Who Is Eligible For An HSA?

• Any individual that:
  - Is covered by an HDHP
  - Is not covered by other health insurance
  - Is not enrolled in Medicare
  - Can't be claimed as a dependent on someone else's tax return
• Children cannot establish their own HSAs
• No income limits on who may contribute to an HSA
• No requirement of having earned income to contribute to an HSA
  (Revised August 18, 2004)

• What other health coverage is allowed to still be eligible for an HSA?
• Specific disease or illness insurance and accident, disability, dental care, vision care and long-term care insurance
• Employee Assistance Programs, disease management program or wellness program
  - These programs must not provide significant benefits in the nature of medical care or treatment
• Drug discount cards
• Eligibility for VA Benefits
  - Unless you have actually received VA health benefits in the last three months
  (Revised August 18, 2004)
• What "1st dollar" medical benefits make someone ineligible for an HSA?
  - Medicare
  - Tricare Coverage
  - Flexible Spending Arrangements
  - Health Reimbursement Arrangements
• There are permitted HSA/HRA/FSA combinations
  (Revised August 18, 2004)
• Permitted HSA/HRA/FSA combinations:
  - "Limited purpose" FSAs and HRAs that restrict reimbursements to certain permitted benefits such as vision, dental, or preventive care benefits
  - "Post-deductible" FSAs or HRAs that only provide reimbursement after the minimum annual deductible has been satisfied under the HDHP
  - "Retirement" HRAs that only provide reimbursement after an employee retires
  - "Suspended" HRAs where the employee has elected to forgo health reimbursements for the coverage period (Revised August 18, 2004 7)