Smart Strategies to Maximize a High-Deductible Health Plan (HDHP)

High-deductible health plans (HDHPs) can be a smart way to lower your monthly premiums, but they also shift more financial responsibility onto you. That means it's essential to know how to manage your care, budget for out-of-pocket expenses, and utilize every available tool to save money.

Whether you chose your HDHP for its low premiums or it’s your only employer option, this guide will show you how to make the most of it, with fewer financial surprises and more confidence in your coverage.

1. Understand How Your HDHP Works

An HDHP has a higher deductible than traditional plans but often pairs with tax-advantaged savings options. To make smart choices, you first need to know the key terms and numbers.

Key Features of an HDHP (2025 IRS Guidelines):

• Minimum deductible of $1,650 for individuals and $3,300 for families

• Maximum out-of-pocket limit of $8,300 for individuals and $16,600 for families

• Lower monthly premiums compared to traditional plans

• Eligibility for a Health Savings Account (HSA)

Tip: Check your insurer’s online portal or summary of benefits to understand exactly what is covered and when your deductible applies.

2. Leverage Your Health Savings Account (HSA)

The Health Savings Account (HSA) is one of the biggest advantages of having an HDHP. If you're not using it, you're missing out on major tax savings.

Why HSAs Are Valuable:

• Contributions are tax-free

• Funds grow tax-free

• Withdrawals are tax-free when used for qualified medical expenses

Qualified HSA Expenses Include:

• Doctor visits

• Prescription medications

• Dental and vision services

• Mental health care

• Medical procedures and diagnostics

Contribution limits for 2025 are $4,150 for individuals and $8,300 for families, with an extra $1,000 catch-up contribution allowed if you're 55 or older.

Learn more: HealthCare.gov HSA Guide

3. Shop Around and Use Transparent Pricing Tools

When you’re responsible for covering medical costs before hitting your deductible, it’s critical to compare prices ahead of time. Don’t default to the nearest provider—costs can vary dramatically for the same procedure.

Use MDsave to Save

MDsave allows you to shop for and purchase medical services with upfront bundled pricing.

Benefits of using MDsave:

• Compare costs for procedures from local providers

• Pay in advance to avoid surprise bills

• Use HSA or FSA funds to pay

• Access pricing typically lower than insurance-negotiated rates

Common services include imaging, lab tests, colonoscopies, outpatient surgeries, and preventive care.

4. Focus on Free and Preventive Care

HDHPs are required to cover preventive services at no cost to you, even before you meet your deductible.

Covered Preventive Services Usually Include:

• Annual physical exams

• Vaccines (flu, COVID-19, shingles, etc.)

• Cancer screenings (mammograms, colonoscopies, Pap smears)

• Blood pressure, cholesterol, and diabetes checks

• Screenings for depression and substance use

• Well-child visits and immunizations

More details: Preventive Services Covered by Insurance

Schedule your preventive care early in the year to stay ahead of issues and reduce long-term costs.

5. Plan, Budget, and Negotiate

A proactive approach is your best financial protection when managing a high-deductible plan.

Planning Tips:

• Know your deductible and out-of-pocket maximum

• Build a medical emergency savings fund

• Request an estimate before any non-emergency care

• Ask for cash pay discounts or payment plans

• Use telehealth when appropriate for minor conditions

If you receive a large bill, ask for an itemized invoice and challenge any unclear charges. You may qualify for financial assistance.

Useful tools:

• Patient Advocate Foundation

• Healthcare Bluebook

6. Use Every Cost-Saving Resource Available

Alongside your insurer’s tools, explore national platforms that help consumers reduce costs while using an HDHP.

Helpful Resources:

• MDsave – Discounted medical procedures

• GoodRx – Prescription price comparison

• NeedyMeds – Assistance with drug and healthcare programs

• RxAssist – Patient assistance programs for brand-name medications

• CareCredit – Financing options for healthcare costs

• National Association of Free & Charitable Clinics (NAFC) – Locate no-cost or sliding-scale care

Take Control of Your HDHP

A high-deductible health plan doesn't have to mean high stress. With the right strategies, you can:

• Maximize your HSA

• Minimize out-of-pocket costs

• Access preventive care at no charge

• Use tools like MDsave to lock in affordable pricing

• Plan ahead and avoid financial surprises

Start saving smarter today by exploring options at MDsave.com—ideal for HDHP users who want control and clarity when it comes to care.