What is a High Deductible Health Plan

A high deductible health plan (HDHP) is a health insurance plan with traditionally low premiums but higher deductibles. An HDHP can be combined with a health savings account (HSA) to pay for certain medical expenses with money free from federal taxes. Other types of insurance plans, such as PPO, POS, HMO, and more, can still be classified as an HDHP, depending on the deductible of the plan. 

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What is a High Deductible Health Plan? 

A high deductible health plan (HDHP) is a health insurance plan with low premiums but high deductibles. This means that you pay a low monthly rate for your plan, but will not receive coverage until you meet a very high deductible. An HDHP is the only type of health plan that can pair with a Health Savings Account (HSA) to help lower the cost of healthcare expenses. You can enroll in an HDHP in the health insurance Marketplace during the Open Enrollment Period or Special Enrollment Period. When you view plans in the Marketplace, you can see if HDHP plans are "HSA-eligible."

Types of insurance plans, such as HMO, PPO, etc. (described in the FAQs), can be considered high deductible health plans. A high deductible plan is classified by the amount of the deductible itself. The threshold for what is considered “high deductible” for the 2021 and 2022 health insurance plan years is described below.

Source: Healthcare.gov

Services Covered By an HDHP

Your insurance plan will cover preventative care before you meet your deductible. However, with an HDHP, you must cover all treatment that is not considered preventative until you have met your deductible. Coverage of preventative services may depend on age and risk of developing certain conditions. Some examples of preventive care covered by your health insurance plan include: 

• Blood pressure screening
• Cholesterol screening
• Depression screening
• Diabetes (Type 2) screening
• Diet counseling for adults at higher risk for chronic disease
• Hepatitis B screening for people at high risk
• Hepatitis C screening for adults age 18 to 79 years
• HIV screening
• Immunizations
• Lung cancer screening
• Obesity screening and counseling
• Sexually transmitted infection (STI) prevention counseling for adults at higher risk
• Syphilis screening for adults at higher risk
• Tobacco use screening
• Tuberculosis screening