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HSA Health Insurance Plans

Enrolling in an HSA insurance plan is the first step toward being eligible to open a Health Savings Account.

In all of the literature and official documentation about Health Savings Accounts, you will find a variety of different names to describe HSA health insurance plans.

Within the legislation that created Health Savings Accounts and in subsequent documentation from the Department of Treasury and the IRS, High Deductible Health Plan or HDHP is the term used for HSA-qualified insurance plans. However, not all high deductible health plans are necessarily HSA-qualified.

Consumer Driven Health Plan or CDHP is another common term to describe an HSA health insurance plan; as is catastrophic health insurance. However, each of these terms can also be used to describe health insurance plans that are not HSA-qualified.

Therefore, throughout HSAConnect.com the simple term HSA insurance will be used to describe those plans that are compatible with a Health Savings Account.

You can access HSA insurance quotes for a variety of individual and family plans from all of the major insurance companies in your area; or, if you prefer to know what makes a health insurance plan HSA-qualified, here are the details:

  • Deductible: The plan must have an annual deductible of at least $1,250 for individual (self-only) coverage or $2,500 for family (more than one individual) coverage.
  • Out-of-Pocket Maximum: The annual out-of-pocket maximum for "In-Network" expenses cannot exceed $6,350 for individual coverage or $12,700 for family coverage. This refers to the amount of money you would have to pay before the insurance carrier would pay for 100% of any additional medical expenses incurred in that same year. It includes deductibles, co-payments and co-insurance expenses. It does not include premium payments.
  • First Dollar Coverage: First dollar coverage refers to benefits where the plan's co-pay or co-insurance is available from the start, regardless of the deductible. With an HSA insurance plan first dollar coverage is only available for certain preventive care benefits, such as an annual physical. Other than preventive care, you will have to satisfy your deductible before any co-payment or co-insurance benefits can go into effect.

It is important to note that while the HSA health insurance plans do not provide first dollar coverage for benefits like office visits and prescription drugs. However, this does not mean that you will have to pay the “off the street” rate for these services. Once you are a member of a carrier’s insurance plan, the most you will have to pay for an in-network service is the contracted rate the insurance company has with that provider. Typically, the contracted rate is significantly less expensive than the cost of those services without health insurance.

One advantage of the HSA insurance plan is the cost. Since these plans are high deductible health plans with limited coverage prior to reaching the deductible, they tend to be considerably less expensive than a traditional health insurance plan. In some instances the savings can be enough to fund your health savings accounts.

Although HSA health insurance plans are a great option for employer groups, they are particularly well suited for individuals who pay for their own health insurance, such as the self-employed, employees of companies that do not offer health insurance benefits, and graduate students.

When viewing your personalized HSA insurance quotes, you will want to pay particular attention to how comprehensive each plan's benefits are after the deductible has been reached. Be certain to choose a health savings account insurance plan that provides the same level of coverage as a traditional health insurance plan once the deductible has been reached.

"HSAConnect is a great service . . . Thanks again for answering all of my questions and making the process so simple."

Annette Fineberg  
Physician  


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