Your employer may offer an HSA option or you can start an account on your own through a bank or other financial institution. To qualify, you must be under age 65 and carry a high-deductible health insurance plan. If you have a spouse who uses your insurance as secondary coverage, he or she also must be enrolled in a high-deductible plan.
Your high-deductible health plan must be your only health insurance—you can’t be covered by any other health insurance. However, having dental, vision, disability and long-term care insurance doesn’t disqualify you from having an HSA.
For an individual to be eligible for an HSA, they must:
• be covered under a high deductible health plan.
• not have coverage under another non-HDHP.
• not be enrolled in Medicare, and
• not be claimed as a dependent on another individual’s tax return.