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Top 5 HSA Plans in Texas [Health Savings Account Comparison Guide]

by Misty Berryman | Feb 3, 2025 | Health Savings Account, Healthcare, HSA-Qualified Plans | 0 comments

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Health Sharing Accounts (HSAs) are an investor’s best kept secret, but you need an HSA-qualified healthcare plan in order to qualify for one. Learn about the top 5 HSA plans in Texas below.

Top 5 HSA Plans in Texas

Located in the Lone Star State and still looking for a good health insurance plan? In today’s blog, we’re breaking down the top 5 HSA-qualified health insurance plans in Texas.

We’ll start with some basic info about HSA plans, then compare the 5 Texas HSA plans that our clients and advisors have appreciated the most.

What is a Health Savings Account (HSA)?

A Health Savings Account is a specialized investment tool that makes it possible to save pre-tax dollars from your paycheck to use for medical expenses. HSAs were created as a way to help people deal with the high out-of-pocket costs that can come with a high-deductible plan.

From copays and deductibles to hearing aids, dental work, and even laser eye surgery, HSAs can pay for most of the things that your plan does not. As long as you’re using HSA funds on qualified medical expenses, it remains tax free. Even better: It will grow on a tax-deferred basis from year to year.

Many Texas small business health insurance owners also use HSAs to boost their employee benefits package, offering to make some or all of the annual contribution limit.

READ MORE: Everything you need to know about Health Savings Accounts (HSA Guide)

What is an HSA-qualified health insurance plan and why do I need one?

HSAs are only available to individuals who are enrolled in an HSA-qualified plan. These are high-deductible (HDHP) versions of metal-tier ACA plans.

Compare Pricing on the Best HSA Plans in Texas


Top 5 HSA Plans in Texas

While most health insurance companies offer HDHP plans that are HSA-qualified, they aren’t all created equal. Here’s a look at the top 5 HSA Plans in Texas, based on price, coverage options, additional benefits, and more.

Presented in no particular order:

Ambetter: Affordable health insurance plans for Texas and the southern U.S.

In addition to essential health benefits required by the ACA, Ambetter members enjoy a long list of bonus perks. These include the StartSmart Baby program, a 24/7 nurse advice line, and MyHealthPays, a rewards program that creates financial incentives for achieving health goals.  

What our clients are saying:

  • Ambetter’s MyHealthPays rewards program can bring your plan’s cost down simply by getting your annual checkup.
  • Excellent maternity benefits 
Get an instant quote for an Ambetter health insurance plan

Blue Cross Blue Shield Texas (BCBSTX): Quality coverage from one of the largest and most established insurance companies

BCBSTX offers a range of insurance plans, all of which include preventive care services, mental health and substance abuse services, and a number of free member wellness programs. As one of the largest insurance companies in the area, BCBSTX is uniquely equipped to offer reliable, low-cost coverage.

What our clients are saying:

  • The BCBSTX website makes it really easy to find out whether your current doctor is in-network for their plans.
Get an instant quote for a Blue Cross Blue Shield of Texas health plan

Aetna: Comprehensive health insurance for Texans

Aetna offers a wide range of health insurance plans designed to meet the diverse needs of individuals and families. Members enjoy essential health benefits required by the ACA, along with standout features like $0 preventive care visits, a robust provider network, and seamless pharmacy integration through CVS Health®. With the Aetna Health app, managing your health has never been easier.

What our clients are saying:

  • Aetna’s $0 preventive care visits make it easy to prioritize health without added costs.
  • The integration with CVS Pharmacy® simplifies prescription refills and medication management.
  • The Aetna Health app keeps all your benefits and healthcare resources at your fingertips.
Get an instant quote for a plan with Aetna health insurance plan

UnitedHealthcare: Flexible health insurance with perks Texans love

UnitedHealthcare is a leader in providing tailored health insurance solutions for individuals and families in Texas. The members benefit from essential health benefits required by the ACA, alongside standout offerings like Virtual Visits, which allow you to connect with doctors 24/7 through their app. From managing chronic conditions to getting quick advice for minor issues, their virtual care services make healthcare easier and more convenient.

What our clients are saying:

  • UnitedHealthcare’s vast provider network gave me so many choices for in-network care—it’s a real lifesaver.
  • The pharmacy integration is seamless, and many users appreciate the home delivery option for my medications.
Get an instant quote for a plan with UnitedHealthcare

Oscar: Making a healthier life more accessible to Texans

Oscar is a technology-forward company that is dedicated to being the “doctor in the family”. Their full suite of member services has led to high levels of customer satisfaction. All Oscar health plans include $0 virtual primary care appointments, and access to the highly popular Oscar rewards app.

What our clients are saying:

  • The Oscar app is an awesome way to track your daily steps. The app links with your smartphone, and hitting your step goals can earn you as much as $1 per day.
  • Oscar has a great customer service team that is easy to get a hold of
Get an instant quote for a plan with Oscar Health Insurance

Looking for an alternative? Try an HSA-qualified healthcare cost sharing plan

Are you enrolled in a health care cost sharing plan (Healthshare) and are interested in getting an HSA? By pairing your healthshare plan with a Minimum Essential Coverage (MEC) plan, you too can get your own Health Savings Account.

Ask your Personal Benefits Manager about HSA Secure, one of the only healthshare organizations that makes it easy to pair your membership with an HSA.

Get an instant quote for health sharing plan with HSA Secure.

Compare Pricing on the Best HealthShare Plans Available


Your expert Personal Benefits Manager is here to help

Our primary goal is to help people find the type or level of coverage that is right for them, not for us. Your Personal Benefits Manager can not only show you what is available, but also work with you to make sure that you’re getting the plan that you need to stay healthy, both physically and financially.

Call 800-913-0172 to set up a no-cost appointment today, or schedule an appointment online.

Here are some additional articles on HSA Insurance Plans: What is a High Deductible Health Plan? [HDHP FAQ] | Do You Know How to Keep Track of Your HSA Qualified Expenses?

Here are some additional pages related to this article: Insurance Plans in Texas | HSA Frequently Asked Questions

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Misty Berryman

Hi! I’m Misty Berryman, and I’m one of your Personal Benefits Managers. I like working with HSA for America because we’re creating solutions to healthcare problems. Our focus on money-saving alternatives like HSA plans and health sharing programs, and the variety of health share programs we offer, are what set us apart. Read more about me on my Bio page.

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