How to Set Up a Self-Employed HSA for Pastors

As a self-employed pastor, setting up a Health Savings Account (HSA) can provide you with valuable tax advantages and healthcare benefits. Here's how you can establish an HSA for yourself:

1. Determine Your Eligibility:

  • Make sure you meet the eligibility criteria for an HSA, such as being covered by a high-deductible health plan (HDHP) and not being enrolled in Medicare.

2. Choose a Financial Institution:

  • Research different banks or credit unions that offer HSA accounts and compare their fees, interest rates, and investment options.

3. Open an HSA Account:

  • Provide the necessary documentation, such as your Social Security number and proof of HDHP coverage, to open an HSA account.

4. Contribute to Your HSA:

  • Contribute funds to your HSA either through pre-tax payroll deductions or by making tax-deductible contributions on your own.

5. Keep Track of Your Expenses:

  • Save your medical receipts and records of qualified expenses paid using your HSA funds for tax purposes.

By following these steps, you can successfully set up a self-employed HSA for pastors and reap the benefits it offers.


As a self-employed pastor, establishing a Health Savings Account (HSA) not only allows for significant tax benefits but also empowers you to manage your healthcare expenses effectively. Here's a detailed guide to help you get started:

1. Determine Your Eligibility:

  • Confirm that you qualify for an HSA, which typically requires you to be enrolled in a high-deductible health plan (HDHP) and not to be enrolled in Medicare.

2. Choose a Financial Institution:

  • Investigate various banks or credit unions specializing in HSA accounts, taking note of their fees, interest rates, and diverse investment opportunities.

3. Open an HSA Account:

  • Gather and present necessary documents, including your Social Security number and proof of HDHP coverage, to successfully open your HSA account.

4. Contribute to Your HSA:

  • You can contribute to your HSA through pre-tax payroll deductions or choose to make tax-deductible contributions manually, maximizing your savings.

5. Keep Track of Your Expenses:

  • Maintain a meticulous record of your medical receipts and document any qualified expenses paid with HSA funds, as this is crucial for tax and financial tracking.

By adhering to these guidelines, self-employed pastors can establish a robust HSA, ultimately enhancing both their health care management and financial well-being.

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