Why Do Some People Never Open an HSA Even if Their Employer Offers It?

Health Savings Accounts (HSAs) offer a great way to save for medical expenses while enjoying tax benefits. However, despite the advantages, there are individuals who choose not to open an HSA even when their employer provides this option.

So, why do some people never open an HSA even if their employer offers it?

It could be due to various reasons such as:

  • Lack of understanding about HSAs and how they work.
  • Fear of adding another financial account to manage.
  • Concerns about eligibility criteria and account rules.
  • Preference for traditional healthcare plans over high-deductible health plans.
  • Belief that they don't need to save specifically for healthcare expenses.

While these reasons are valid for some individuals, it's essential to consider the benefits that an HSA can offer:

  • Tax advantages - contributions are tax-deductible and withdrawals for qualified medical expenses are tax-free.
  • Ability to grow savings over time through investments.
  • Flexibility to use funds for a wide range of medical expenses.
  • Portability - the HSA is owned by the individual and can be retained even when changing jobs.
  • Long-term healthcare planning and savings for retirement healthcare costs.

If you're unsure about opening an HSA, it's worth seeking guidance from financial advisors or researching more about the benefits to make an informed decision. Even if you choose not to open an HSA now, it's beneficial to stay informed about this savings option for future consideration.


Health Savings Accounts (HSAs) provide a fantastic way to save for healthcare expenses, complete with fantastic tax advantages. But despite this, there are still individuals who opt out of opening an HSA even when their employer makes it available.

So, why are some people hesitant to open an HSA when it’s offered as part of their benefits package?

Several reasons might explain this mindset:

  • Many people simply don’t fully understand how HSAs function and under what circumstances they can benefit from one.
  • Some might feel overwhelmed by the thought of managing yet another financial account in their lives.
  • Concerns about whether they meet the eligibility criteria or about the fine print regarding account rules may be holding them back.
  • Many individuals tend to prefer the traditional healthcare plans that do not require high deductibles as a barrier to entry.
  • There’s a common belief that saving for healthcare expenses isn’t necessary when they don’t have ongoing medical costs.

Despite these concerns, it’s crucial to evaluate the fantastic advantages an HSA can provide:

  • First and foremost, tax advantages – contributions are tax-deductible, and any withdrawals used for qualified medical expenses come out tax-free.
  • HSAs also offer the amazing opportunity to grow your savings over time through various investment options.
  • There's flexibility! Funds can be used for a wide array of medical expenses that often catch people off-guard.
  • Portability is another huge benefit; the HSA remains tied to you and is unaffected by your job changes.
  • Lastly, it supports long-term planning for healthcare-related costs you might face during retirement.

If you’re on the fence about opening an HSA, reaching out to a financial advisor or doing some research can be beneficial. Even if opening an HSA isn't on your radar currently, staying informed can help you make an educated choice down the line.

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