Is Co-Insurance Considered a Deductible Under HSA?

When it comes to Health Savings Accounts (HSAs), it's important to understand how different types of healthcare expenses are treated. One common question that arises is whether co-insurance is considered a deductible under an HSA.

Co-insurance typically refers to the percentage of medical costs that an individual is required to pay after their deductible has been met. While co-insurance is an out-of-pocket cost, it is not the same as a deductible.

Under an HSA, certain expenses are considered as qualified medical expenses which can be paid for using HSA funds. These include deductibles, co-pays, co-insurance, prescription medications, and other healthcare costs as outlined by the IRS.

However, it's important to note that co-insurance does not count towards your HSA deductible. The deductible amount is the specific out-of-pocket sum you are required to pay before your insurance starts covering a portion of your medical expenses.

So, while co-insurance is an expense you may incur during medical treatment, it is not considered a deductible under an HSA.


Understanding the nuances of Health Savings Accounts (HSAs) is crucial for maximizing your healthcare savings. In relation to co-insurance, it’s common to wonder how this expense fits into your overall HSA strategy. While co-insurance requires you to pay a percentage of healthcare costs after meeting your deductible, it should be noted that this is distinct from the concept of a deductible itself.

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