Health Savings Accounts (HSAs) and High-Deductible Health Plans (HDHPs)
Health Savings Accounts (HSAs) and High-Deductible Health Plans (HDHPs) are two related concepts that are increasingly popular in the United States as a way to manage healthcare costs. They offer a combination of tax benefits and lower premiums, making them an attractive option for those who are generally healthy and looking to save money on healthcare expenses.
What is a High-Deductible Health Plan (HDHP)?
A High-Deductible Health Plan (HDHP) is a type of health insurance plan with lower monthly premiums but higher deductibles than traditional health insurance plans. This means that you pay less each month for your insurance, but you’re responsible for a higher amount of out-of-pocket costs before your insurance kicks in.
In 2023, a qualified HDHP must have a deductible of at least $1,400 for individuals and $2,800 for families, and an out-of-pocket maximum of $7,050 for individuals and $14,100 for families. These amounts may change each year.
What is a Health Savings Account (HSA)?
A Health Savings Account (HSA) is a savings account specifically designed to help you pay for qualified medical expenses tax-free. You can contribute pre-tax money to your HSA, and the funds in your account grow tax-free as well. You can use the funds in your HSA to pay for qualified medical expenses, such as deductibles, copayments, and prescriptions.
To be eligible to contribute to an HSA, you must be enrolled in an HDHP. In 2023, you can contribute up to $3,650 for individuals and up to $7,300 for families to your HSA. If you are age 55 or older, you can contribute an additional $1,000 per year.
What are the Benefits of HSAs and HDHPs?
The primary benefit of HSAs and HDHPs is that they offer lower premiums than traditional health insurance plans, which can save you money each month. Additionally, contributions to an HSA are tax-deductible, and the funds in your HSA grow tax-free. When you use the funds in your HSA to pay for qualified medical expenses, you don’t have to pay taxes on that money either.
Another benefit of HSAs and HDHPs is that they encourage individuals to be more conscious of their healthcare spending. When you have a high deductible, you’re more likely to think twice before going to the doctor for minor ailments or procedures, which can help keep healthcare costs down for everyone.
Are there any Downsides to HSAs and HDHPs?
One potential downside to HSAs and HDHPs is that they may not be the best option for individuals with high healthcare costs. If you have a chronic condition or require expensive medications, you may end up paying more out-of-pocket with an HDHP than you would with a traditional health insurance plan.
Additionally, HSAs and HDHPs may not offer as much coverage for certain types of services, such as mental health care or maternity care. Before enrolling in an HDHP, it’s important to carefully review the plan’s coverage and benefits to make sure it meets your needs.

Health Savings Accounts (HSAs) and High-Deductible Health Plans (HDHPs) are two popular options for managing healthcare costs. They are typically offered by employers as part of a benefits package, but can also be purchased individually. Here’s what you need to know about HSAs and HDHPs:
- HDHPs are health insurance plans with a high deductible. A deductible is the amount you pay out of pocket before insurance kicks in. With an HDHP, the deductible is typically higher than with a traditional health insurance plan. This means you’ll pay more out of pocket for medical expenses before your insurance coverage kicks in.
- However, HDHPs typically have lower monthly premiums than traditional health insurance plans. So, if you’re generally healthy and don’t expect to need a lot of medical care, an HDHP can save you money in the long run. Additionally, some HDHPs come with preventative care benefits that are covered before the deductible is met.
- HSAs are tax-advantaged savings accounts that can be used to pay for qualified medical expenses. To be eligible for an HSA, you must be enrolled in an HDHP. You can contribute pre-tax dollars to your HSA, up to a certain limit each year. You can use the funds in your HSA to pay for qualified medical expenses, including deductibles, copayments, and prescription drugs.
One of the main benefits of an HSA is that the money you contribute is tax-deductible. This means you can reduce your taxable income by the amount you contribute to your HSA. Additionally, any money you earn in your HSA grows tax-free, and you can withdraw the funds tax-free as long as they are used for qualified medical expenses.
HSAs can also be a good way to save for healthcare expenses in retirement. Once you turn 65, you can withdraw funds from your HSA for any reason without penalty, although you will need to pay taxes on the withdrawn amount if the funds are not used for qualified medical expenses.