Almost 39 million people were enrolled in HSA-eligible health plans in 2024, according to a July report from AHIP.
The report findings are based on survey responses from 20 health plans offering employer-sponsored insurance and individual ACA coverage, collectively representing 104 million commercial enrollees.
The study estimated national enrollment in HSA-eligible health plans by applying a weighted average from survey respondents to the total commercial enrollment reported in the 2023 census.
Five findings:
1. As of January 1, 2024, 38.8 million people were enrolled in an HSA-eligible health plan, an increase from 32.1 million in 2019.
2. HSA-eligible plans accounted for 17.9% of the total commercial health plan market.
3. PPO plans make up 76% of HSA-eligible health plan enrollment, and 75% of HSA-eligible enrollees were enrolled in self-insured plans. 77% of HSA-eligible enrollees in the individual market were enrolled through the exchanges.
4. Children 18 and younger made up 21% of HSA-eligible enrollment, compared to 25% of all commercial market enrollees. 36% of HSA-eligible enrollees were 25 to 44 years old.
5. Nearly all HSA-eligible plans cover telehealth services on a pre-deductible basis. In 2023, 16% of people enrolled in an HSA-eligible plan had a telehealth visit.
