Is Medical Cost Sharing HSA Eligible? - Everything You Need to Know

When it comes to Health Savings Accounts (HSAs), understanding what is and isn't eligible can sometimes be confusing. One common question that arises is whether medical cost sharing is HSA eligible. Let's delve into this topic to provide you with the information you need.

Medical cost sharing, also known as healthcare sharing ministries, involves individuals coming together to help cover each other's medical expenses. While these programs can be beneficial, they operate differently from traditional health insurance, which is a key factor in determining HSA eligibility.

So, is medical cost sharing HSA eligible? The answer is:

  • Medical cost sharing programs are not considered qualified health insurance plans by the IRS.
  • Therefore, contributions made to a medical cost sharing program are not eligible for HSA purposes.
  • If you are enrolled in a medical cost sharing program, you are not eligible to open or contribute to an HSA.

It's important to note that while medical cost sharing may not be HSA eligible, there are still other healthcare expenses that you can use your HSA funds for. These include:

  • Doctor's visits
  • Prescription medications
  • Qualified medical expenses

By understanding what is and isn't HSA eligible, you can make informed decisions about your healthcare and financial planning. If you have any doubts about the eligibility of a specific expense, it's always best to consult with a tax advisor or financial professional.


When navigating Health Savings Accounts (HSAs), understanding the eligibility of your medical expenses can be challenging, especially when it comes to medical cost sharing. Let's clarify whether these unique arrangements are HSA eligible.

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