HSA enrollment shows dramatic growth, new census survey shows

There has been an increase of approximately two million enrollees in Health Savings Account (HSA)-eligible insurance plans since January 2014, according to a new census released today by America’s Health Insurance Plans (AHIP), for a total of 19.7 million Americans with such coverage. The census of people covered by health savings accounts/high-deductible health plans (HSAs/HDHPs) is conducted annually by AHIP, which found that the large group market continues to lead in enrollment gains, and now represents 78 percent of all enrollment in these plans.

Nationally, the average monthly premium was $486 for single coverage and $1,142 for families.

Following are some key findings from the AHIP census:

• The number of enrollees with HSAs/HDHPs rose to nearly 19.7 million in January 2015, up from 17.4 million in January 2014.

• Most enrollment gains in the HSA/HDHP market were in large group plans. The share of HSA/HDHP lives enrolled in large group plans jumped from 68 percent in January 2013 to 74 percent in January 2014 and to 78 percent in January 2015.

• The gender distribution of people covered by HSAs/HDHPs in the individual market was evenly split — 50 percent male and 50 percent female.

• Fifty-six percent of all HSA/HDHP enrollees in the individual market (including dependents covered under family plans) were age 40 or over; 44 percent were under age 40.

• States with the highest levels of HSA/HDHP enrollment were: Texas (1,533,416), Illinois (1,280,655), Pennsylvania (843,182), Ohio (841,970), and Minnesota (834,594).

• Monthly premiums were reported for all markets (individual, small group, and large group), with $486 for single coverage and $1,142 for families.

“HSA plans are a valuable and affordable coverage option for millions of consumers and their families,” AHIP President and CEO Marilyn Tavenner said. “These plans offer families the flexibility to save for future medical expenses and make informed decisions about their health care needs.”

Online consumer tools. The census also found that most responding companies offer members online access to HSA account information and consumer decision-support tools such as health education and cost information, physician-specific information, and personal health records.

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