Get the Benefits of a Health Savings Account

Take advantage of lower taxes and long-term savings with your HSA.


Find out if you're eligible for an HSA

Want to understand more about the HSA process? Our FAQ section is here to help.

Why Open a Health Savings Account (HSA)?

Tax-Free Contributions 

The whole point of an HSA is to help you save up money tax-free for planned (or unplanned) doctor visits.1 And since the money you put into it doesn’t get taxed, you’ll have a lower taxable income (translation: it lowers your income tax). It’s like your supercharged medical emergency fund.


Lower Premiums 

With a traditional health insurance plan, you’re paying a high premium for benefits, whether you use them or not. With a high-deductible health plan (HDHP), you get the advantage of lower premiums—which leaves more money in your pocket.



Why Dave Chose HealthEquity to Serve You

Dave Ramsey

“A health savings account is the perfect plan for managing the high cost of health care . . . At Ramsey Solutions and even for my family, we trust the team at HealthEquity.”
— Dave Ramsey, author of The Total Money Makeover

Open Your HSA

HSA Frequently Asked Questions

What is a health savings account?

A health savings account is a great way to set aside money for qualified medical expenses and take advantage of tax breaks at the same time. You get to roll over any extra money from year to year, so you can save up for those unexpected emergencies. You’ll have added benefits like a separate debit card for medical expenses. Or you can reimburse yourself. But you can only open an HSA if you opt for a high-deductible health plan.


How is an HSA tax-free?

HSAs don't get taxed at a federal income tax level when used for qualified medical expenses. Check with your tax advisor regarding your state’s specific rules.

When you make your own HSA contributions during the year with after-tax money (if you aren't using one through your employer), then you get to deduct your contributions on your tax return (line 25 on Form 1040). This happens regardless of whether you itemize deductions or take the standard deduction. 

Why do I need an HDHP to have an HSA? 

Uncle Sam requires you to have a high-deductible health plan in order to have an HSA. You can't take the benefit of an HSA and the benefit of lower deductibles too. 

On the positive side, pairing an HSA with an HDHP is great for healthy families who don’t go to the doctor too much. You can enjoy lower premiums and build up a big medical emergency fund in an HSA tax-free. 

What if I’m enrolled in other medical plans or have an FSA? 

Sorry, but you can’t have both a Flexible Spending Account (FSA) and an HSA, unless your company offers it for dental or vision expenses. Same goes with low-deductible insurance and an HSA—you can’t have both. But HSAs are so helpful for your budget, you can probably drop other programs. (Just do the math to make sure.)  

What if I’m enrolled in Medicare? 

Medicare enrollees aren’t eligible to get an HSA. But you might be able to open a Medicare Advantage Medical Savings Account (MSA). It’s like an HSA, but for folks enrolled in Medicare. You still have to opt for a high-deductible health plan (HDHP), and money put into an MSA can only come from Medicare. But you can still pay for expenses not covered by Medicare. 

What if I’m claimed as a dependent on someone else’s tax return? 

This is another thing that’s not allowed in the HSA world because that person already gets the tax benefit of claiming you as a dependent. You can’t both get the tax benefits. (We wish you could!) 

What can I use my HSA for?  

You can use your HSA to pay for hundreds of qualified items and services, including deductibles, co-insurance, and dental and vision care. You can also use your HSA for items not typically covered by insurance, including: 

  • Over-the-counter medicine 
  • Office visits 
  • Crutches 
  • Baby rash ointment 
  • Flu shots
  • Medical alert bracelets 

The HealthEquity® Visa® Health Account Card is issued by The Bancorp Bank; member FDIC pursuant to a license from Visa U.S.A. Inc. Your card can be used everywhere Visa debit cards are accepted for qualified expenses. This card cannot be used at ATMs and you cannot get cash back, and cannot be used at gas stations, restaurants, or other establishments not health related. See Cardholder Agreement for complete usage restrictions.

HSAs are never taxed at a federal income tax level when used appropriately for qualified medical expenses. Also, most states recognize HSA funds as tax-free with very few exceptions. Please consult a tax advisor regarding your state’s specific rules.