Can You Have an HSA with Multiple Insurance Plans? All You Need to Know

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. However, many people wonder if they can have an HSA with multiple insurance plans. The answer is yes, you can have an HSA with multiple insurance plans, but there are some rules and considerations to keep in mind.

If you have coverage under more than one high-deductible health plan (HDHP), you can have an HSA as long as the HDHPs meet the IRS requirements. Here are some key points to consider:

  • Each HDHP must meet the IRS requirements for deductible and out-of-pocket maximum limits.
  • You cannot contribute more than the annual HSA contribution limit, even if you have multiple HDHPs.
  • You can only be covered under one HDHP at a time if you want to make contributions to your HSA.
  • If you have multiple HDHPs, you cannot double dip on expenses - meaning you cannot use funds from your HSA to pay for expenses covered by both plans.
  • Coordination of benefits rules apply when you have coverage under more than one insurance plan to determine which plan pays first.

Having an HSA with multiple insurance plans can be beneficial for some individuals, but it's essential to understand the rules and limitations to maximize the benefits.


Health Savings Accounts (HSAs) are fantastic tools for managing healthcare costs and can even work with multiple insurance plans, opening up a world of possibilities for savvy consumers.

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