Who Sets Up HSA Accounts? - Understanding the Basics of Health Savings Accounts

When it comes to Health Savings Accounts (HSAs), one common question that often arises is, 'Who sets up HSA accounts?' The answer is quite straightforward: HSA accounts are typically set up by individuals who want to save for medical expenses in a tax-advantaged way. However, there are certain criteria and guidelines that need to be met in order to qualify for an HSA.

HSAs can be set up by:

  • Employers
  • Employees
  • Self-employed individuals
  • Those with a High Deductible Health Plan (HDHP)

Here's a closer look at who can set up HSA accounts:

  • Employers: Many employers offer HSAs as part of their employee benefits package. They may contribute to the accounts or facilitate employee contributions through payroll deductions.
  • Employees: Individuals can also set up their own HSA accounts independently if their employer does not offer one or if they are self-employed.
  • Self-employed individuals: Self-employed individuals can set up an HSA as a way to save for medical expenses while taking advantage of tax benefits.
  • Those with a High Deductible Health Plan (HDHP): To qualify for an HSA, individuals must be covered by an HDHP and meet other IRS eligibility requirements.

It's important to note that not everyone is eligible to open an HSA. Individuals must meet certain requirements set by the IRS to qualify for an HSA, including being covered by an HDHP, not being enrolled in Medicare, and not being claimed as a dependent on someone else's tax return.


Setting up a Health Savings Account (HSA) is a wise choice for anyone looking to manage their healthcare expenses in a tax-efficient manner. It's primarily individuals who are looking to save on out-of-pocket medical costs who take the initiative to establish these accounts.

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