Does a HSA Count as Health Insurance?

Many people often wonder if a Health Savings Account (HSA) counts as health insurance. To clarify, an HSA is not a form of health insurance itself, but rather a tax-advantaged savings account that individuals can use to pay for qualified medical expenses in conjunction with a high-deductible health plan (HDHP).

Here's how it works:

  • An HSA allows individuals to set aside pre-tax money from their paychecks to be used for medical expenses.
  • Contributions to an HSA can be made by the individual, their employer, or both.
  • Money in the HSA can be used to pay for various medical expenses such as deductibles, copayments, prescription medications, and other qualified healthcare costs.
  • Unlike flexible spending accounts, funds in an HSA roll over from year to year, allowing for long-term savings and investment growth.

While an HSA is not health insurance in itself, it can be a valuable tool to supplement a high-deductible health plan by providing a way to save and pay for medical expenses tax-free.


Understanding the relationship between a Health Savings Account (HSA) and health insurance can be confusing for many. An HSA is specifically designed to work alongside a high-deductible health plan (HDHP) to help you manage healthcare costs. It is not a form of insurance itself; rather, it's a tax-advantaged account that allows you to save and spend pre-tax dollars on qualified medical expenses.

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