How and Why Employers Use Health Savings Accounts

MSEC surveyed members and others about their activity in Health Savings Accounts (HSAs) in our 2013 Health & Welfare Plans Survey. Out of 281 organizations, 45 percent offer an HSA or Health Reimbursement Account (HRA) or both; 21 percent are considering offering an HSA; and 8 percent are considering offering an HRA. On average, these organizations contribute $51 per month to an HSA account and $87 per month to an HRA account for single coverage.*

A recent study by Buck Consultants indicates that employees who contribute to HSAs become more engaged in managing their health. The survey showed that 51 percent of those responding set aside more money for potential medical costs, 29 percent reported talking to their doctors about the cost of care, and 13 percent said they are more active in managing their chronic disease.

Most HSA participants acquire medical coverage through their employers. In the Buck survey, 75 percent of employers indicated that they contribute to HSAs. Those employees who have HSAs expect tools from the employer to help them make informed decisions. Those with an HSA want to be able to view claims and pay them on the HSA site.

* This average includes 36 percent of HSA organizations not contributing and 22 percent of HRA organizations not contributing.