Is Medi-Cal HSA Qualifying in California?

Medi-Cal is a California state program that offers free or low-cost healthcare coverage for eligible residents. However, when it comes to Health Savings Accounts (HSA), there are specific criteria that need to be met to determine if Medi-Cal qualifies as an HSA-compatible plan in California.

To answer the question, Medi-Cal itself does not offer an HSA option since it is a government-funded program for individuals with limited income and resources. However, individuals enrolled in Medi-Cal may still be able to open an HSA if they meet certain requirements.

Here are some key points to consider when navigating the intersection of Medi-Cal and HSAs in California:

  • Medi-Cal is not a high deductible health plan (HDHP), which is typically a requirement for being HSA-eligible.
  • Individuals can have both Medi-Cal coverage and an HSA, but certain rules must be followed to avoid disqualifying contributions.
  • Contributions to an HSA cannot be made with Medi-Cal benefits or funds.
  • Enrolling in other health coverage in addition to Medi-Cal may impact HSA eligibility.
  • Consulting with a tax advisor or financial professional is recommended to understand how Medi-Cal may impact HSA qualification.

It's important to carefully review the guidelines and regulations set forth by the IRS and the state of California to ensure compliance with HSA eligibility requirements while enrolled in Medi-Cal.


While Medi-Cal is a crucial program for many Californians, it’s important to note that it does not provide an option for a Health Savings Account (HSA). However, qualifying for an HSA is not completely out of reach if you meet specific criteria.

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