If you meet all the criteria listed below, you are eligible to open and contribute to an HSA. The Medicare Act of 2003, which established HSAs, defines "eligible individuals" as those who:
- Are covered by a qualified high-deductible health plan (HDHP).
- Are not covered by another health care plan, such as a health plan sponsored by your spouse’s employer, Medicare or TriCare.
- Cannot be claimed as a dependent on another individual's tax return. You may still open and contribute to an HSA if you have certain limited coverage approved by the IRS, such as dental, vision and long-term care insurance. And you are still eligible to establish an HSA if you are entitled to benefits under an Employee Assistance Plan (EAP), disease management or wellness program or have a discount card for prescriptions.
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