January 2013 Census Shows 15.5 Million People Covered by Health Savings Account/High-Deductible Health Plans (HSA/HDHPs)
June 2013


Highlights of the 2013 census:  

  • The number of people with HSA/HDHP coverage rose to nearly 15.5 million in January 2013, up from 13.5 million in January 2012 and 11.4 million in January 2011; an annual growth rate of approximately 15 percent over the last several years.

  • Most enrollment gains in the HSA/HDHP market in 2013 were in the large group market. The share of HSA/HDHP covered lives enrolled in large group plans jumped from 59 percent in January 2012 to 68 percent in January 2013.

  • The gender distribution of lives covered by an HSA/HDHP as of January 2013 was evenly split—50 percent male and 50 percent female.

  • Forty-nine (49) percent of all HSA/HDHP enrollees in the individual market (including dependents covered under family plans) were age 40 or over; 51 percent were under age 40.

  • States with the highest levels of HSA/HDHP enrollment were: Illinois (903,000), Texas (889,364), California (808,019), Ohio (686,616), and Michigan (577,208).

  • States with the highest percentage of HSA/HDHP enrollees among their under-65 populations with private health insurance were: Vermont (15 percent), Minnesota (14 percent), Utah (12 percent), Montana (12 percent), Illinois and Connecticut (10 percent).

  • Preferred provider organizations (PPOs) were the most popular HSA/HDHP product types, representing more than 90 percent of plans.

  • Most responding companies reported offering online member access to HSA account information, health education and cost information, physician-specific information, and personal health records as consumer decision support tools for their members.