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California health insurance - Health Savings Accounts and California health

Finding the Best HSA Values On The California Health Insurance Market

  • HSA plans make sense if you plan on funding the account (detail below)
  • HSA plans are available through Covered Ca and off exchange (detail below)
  • Preventative is now covered prior to the deductible
  • Interest and investment is generally tax deferred and you can pay eligible expenses pre-tax

We've been fans of the HSA or Health Savings Account health plans in California since they we're called MSA's and for a very good reason.

They saved 1000's of our clients 1000's of dollars.

It's that simple.

So what is an HSA health plan and what is their future in light of Covered California requirements?

First, let's break down what the HSA is and how it can be beneficial. We'll also discuss if it's still the great savings it has been over the past decade and what's required to really make it make sense.

So let's get started on the HSA.

You can always run your quote (will have HDHP in the title) here:

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What is an HSA plan and what are the advantages?

California health insurance rate increase chart showing rising premium costs over time

Very simply, the HSA generally refers to two separate parts.

The first is an underlying high deductible health insurance plan.

Most of the carriers offer these HSA qualified plans and you'll see the "HDHP" in the title when running your California health insurance quote for both the individual/family or Group market.

Not any high deductible plan will do so make sure to look for the HDHP or HSA (employer side) sign.

As a side note, almost all the HSA plans currently use the PPO or EPO network of doctors aside from Kaiser.

With HSA plans, all benefits aside from preventative benefits are subject to the main deductible.

This is the biggest difference in core health plan benefits between the HSA qualified plans and other PPO high deductible bronze plans and usually, the main effect is for office visits (no copays or co-insurance) and prescription (no copays). Office visits (except for preventative) and prescriptions will be subject to the main deductible.

Otherwise, it's a high deductible (should be lower cost) PPO or HMO health plan. So far, pretty straight forward.

The tax-favored HSA account is really the ke

The second piece is where HSA's differ and really, it's where the potential cost savings can be found now that the health plan rates are pretty comparable with other high deductibe plans.

If you are on a qualified HSA health plan, you may be able to fund a certain amount (indexed to go up each year with family plans allowing roughly double of an individual) into a separate tax-favored checking account.

You may be able to write this money off at tax time and here's the bonus...you can use these pre-tax funds to pay for eligible medical and dental bills with no tax implication.

As an example, the maximum yearly contribution (and write off) is approximately $7K for 2 or more members and for an individual, it's over $3K.

Let's look at the individual situation.

If you fund the full amount each year (it's up to you how much you fund), and your federal tax rate is 30%, that's $900 (30% of $3000) of real after tax savings.

Divide this by 12 and we can say that your premium savings is roughly $80/monthly.

Once you take this into account against other PPO plans, the HSA starts to look really competitive.

It used to be that the core HSA health plans were priced much better than other PPO plans but that's not the case any more. You really need the tax savings to make the numbers.

California HSA eligible health plans

Today, HSA health plans offer very similar out of pocket max's (how plan treats the big bill) as the other bronze, silver, and even gold plans!

What does this mean?

Most PPO plans have a deductible and then you pay a percentage (co-insurance) until you hit a separate max out of pocket (includes the deductible).

If you get a really big medical bill, the real out of pocket might by $7000-$9000 on mid-priced plans.

That's a big number.

Many of the popular HSA plans today make the deductible and the max out of pocket the same number.

This means you may have a cap of around $7K on these plans.

For some California health care shoppers, that out of pocket cap is more important than office copays and prescription copays.

This low cap is a key driver for many HSA applicants. The tax savings is a bonus for these people.

A few notes.

  • Health insurance premiums cannot be paid from the HSA account.
  • The HSA accounts are NOT use it or lose it.
  • The amounts grow each year and interest and investment are tax-deferred.
  • Most large banks or investment houses now administer HSA accounts with debit cards and various investment options.
  • Optum has been a strong provider of the actual HSA accounts.
  • The allowed expenses are actually extensive and follow the Federal list of allowable medical expenses.

You can run your instant quote below (individual or group) for all California health plans including HSA and you can even segregate just the HSA eligible plans with a check box.

This is a good summary introduction to the world of HSA's but we're happy to walk you through them as it pertains to your situation.

We also have analyzed current best options for the HSA.

Best HSA Values on the current market

We still have HSA compatible plans on the market:


California Individual and Family Market. Look at the Bronze HSA plans and then choose according to network and pricing. The benefits are standardized now so doctor choice and pricing rules. We can also see if you qualify for a tax credit. You can quote Individual Family HSA plans here.

California Small Group Market. The group market is a little tougher since there are so many carriers and HSA plans available. It really comes down to a company's demographics (age, area). Run your group HSA quote and we'll find the best priced HSA plans including Health Net, Shield, and Anthem which are usually strongest for the HSA plans in terms of pricing and benefits.

Related Pages:

Current California HSA individual family health plans
Individual deductibles versus family cumulative deductibles for HSA in California
Do HSA Funds Roll Over?

We have helped 1000's of Californians find the best priced plan that matches their doctor/hospital needs.

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Frequently Asked Questions
▸ What is a Health Savings Account (HSA) and how does it work?
An HSA is a tax-advantaged savings account paired with a qualifying high-deductible health plan (HDHP), allowing you to set aside money pre-tax to pay for eligible medical expenses. Contributions, growth, and qualifying withdrawals are generally all tax-favored. You own the account, so unused funds roll over year to year.
▸ Are HSA-eligible health plans available through Covered California?
Yes, HSA-eligible high-deductible health plans are generally available both through Covered California and off-exchange in California, depending on the plan year and carriers offering them. A licensed agent can help you identify which current plans qualify. Get an individual/family quote to compare today's options.
▸ What are the main tax advantages of an HSA in California?
Federally, HSA contributions are tax-deductible, growth is generally tax-deferred, and withdrawals for qualified medical expenses are tax-free. Note that California does not conform to federal HSA tax treatment, so contributions are not deductible on your California state return - an important distinction for California residents.
▸ Does preventive care have to be paid out-of-pocket before the deductible on an HSA plan?
No - under current rules, preventive care is typically covered before you meet your deductible on HSA-eligible plans, meaning you can access preventive services without first spending down your deductible. Specific covered services can vary by plan, so review your plan's summary of benefits carefully.
▸ How do I find the best HSA plan value in California?
The best HSA value depends on your health needs, how much you plan to contribute to the account, and the premiums versus deductibles available in your area. Because plan options and pricing change every year, comparing current plans with a licensed California agent is the most reliable approach. Compare California health insurance carriers to start narrowing your options.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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