Top providers of medical savings accounts


Final verdict

HSA companies differ in interest rates, fees, and customer service. Choosing the right one for you or your employees requires careful consideration of these and other factors in order to maximize your investment and minimize your out-of-pocket expenses.

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The best savings accounts for health
Site Why do we choose it? Monthly fee for individuals Monthly payment to employers
loyalty Better overall $ 0 Up to $ 48 per year
HSA management Best for employers 0 dollars, you need to have 1000 dollars to invest $ 0
Further away The best to choose It depends on the account Not on the list
First American Bank Best for low commissions 0 dollars, you need to have 2,000 dollars to invest Not on the list
Health Best for investment options $ 2.75 per month for balances less than $ 2,500 2.50 per month per employee
Dynamic Best for price transparency $ 0 $ 2.95 per month per employee

Frequently asked questions

How does the HSA work?

The Health Savings Account (HSA) is part insurance plan and part savings account. To have an HSA, you must first have a high deductible health plan (HDHP) . According to, by 2021 this deductible was at least $ 1,400 per person and $ 2,800 per family. The advantage of this type of plan is that the deductions are generally low and you can combine the plan with the HSA to save on taxes and earn interest.

The HDHP minimum deductible changes annually. You can deposit tax-free dollars in your HSA and then use those dollars to pay for health care costs to increase your deductible .

The 'savings account' part of the HSA means that the funds you deposit in your HSA can earn interest over time. Since HSA funds roll over from year to year (and income is tax-free), you can use your HSA account to earn money and pay less tax.

Both an employer and an individual can contribute to the HSA. According to the IRS , if your employer makes contributions to your HSA, they are not listed as income.

What is a medical savings account provider?

HSA providers include insurance companies that may offer HSAs along with your insurance plan. Additionally, banks and some financial institutions may also offer HSAs regardless of your insurance policy. The Internal Revenue Service (IRS) appoints these companies as trustees of the HSA. "

Once you select an HSA provider (even if your current employer is contributing), the account becomes portable. This means that you can keep your account even if you change jobs or retire.

What are the out-of-pocket expenses associated with a health care savings account provider?

You cannot use your HSA to pay premiums related to your HDHP. Therefore, you will have to pay your insurance premiums out of pocket with taxable money.

However, when it comes to HDHP combined with HSA, the money you pay for your franchise is technically still cash. However, the money paid with the HSA is tax deductible.

Are there exceptions to the use of money?

You can use your HSA funds to pay for services like:

However, you generally cannot use HSA funds to pay premiums.

When you turn 65, you can use your HSA for whatever expenses you want. However, if it is not a medical expense, it will be subject to income tax on the funds used. The advantage of this withdrawal over a retirement account is that there is no minimum amount that you can withdraw from your HSA at age 65 or older.

Is the HSA tax-free?

The money you deposit in the HSA is tax deductible. Ideally, this approach will save you money so that you can use HSA tax-free dollars to pay for qualified medical expenses.

Since these funds are tax-free, there is a limit to the amount you can contribute to the HSA. For 2021, this amount is $ 3,600 for individual insurance (self-insurance) and $ 7,200 for family insurance.

One aspect of the HSA that differs from other similar accounts, such as the Flexible Spending Account, is that the HSA funds can be renewed annually. If you are not using the tax-free money you deposited, you can continue to earn interest on your HSA and can use it later if you wish. HSA earnings or interest accrue tax-free.

Who can use the HSA?

HSAs are for those with high deductible health insurance plans. These are plans with a minimum contribution set by the federal government annually. According to the Journal of the American Medical Association (JAMA) , the average HDHP deductible in 2020 was $ 5,316.

To be eligible for the HSA, you must meet the following IRS requirements:

  • Have HDHP coverage
  • You have no health insurance other than what the IRS specifically authorizes (such as a prescription drug plan).
  • Not be a Medicare member
  • Don't depend on someone else's tax return

Also, the HSA is for individuals only. Couples or families cannot share an HSA account.


We looked at 15 companies offering HSAs to both individuals and employers before narrowing it down to six. This includes customer fees, interest rates, and investment opportunities. In our final selection, we also considered customer service and app-based training tools and web apps.

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