Can You Have a HDHP Without an HSA? - Understanding the Basics of Health Savings Accounts

If you have a High Deductible Health Plan (HDHP), you may be wondering whether you can have one without a Health Savings Account (HSA).

The short answer is yes, you can have an HDHP without an HSA, but there are certain factors to consider.

Here are some key points to keep in mind:

  • Having an HSA is not mandatory with an HDHP, but it is highly advisable to take advantage of the benefits it offers.
  • An HSA allows you to save pre-tax income for medical expenses, which can help you cover the high deductible of an HDHP.
  • Contributions to an HSA are tax-deductible, and the funds can be used for a wide range of medical expenses, including copays, prescriptions, and more.
  • HSA funds roll over from year to year, unlike Flexible Spending Accounts (FSAs), which have a “use-it-or-lose-it” rule.

While you can opt to have just an HDHP without an HSA, having both can provide additional financial benefits and peace of mind when it comes to managing healthcare costs.


If you have a High Deductible Health Plan (HDHP), you might be curious if you can maintain the plan without opening a Health Savings Account (HSA). The answer is yes, but understanding how a health savings account can complement your HDHP can significantly impact your financial health.

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