and choose the one that best fits your needs and financial goals.


Many individuals are surprised to learn that you can indeed have a consumer-driven health plan without holding either an HSA or an HRA. These plans provide the opportunity to take charge of your healthcare spending, even if these accounts are absent.

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