Can You Have An Hsa Without Health Insurance? 
Yes and no . One can only establish a HSA if they are enrolled in a qualifying High Deductible Health Plan . However one may establish a HSA and can maintain it for the rest of their lives , collecting compound interest and using it to pay for qualified medical expenses -LRB- before age 65 -RRB- after the age 65 a HSA account is treated exactly like a IRA . 