Do I Pay Both HDHP Premium and HSA Contribution? - Understanding the Basics of Health Savings Accounts

One common question that arises when considering a Health Savings Account (HSA) is whether you have to pay both the High Deductible Health Plan (HDHP) premium and contribute to the HSA. Let's break it down to understand how these two components work together:

First and foremost, it's essential to note that the HDHP premium is a separate cost that you pay to your insurance provider for coverage. On the other hand, the HSA contribution is money you set aside specifically for medical expenses in a tax-advantaged account.

Here's how it works:

  • You pay the HDHP premium to maintain your health insurance coverage.
  • You contribute to your HSA to save for qualified medical expenses.
  • Contributions to your HSA are typically made either by you or your employer.
  • Contributions to your HSA are tax-deductible, meaning you can lower your taxable income by contributing to your HSA.

So, to answer the question: yes, you may need to pay both the HDHP premium and contribute to your HSA. While the premium ensures you have insurance coverage, the HSA contribution helps you save for current and future medical expenses in a tax-advantaged way.


When it comes to managing your healthcare costs, the question of whether you need to pay both your HDHP premium and contribute to your HSA is vital. Understanding these components is crucial for maintaining financial stability when facing medical expenses.

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