Can You Set Up a HSA with No Insurance Plan? - Understanding the Basics of Health Savings Accounts

Health Savings Accounts (HSAs) have become a popular option for individuals looking to save for medical expenses while enjoying tax benefits. One common question that arises is whether you can set up an HSA without having an insurance plan. Let's explore the basics of HSAs and understand the requirements for setting up an HSA.

An HSA is a tax-advantaged savings account that is paired with a high-deductible health plan (HDHP). Here are some key points to consider:

  • An HSA must be paired with an HDHP: To be eligible to open and contribute to an HSA, you must have an HDHP. The HDHP acts as your insurance coverage while the HSA helps you save for qualified medical expenses.
  • You cannot have other primary health coverage: If you are covered by another health insurance plan that is not an HDHP, you are not eligible to contribute to an HSA.
  • Exceptions to the rule: In some cases, individuals may be exempt from the requirement of having an HDHP to contribute to an HSA. These exceptions include individuals over 65 who are not enrolled in Medicare and those receiving VA benefits.

While it is not possible to set up an HSA without having an HDHP, it is important to understand the benefits that come with this type of savings account. By contributing to an HSA, you can enjoy tax advantages, including tax-deductible contributions, tax-free withdrawals for qualified medical expenses, and potential investment growth.


Health Savings Accounts (HSAs) are a great way to manage your healthcare expenses efficiently, but it’s crucial to know that you must have a high-deductible health plan (HDHP) to set one up. This linked structure is designed to help you save while also ensuring you're covered for major medical costs.

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