Do You Still Pay a Fee for Health Insurance If You Have an HSA?

When it comes to Health Savings Accounts (HSAs), there is often confusion regarding how they work in conjunction with health insurance. HSAs are a great way to save for medical expenses while enjoying tax benefits, but do they eliminate the need to pay for health insurance?

The short answer is no, having an HSA does not exempt you from paying for health insurance. Here's why:

  • HSAs are meant to cover out-of-pocket medical expenses, whereas health insurance provides coverage for a broader range of medical services.
  • Health insurance helps protect you from high medical costs in case of serious illnesses or injuries, while an HSA is designed for more routine and expected healthcare expenses.
  • HSAs are tied to high deductible health plans (HDHPs), which require the account holder to pay a certain amount out-of-pocket before the insurance coverage kicks in.
  • While contributions to an HSA are tax-deductible and withdrawals for qualified medical expenses are tax-free, you still need health insurance to ensure comprehensive coverage.

In summary, having an HSA is a smart financial move to save for medical costs and enjoy tax benefits, but it does not replace the need for health insurance. By having both, you can better manage your healthcare expenses and be prepared for unexpected medical needs.


Many people wonder if having a Health Savings Account (HSA) means they can forgo health insurance payments. The fact is, an HSA and health insurance complement each other, but they serve different purposes. An HSA helps you build up savings specifically for out-of-pocket medical expenses, while health insurance generally covers a wider array of healthcare services.

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