I have my own high-deductible insurance policy -- since I'm healthy, self employed, and relatively poor -- but I'm still paying too high a premium. The other day I found a Blue Cross/Blue Shield HSA that offers the same benefits at the same deductible level for half the monthly premium I'm currently paying for my regular insurance policy. Are there any hidden catches here? As i understand it, I contribute to this thing pretty much as I would an IRA, with a set maximum allowable contribution per year, and that money can be taken out for medical or non-medical expenses. Medical expenses exceeding the deductible are then covered by the policy itself. Right? Is there a minimum amount of money I have to keep in an HSA account? Is managing an HSA a pain in the butt compared to regular insurance? What's the hidden cost in paying a lower premium?