Who Can Set Up an HSA? - Understanding HSA Eligibility

Health Savings Accounts (HSAs) have gained popularity as a way to save for medical expenses while enjoying tax benefits. One common question that arises is, "Who can set up an HSA?"

Only individuals who meet certain eligibility criteria can set up an HSA. Here's a breakdown of who qualifies:

  • Individuals with a High Deductible Health Plan (HDHP): To be eligible for an HSA, you must be enrolled in an HDHP. This health insurance plan must meet specific deductible and out-of-pocket maximum limits set by the IRS.
  • Not covered by other health insurance: You cannot be covered by any other health insurance that is not an HDHP.
  • Not enrolled in Medicare: If you are enrolled in Medicare, you are not eligible to contribute to an HSA.
  • Not claimed as a dependent: Individuals who are claimed as dependents on someone else's tax return are not eligible to have their own HSA.
  • A US citizen or resident: You must be a U.S. citizen or a resident alien to qualify for an HSA.

If you meet these criteria, you can set up an HSA and start saving for your medical expenses tax-free.


When you're considering setting up a Health Savings Account (HSA), it's essential to know the eligibility requirements. An HSA allows you to save money tax-free for qualified medical expenses, making it an incredibly valuable financial tool. So, who can open one? Let's dive into the specifics of HSA eligibility.

The primary criteria to establish an HSA includes:

  • Being enrolled in a High Deductible Health Plan (HDHP)
  • Not being signed up for Medicare
  • Not being listed as a dependent on someone else’s tax return
  • Not having other health coverage that disqualifies you
  • Being a resident of the United States

Moreover, certain groups of individuals can successfully set up an HSA, such as:

  • The self-employed
  • Employees covered by an employer's HDHP
  • Married couples, provided both satisfy the eligibility requirements

Opening an HSA is an effective way to manage your medical expenses while enjoying notable tax advantages. If you meet these criteria, it may be time to consider taking that advantageous step towards greater financial control over your health care.

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