Understanding Health Savings Account - Blog banner featuring health insurance insights

Understanding Health Savings Account

Published on 19 JUN 26 | 5 MIN READ
Authored by Team Prudential
Table of Contents
What is a Health Savings Account (HSA)?
What is the eligibility for a health savings account?
How does a health savings account work?
What can you use a health savings account for?
What are the benefits of a health savings plan?
What is the difference between health insurance and health savings account?
Conclusion
Frequently asked questions

A health savings account (HSA) is a personal savings account specifically set up to pay everyday medical expenses tax-free. You or your employer deposits money into it, and you can withdraw those funds for qualified healthcare costs like doctor visits, diagnostic tests, dental care, and over-the-counter medicines. It works best when combined with a group health insurance plan, where the insurance covers large hospitalisation costs and the HSA handles the smaller, more frequent medical expenses that your health insurance premium does not address.

Healthcare costs in India are skyrocketing every day. When a medical emergency happens, it can add stress for both employees and employers. That's why many businesses choose to buy group insurance policies. These group health insurance plans help businesses take care of their employees during emergencies by saving for expenses.

What is a Health Savings Account (HSA)?

A Health Savings Account, or HSA, is an account that is used to pay for healthcare services. Instead of writing a check for each medical bill that you receive from your monthly income, you are able to draw on the funds in the HSA for all qualifying medical services. Qualifying expenses can be as varied as doctor visits, diagnostic tests, prescription drugs, dentistry, optometry, preventive medical care, and more.

Many people use their HSA as an account that holds funds for when healthcare costs arise throughout the year. Insurance typically covers high medical bills, but a health savings account helps the individual handle the costs of smaller medical services, which they often experience more frequently. Any portion of money that remains in the HSA is accessible the next year for medical expenses.

What is the eligibility for a health savings account?

A Health Savings Account cannot automatically be opened by all citizens. There are specific criteria that must be met before an HSA can be created. Even though it can depend on the specific bank or healthcare savings programme an individual uses, the minimum criteria required before an individual can open a healthcare savings account typically includes only a few prerequisites.

Indian Residency or Citizenship

To apply, an individual generally must be an Indian citizen or an Indian resident. This allows banks to verify identification of individuals before an account is opened, which is necessary when fulfilling all necessary banking and programme regulations.

Minimum Age Requirement

For most account types, an individual must be at least 18 years old. Since the Health Savings Account acts like its own personal bank account, applicants must be the minimal age before they can administer and work with their own individual accounts.

Existing Bank Account

An individual should ideally have a savings account in the specified bank that participates in, or belongs to, the relevant savings scheme. This helps to manage an individual's funds and allows funds to be withdrawn readily whenever applicable healthcare expenses must be paid.

Identity and KYC Documents

Banks generally require standard Know Your Customer (KYC) documents. This could include things like an Aadhaar card and PAN card, which allow the bank to confirm the applicant's identity and meet the necessary regulations for opening any sort of bank account.

How does a health savings account work?

A Health Savings Account is a designated fund separate from your everyday funds which you designated for qualified medical expenses. Money is added to your HSA account and can be used to pay medical expenses as needed. The funds in your HSA account are for you to use to pay for certain medical expenses instead of using your normal bank account. Your medical expenses would be withdrawn from your HSA account rather than from your normal savings account. This enables you to establish a fund which will cover day-to-day medical needs separately from your everyday checking account.

As an example, if you had an HSA account through your employer and also had a group health insurance plan through work, you could use the funds in the HSA to pay for visits to your doctor, any prescriptions you have filled by your doctor or purchased over the counter, and also diagnostic tests and follow-up doctor visits. If you had a medical expense, that expense would be removed from the HSA account balance instead of removing the money from your checking account.

What can you use a health savings account for?

HSAs are intended to pay for a broad range of typical medical expenses throughout the year. Rather than dipping into regular savings to pay for any needed care, you use funds in an account to meet eligible medical costs as they occur. This makes ordinary health care spending more manageable and ensures you have resources available when needed. Depending on the plan you are enrolled in, your HSA funds may be used for costs including the following:

  • Physician appointments and clinic visits
  • Diagnostic tests and laboratory studies
  • Prescription drugs
  • Dental work and general dentistry
  • Vision care costs
  • Over-the-counter drugs
  • Acupuncture and chiropractic care
  • Mental health and psychiatric treatment
  • Feminine hygiene products

The money in the account is designated for medical spending; you should familiarise yourself with the types of expenditures allowed. By using the account for medical costs within the specified parameters of the plan, your HSA becomes a reliable resource for managing healthcare expenditures, both expected and unexpected.

What are the benefits of a health savings plan?

A Health Savings Account (HSA) allows individuals to pay their everyday medical expenses without impacting on the savings that are being set aside for use in general savings. A HSA is used in conjunction with a health insurance policy, contributing the necessary money for eligible health expenses that may occur during the year. The HSA provides the following benefits:

  • Assists in meeting ordinary medical expenses.
  • Provides tax relief for eligible contributions and withdrawals, in accordance with programme guidelines.
  • Funds can be used in future years for subsequent medical expenses.
  • Covers off-hospital treatment expenses.
  • Provides money for anticipated as well as unforeseen medical expenses.
  • The account holder keeps possession of any contributed money.

When a Health Savings Account is set up, money is saved that can be used solely for medical expenses, thus managing costs easily while supplementing health insurance coverage.

What is the difference between health insurance and health savings account?

Most people assume health insurance and a Health Savings Account both serve as tools to cover your medical expenses; however, the two tools are used to cover two different areas of medical expenses. While health insurance will protect you against high medical costs resulting from hospital stays, an HSA can be used to pay for routine and out-of-pocket medical expenses.

FeatureGeneral health insuranceHealth savings account
Primary purposeCovers large hospitalisation expensesCovers frequent or out-of-pocket medical costs
PaymentYou pay the premium, and your insurer pays for your medical bill in case of hospitalisationYou or your employer deposits money that can be withdrawn for daily medical use
Tenure and rolloverIt usually lasts a year with no cash balance accumulatedIt lasts a lifetime, and funds roll over

Most people do not have to choose between the two but use health insurance for the worst-case scenario and use an HSA to cover everyday expenses without dipping into your everyday savings.

Conclusion

With the ever-rising healthcare prices, everyone should be prepared for any situation when it comes to financing their healthcare needs. The introduction of the health care savings account allows employees to manage their health care expenditures. When one integrates the HSA plan with a group medical insurance scheme, it is a protective measure that will ensure full coverage, from routine appointments to hospitalisation. Some evident advantages make the combination beneficial for both parties: it is a tax-advantaged savings account, it offers flexible expenditures and it gives the possibility to withdraw money from the fund when changing employment.

Frequently asked questions

What is a healthcare savings account?

An HSA is like a personal savings account exclusively for medical expenses. You can deposit and withdraw money from this account, tax-free, while also earning some interest on your money.

Is HSA available in India?

Yes, but HSA is still new to India and not offered by all employers, since the policy doesn't have any rules and regulations implemented yet.

Can I withdraw money anytime?

Yes, you can withdraw money from an HSA account at any time, as long as it is a qualified medical expense. You can withdraw your money for non-medical reasons as well, but those withdrawals will be liable to tax.

Is HSA better than health insurance?

In India, HSAs are good for medical expenses that are not very expensive but happen often, like going to see a doctor. Traditional health insurance is better for expenses, like staying in the hospital.

Who should open an HSA?

HSA is best suited for working professionals as it saves on taxes, ensures money for medical emergencies and comes with employment organisations.

Terms and Conditions

Related blogs