FIrst off, it doesn't "cost" six thousand dollars more. The deductible is not a "cost". It only comes into play if you have medical expenses outside the no-cost prevention procedures. Have a physical, get your vaccines, and keep up with routine preventive procedures and you pay little or nothing of that six grand you continue to call a "cost".
Second, the minimum deductible that qualifies a plan to have an HSA rises every year. In 2024 it jumps to $1600 for employee only coverage and $3200 for family coverage.
Third, if you are hitting the deductible every year you are in the wrong plan. Pay more for a comprehensive plan with a low deductible. The entire purpose of a high deductible plan is to transfer the risk of those first dollar expenses to the policyholder, not the insurance company. If you know you are going to hit the deductible let the insurance company cover that risk. Sure, the premium will be higher, but it won't be dollar for dollar higher.
HSA's are pretty sweet, but only about one in three people utilize them, and few of those maximize the contributions. I calculate the maximum contribution and have that amount drafted into the HSA every week. Ironically, last night I logged into my health insurance, pulled up all the claims, and then clicked the "pay now" button for any outstanding balances. Then I took my HSA "credit card" and paid them all off. I still have funds remaining, and if I have funds remaining at the end of the year they will rollover to next year. Reality is, I haven't had any out-of-pocket medical expenses in years, and yes, there have been some medical issues for both myself and my spouse. When I retire, any balances left in my HSA can be converted to an IRA.