Is Premium Only Plan the Same as HSA? Understanding the Difference

When it comes to health insurance options, there are different terms and acronyms that can often be confusing. One common question that many people have is whether a Premium Only Plan (POP) is the same as a Health Savings Account (HSA). Let's break down the differences between the two to help you understand which option may be the best for your healthcare needs.

Premium Only Plan (POP)

A Premium Only Plan is a benefit plan that allows employees to pay their share of premiums for employer-sponsored insurance on a pre-tax basis. This means that the premiums are deducted from their pay before taxes are calculated, reducing their taxable income.

Health Savings Account (HSA)

A Health Savings Account, on the other hand, is a savings account that allows individuals to set aside pre-tax money to pay for qualified medical expenses. HSAs are typically paired with a high-deductible health plan (HDHP) and offer tax advantages such as tax-deductible contributions, tax-free interest, and tax-free withdrawals for medical expenses.

Differences between POP and HSA

  • POP is used to pay insurance premiums on a pre-tax basis, while HSA is a savings account for medical expenses.
  • POP is typically offered through an employer, while individuals can open an HSA on their own.
  • POP contributions are used for premiums only, whereas HSA contributions can be used for a variety of qualified medical expenses.
  • HSA funds can be rolled over from year to year and even invested, providing a long-term savings option.

In summary, while both a Premium Only Plan and a Health Savings Account offer tax advantages, they serve different purposes. A POP helps reduce taxable income by paying insurance premiums with pre-tax dollars, while an HSA allows individuals to save for medical expenses on a tax-advantaged basis.


Many people find themselves in a maze when navigating their health insurance options, often wondering whether a Premium Only Plan (POP) is the same as a Health Savings Account (HSA). It’s crucial to understand these two options and how they can impact your financial health.

What is a Premium Only Plan (POP)?

This particular plan is a component of employer-sponsored insurance that permits employees to pay their share of the premiums with pre-tax funds. By doing so, employees effectively decrease their taxable income, making it a smart option for budget-conscious individuals.

What is a Health Savings Account (HSA)?

An HSA is not just a regular savings account; it’s a specific type of account that allows individuals to deposit pre-tax funds for future medical expenses. HSAs are usually linked with high-deductible health plans (HDHPs), offering great tax advantages that can help you save more in the long run.

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