Can Employers Set Up an HSA Without Offering Health Insurance? Exploring HSA Awareness

Health Savings Accounts, commonly known as HSAs, have been gaining popularity due to their tax advantages and flexibility in covering healthcare costs. One common question that arises is whether employers can set up an HSA without offering health insurance.

Employers can set up an HSA for their employees without offering health insurance, but there are some key points to consider:

  • Employers that offer a high-deductible health plan (HDHP) usually set up HSAs to complement the plan.
  • Employees can also open their own HSAs independently, even if their employer does not offer one.
  • Contributions to an HSA can be made by both employers and employees.
  • HSAs are individually owned, so even if the employer sets it up, the employee retains control over the account.

It's important for individuals to understand the benefits and limitations of HSAs, whether it's the employer or the employee setting it up. With rising healthcare costs, HSAs can be a valuable tool in managing healthcare expenses.


Health Savings Accounts, or HSAs, are a fantastic way for individuals to save money for healthcare expenses, and it's a common misunderstanding that employers must provide health insurance to set them up. While many employers link HSAs to high-deductible health plans (HDHPs), it's essential to know that employers can establish HSAs independently for their employees.

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