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Can I contribute to an HSA if I use Direct Primary Care or a health sharing ministry?

March 27, 2025March 28, 2025

Maybe not. Some alternative care arrangements—like Direct Primary Care (DPC) and health care sharing ministries—can affect your eligibility to contribute to an HSA.


🩺 Direct Primary Care (DPC):

DPC typically involves paying a monthly membership fee directly to a physician for unlimited access to routine care.

  • The IRS may view this as disqualifying coverage if it provides medical benefits before the deductible is met.

  • If your DPC arrangement is considered insurance-like, you may not be eligible to contribute to an HSA.

However, if the DPC is limited to preventive care or consultation-only services, it might not disqualify you.


🤝 Health Sharing Ministries:

These are not insurance, but if they pay for medical services, they can still be seen as disqualifying coverage under IRS rules.

  • Participating in a sharing ministry may make you ineligible to contribute to an HSA

  • You can still use existing HSA funds, but new contributions may be disallowed


đź§  Tip:

Check with a tax advisor or benefits expert if you’re using alternative healthcare arrangements. HSA eligibility rules are strict and subject to IRS interpretation.

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