Who Can Establish an HSA?

Health Savings Accounts (HSAs) are a valuable tool for individuals looking to save for medical expenses while enjoying tax benefits. One common question people have is, 'Who can establish an HSA?'

Only eligible individuals can set up an HSA. To be eligible, you must meet the following criteria:

  • Be covered by a High Deductible Health Plan (HDHP)
  • Not be enrolled in Medicare
  • Not be claimed as a dependent on someone else's tax return

Additionally, those who wish to establish an HSA must not have any other health coverage that is not an HDHP, with some exceptions like dental, vision, disability, or long-term care insurance.

Employers can also play a role in facilitating HSA establishment by offering a cafeteria plan that includes an HSA option. In this case, employees can choose to contribute to their HSAs through payroll deductions, further simplifying the process.

Overall, HSAs are a valuable financial tool for those who meet the eligibility requirements and are looking to proactively save for their current and future medical expenses.


Establishing a Health Savings Account (HSA) is a smart move for anyone looking to safeguard their financial future regarding healthcare costs. But who is actually eligible to open an HSA? The answer involves a few specific criteria that must be met.

To set up an HSA, individuals must first be enrolled in a High Deductible Health Plan (HDHP) that meets federal requirements. Additionally, you cannot be enrolled in Medicare or be claimed as a dependent on someone else's tax return.

It's worth noting that HSAs are available to those who do not have any additional health coverage that doesn't qualify as an HDHP, although certain types of policies for dental, vision, or long-term care are exceptions.

Employers often make the process easier by offering HSAs through cafeteria plans, enabling employees to contribute directly from their paychecks, thus maximizing the benefits of having an HSA.

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