Health savings account (HSA) FAQs

Our HSA FAQs provide a useful guide to help get you started.                                                 


HSA basics (for both Fidelity HSA® and Fidelity Go® HSA)

  • What is an HSA?

    It's an individual account designed to work together with an HSA-eligible high-deductible health plan (HDHP). Eligible contributions are tax-deductible, and you can use your HSA money tax-free to pay for qualified medical expenses for you, your spouse, and your qualified dependents. You can choose to invest some or all of your HSA money for potential growth to help pay for qualified medical expenses in retirement. If it grows, that growth is also tax-free. Plus, your HSA is not "use-it-or-lose-it"—the account belongs to you, and your contributions can accumulate year after year.

    At Fidelity, you can choose the Fidelity HSA®, a brokerage account that you manage yourself (self-directed) or the Fidelity Go® HSA, which lets us choose and manage the investments for you.

  • What are the tax benefits for HSAs?

    HSAs are tax-advantaged in three ways. First, personal HSA contributions using after-tax money may be federal income tax-deductible. If you have an HSA through your employer, you can make pre-tax payroll contributions—this type of contribution saves more on taxes than tax-deductible after-tax contributions.2 Second, spending your HSA money on qualified medical expenses is free of federal income taxes. Third, if you invest some or all of your HSA money, any growth is also tax-free.

  • Can my spouse and my dependents use my HSA?

    Yes. You, your spouse, and your eligible dependents can all use your HSA money to pay for qualified medical expenses as long as everyone meets eligibility requirements and you, the account owner, have authorized each of them by requesting an additional HSA debit card in their name. Debit cards are only available for the Fidelity HSA®.

  • Is an HSA right for me?

    If you're covered by an HSA-eligible health plan, an HSA can offer a variety of benefits. It's tax-advantaged in 3 ways—contributing, spending for qualified medical expenses, and investment growth are all federal income tax-free. You can also invest your HSA money for potential long-term growth, so HSAs are a great way to save for health care costs through retirement.

  • Can I have more than one HSA?

    Yes. You may open and contribute to as many HSAs as you like. Please note that the annual IRS contribution limit will still apply to the total amount you contribute to all your HSAs, and opening more HSAs will not increase your limit. Also, if you have an HSA through your employer, any contributions your employer makes will count toward the limit. See IRS Publication 969 for more on annual HSA contribution limits.

  • Is an HSA different from an FSA?

    Yes. HSA money is not "use-it-or-lose-it," unlike flexible spending accounts (FSAs), and your entire HSA balance carries over from year to year, forever. In general, HSAs cover a broader variety of qualified medical expenses than FSAs.1 Also, FSAs are generally sponsored by your employer, while your Fidelity HSA is owned by you. That means your HSA is always yours, even if you change employers or move to a different state.

  • Is an HSA-eligible health plan with an HSA always more expensive than traditional plans?

    An HSA-eligible health plan may cost less. Premiums are generally lower in exchange for higher deductibles, and HSA contributions, earnings, and distributions are all federal tax-free when used to pay for qualified medical expenses. HSA-eligible health plans have an annual out-of-pocket maximum expense amount, which limits your total yearly health care spending with additional costs, such as co-pays and co-insurance. Consider your own personal situation carefully before making a decision about enrolling in an HSA-eligible plan and opening an HSA.3

  • What happens to my HSA if I change jobs or leave my company?

    Your HSA and your balance are always yours, even if you change employers or move to another state. You can contribute to your HSA—even an HSA offered by your previous employer—as long as you continue to meet eligibility requirements. Even if you become ineligible to contribute to your HSA, you can spend your HSA money tax-free for qualified medical expenses any time, including through retirement.

  • What if I don't keep the same health insurance plan?

    Your HSA is always yours, even if you change health insurance plans. However, if you switch to a health plan that is not HSA-eligible, you will no longer be eligible to make future contributions to your HSA.

HSA eligibility (for both Fidelity HSA® and Fidelity Go® HSA)

  • How do I know if I'm eligible for an HSA?

    You're eligible to open and contribute to an HSA if:

    • You're covered by an HSA-eligible health plan on the first of the month
    • You're not covered by an ineligible health plan
    • You're not enrolled in Medicare
    • You cannot be claimed as a dependent on someone else's tax return
  • What happens if I open an HSA while I’m ineligible for one?

    There are no taxes or penalties for opening an HSA while you’re ineligible, as long as you don’t make contributions to it. If you opened an HSA by mistake while ineligible, call Fidelity to close your HSA. You will not have to pay federal income taxes and/or penalties until you make contributions to your HSA while you’re ineligible. Any contributions you do make while ineligible will be subject to federal income taxes and/or penalties. However, you can consolidate any old HSAs into one HSA while ineligible, using a direct custodian-to-custodian transfer—this will not count toward your annual contribution limit.

    If you make HSA contributions while you’re ineligible to do so, your contributions may be taxable and you may have to pay penalties.

  • What is an HSA-eligible health plan?

    For 2021, the IRS defines HSA-eligible plans as high-deductible health plans (HDHPs) with a deductible of at least $1,400 for an individual and $2,800 for families. These health plans must also have an annual out-of-pocket maximum spending amount of no more than $7,000 for an individual and $14,000 for families. See IRS Publication 969 for more about HSA-eligible health plans.

    For 2022, the IRS defines HSA-eligible plans as high-deductible health plans (HDHPs) with a deductible of at least $1,400 for an individual and $2,800 for families. These health plans must also have an annual out-of-pocket maximum spending amount of no more than $7,050 for an individual and $14,100 for families. See IRS Publication 969 for more about HSA-eligible health plans.

  • What is an HSA-ineligible health plan?

    Generally, you are not eligible to open or contribute to an HSA if you are covered under a health plan that is not a high-deductible health plan (non-HDHP), with certain exceptions for plans with preventative care benefits and some types of permitted insurance and permitted coverage.

    HSA-ineligible health plans include:

    • A spouse's non-HDHP coverage that covers you. However, you still may be eligible to open and contribute to an HSA if your spouse has a non-HDHP that does not cover you
    • Medicare or Tricare
    • Veterans Affairs (VA) medical benefits received during the previous three (3) months
    • A general-purpose health flexible spending account (FSA) or health reimbursement arrangement (HRA), including coverage through your spouse, that pays or reimburses medical expenses before you meet your HSA-eligible health plan's deductible

    Have questions? See IRS Publication 969 or consult with your tax advisor.

Fidelity HSA® information

  • What fees are associated with the Fidelity HSA®?

    There are no fees for opening a Fidelity HSA®.

    If you choose to invest in mutual funds, expenses will still apply for those funds. See the funds' prospectus for more information.

    There may also be commissions, interest charges, and other expenses related to transactions or holding specific investments, such as mutual funds. See www.fidelity.com/commissions for more information.

    If you have a Fidelity HSA® through your employer, your account may be charged an administrative fee of up to $12 per quarter ($48 annually), unless it’s paid by your employer. That administrative fee may be waived for households established before a certain date and meeting certain asset minimums at Fidelity.

  • What is the minimum balance to open a Fidelity HSA®?

    There is no minimum balance to open a Fidelity HSA®.

Fidelity Go® HSA information

  • What is a Fidelity Go® HSA?

    Fidelity Go® HSA is a type of managed account designed for clients who seek a digital, discretionary investment management experience. Most of your experience with Fidelity Go® takes place online—including providing information about yourself, opening your account, and tracking your investments.

    When you enroll in Fidelity Go®, you turn the day-to-day investment decisions for your money over to a team of experienced professionals, who provide this service for a fee. Based on information you provide, these professionals invest your money to help you meet your investment goals.

  • How does a Fidelity Go® HSA work?

    With Fidelity Go®, you start by telling us a few things about yourself: the year you were born, your household income, the reason you're investing, the amount you hope to invest, when you'll need the money you're investing, and your risk tolerance. Then we'll suggest an investment strategy consisting of Fidelity funds that hold stocks, bonds, and short-term investments. You can also give us more information about yourself, which allows us to know you better and helps us suggest an investment strategy that may be even more closely aligned to your financial situation. When you don’t provide us with the additional information, we propose an investment strategy using the information you provided us along with assumed responses about you based on information we derive about similarly aged investors or investors with a similar time horizon from other Fidelity programs and services.

    You can select the proposed investment strategy or another strategy that you believe is appropriate for you (subject to certain constraints). After that, you open your account online.

    Once your account is open, you can add money to it. We'll start by offering you the chance to make an initial deposit, in the same amount you told us you were going to start with when you created your profile. If you told us you were going to make recurring monthly deposits, we'll prompt you to add those next. But don't worry if you want to put those off until later—you can set those up at any time.

  • How much does a Fidelity Go® HSA cost?

    A Fidelity Go® HSA offers tiered pricing based on your account balance. You'll pay no advisory fee for a balance under $10,000, $3 per month for a balance of $10,000–$49,999, or 0.35% per year for a balance of $50,000 and above. There are no trading fees, transaction fees, or rebalancing fees.

    Fidelity Go® HSA invests in zero expense ratio Fidelity Flex® mutual funds that do not charge management fees or, with limited exceptions, fund expenses.

  • What's the minimum initial investment to open a Fidelity Go® HSA?

    There is no minimum initial investment to open a Fidelity Go® HSA. However, for us to invest your money according to the investment strategy you've chosen, your account balance must be at least $10.

  • What kinds of investments can I expect to find in my Fidelity Go® HSA?

    Your account will hold a combination of Fidelity Flex® mutual funds. These funds generally hold domestic stocks, foreign stocks, bonds or short-term investments.

  • Who will be managing my Fidelity Go® HSA?

    The day-to-day investment and trading decisions in your Fidelity Go® HSA will be handled by Strategic Advisers LLC, a registered investment adviser and a Fidelity Investments company.

  • Are there limits to the amount of money I can add to my Fidelity Go® HSA?

    For health savings accounts (HSAs), the 2021 IRS contribution limits are $3,600 for individual coverage and $7,200 for family coverage. For 2022, the limits increase to $3,650 for individual coverage and $7,300 for family coverage. If you're 55 or older during the tax year, you may be able to make a catch-up contribution of up to $1,000 per year. Your spouse can also make a catch-up contribution if they're 55 or older, but they'll need to open their own HSA.

  • How do I spend money in my Fidelity Go HSA®?

    Even though Fidelity Go® HSAs are intended for investing goals of three years or longer, you can still reimburse yourself for qualified medical expenses you pay out-of-pocket by submitting a withdrawal request. When you do, we'll sell securities in your account for you. After the money has settled, which can take up to ten business days, we'll send it to you by check, electronic funds transfer (EFT), or transfer of funds to another account.

    If you also have a self-directed Fidelity HSA®, you can use a debit card to pay for qualified medical expenses by transferring money over from your Fidelity Go® HSA.

  • Can I use a Fidelity HSA® for short-term medical expenses and a Fidelity Go® HSA for long-term expenses?

    You can use money in the core position in a self-directed Fidelity HSA® for short-term qualified medical expenses. This way you have quick access, through Fidelity BillPay and your debit card, to the money needed to reimburse yourself for out-of-pocket expenses.

    Fidelity Go® HSA is a managed account designed for use towards investment goals with a long-term horizon of three years or more.

HSA contributions (for both Fidelity HSA® and Fidelity Go® HSA)

  • What are the annual HSA contribution limits?

    The IRS defines HSA contributions each year. For 2021, HSA contribution limits are S3,600 for individual health plans and S7,200 for family health plans. For 2022, HSA contribution limits are S3,650 for individual health plans and S7,300 for family health plans. If you're age 55 or older during the tax-year, you may also be eligible to make an additional $1,000 catch-up contribution annually. Please note that if you have an employer-sponsored HSA, any contributions made by your employer will count toward these limits. If you're married and covered by a family health plan, you and your spouse can both contribute to your HSA. If you do, all of your contributions will count toward the yearly contribution limit for family health plans. See IRS Publication 969 for more on annual HSA contribution limits.

  • How do I move my outside HSAs to my Fidelity HSA?

    To move your outside HSA or HSAs to your Fidelity HSA, please follow our transfer of assets process. Please note: It may take a few weeks for your assets to arrive and be available in your Fidelity HSA.

    If your HSA money is invested, you may be able to do an in-kind transfer into a Fidelity HSA®, which allows your HSA provider to transfer both your cash balance and your investments to Fidelity. You may need a separate transfer request for each. Some HSA providers don't allow this, which means you’d need to liquidate your investments before moving the money.

    Transfers directly into a Fidelity Go® HSA can be made in cash or in-kind, if they are transferred in-kind they will be liquidated and reinvested, but you can transfer securities you don’t wish to liquidate into a Fidelity HSA®.

  • How can I contribute to my HSA?

    There are four ways you can contribute to your HSA.

    • Transfer money: Make a one-time or recurring transfer from a bank account or a one-time transfer from another Fidelity account.
    • Deposit a check: Use the Fidelity app to make a mobile deposit or send a check via the mail.
    • Use money from another HSA: Transfer some or all of your balance from another HSA.
    • Move money from an IRA: Complete a one-time transfer – there’s no penalty and it’s tax-free.

    Please see our guide to moving money at Fidelity for more information.

  • Is there a minimum I must contribute to my HSA each year?

    There is no minimum for annual contributions to your Fidelity HSA.

  • Who can contribute to my HSA?

    Anyone can make an after-tax contribution to your Fidelity HSA. Generally, contributions another person makes to your HSA will not be tax-deductible for the contributor, and the IRS's annual contribution limits will still apply. See IRS Publication 969 for more on annual HSA contribution limits.

  • Can my employer contribute to my HSA that is not offered through them?

    Check with your employer about their HSA contribution policies and capabilities. You can also make after-tax contributions from your paycheck—those contributions are federal income tax-deductible.

  • What is an HSA catch-up contribution?

    HSA-eligible individuals age 55 or older during the tax-year can contribute an additional $1,000 annually.

  • My spouse is 55 years or older. How can we take full advantage of HSA catch-up contributions?

    Only the HSA owner can make a catch-up contribution, so if your spouse is eligible to make a catch-up contribution and you’re not, your spouse will need to open their own HSA to make a catch-up contribution. If both you and your spouse are 55 years or older during the tax-year, you can both make a catch-up contribution to the HSAs you each own.

  • How can I make a one-time IRA contribution to my HSA?

    You can make a once-in-a-lifetime5 contribution to your HSA from your IRA. This is sometimes called a "qualified HSA funding distribution from an IRA or a rollover from an IRA." These contributions are not subject to federal income taxes or the 10% penalty for early withdrawals. If you choose to do a one-time IRA contribution, you can effectively use your IRA money to pay for medical expenses, such as a major unexpected expense, without having to pay federal income taxes or penalties on it, as you would if you took an early IRA distribution to pay for that expense. However, contributions from an IRA will count toward the IRS's annual limits on HSA contributions—unlike a rollover between two HSAs—and those IRA contributions are not tax deductible.

    • Fidelity IRA to Fidelity HSA transfers: Contact a Fidelity HSA representative to initiate a transfer of your Fidelity IRA to your Fidelity HSA.
    • External (non-Fidelity) IRA to Fidelity HSA transfers: Request a one-time distribution from your non-Fidelity IRA and have your IRA custodian send a check made payable to Fidelity Management Trust Company (or FMTC), FBO [your name]. Also include a deposit slip or letter of instruction with the check. Include the account number and the contribution tax year in the check memo field when you mail the check to Fidelity. Learn how to deposit a check by mail. If your IRA custodian needs other instructions, please call 866-402-7610 to speak to a Fidelity HSA representative.
  • Where can I find my Fidelity HSA account number to make contributions to my Fidelity HSA?

    Your account number can be found on your Account Summary page when you log into Fidelity.com. This account number can only be used for depositing money in your HSA, not for spending your HSA money. For further information and instructions, see our resource on determining your routing and account numbers.

  • What is the routing number for making contributions to my Fidelity HSA?

    The Fidelity routing number is 101205681. This routing number can only be used to deposit money in your HSA, not for spending your HSA money. For further information and instructions, see our resource on determining your routing and account numbers.

  • What happens if I contribute more than the IRS's annual limits to my HSA?

    If you contributed above the IRS's annual limits unintendedly, submit a completed "Fidelity HSA Return of Excess ContributionLog In Required" form to Fidelity in accordance with applicable instructions. If you take no action until you file taxes, you’ll be responsible for paying taxes on and may be penalized for the amount you contributed above the IRS’s annual contribution limits.

HSA spending (for Fidelity HSA®)

  • How do I withdraw or spend money from my HSA?

    When you or your authorized spouse or dependents have qualified medical expenses that aren't covered by your health plan, you can pay for those tax-free from your HSA using a Fidelity HSA debit card or NetBenefits AccessCard®, Fidelity BillPay®, or by writing a check. You could choose to pay for your qualified medical expense out-of-pocket and reimburse yourself from your HSA. You also have the option of making an HSA withdrawal using online money movement or by filling out a one-time withdrawal formLog In Required.

  • How do I reimburse myself using my HSA money?

    You can reimburse yourself for qualified medical expenses you paid out-of-pocket using Fidelity BillPay® and adding yourself as a payee, you can move money directly using electronic funds transfer (EFT), or you can write yourself a check.

  • How do I use Fidelity BillPay®?

    You can receive and pay electronic bills for qualified medical expenses from participating doctors and hospitals, pay one-time and automatic bills, review your payment history, reimburse yourself for qualified out-of-pocket expenses, and set up bill reminders. You can pay bills any time, anywhere you have internet access.

  • Are my HSA contributions available to spend immediately?

    Direct-deposit contributions from a linked bank account are usually available in your HSA within a few hours. Transfers from other HSAs or an IRA are usually available in your HSA within a few business days, once Fidelity receives the money from a third-party provider. Please see our guide to moving money with Fidelity for more information.

  • What if I need $1,000 tomorrow for a qualified medical expense?

    If you don’t have enough set aside in your core position in your HSA, you can pay for your qualified medical expense out-of-pocket now and reimburse yourself later, once you have enough money in your HSA. If you’re investing your HSA money, you can sell some of your investments any time, and that money will be available to use when the trade settles, usually within a few business days.

  • When can I cash out my HSA?

    You can choose to cash out your HSA any time, but if you're not using the money to pay for qualified medical expenses, your withdrawal will be subject to taxes and may be subject to penalties.

  • When can I withdraw my HSA money without penalty?

    You can withdraw your HSA money penalty-free any time before or during retirement to pay for qualified medical expenses. If you use it for any other expense before retirement, your withdrawal will be subject to taxes and may be subject to penalty. If you use your HSA money for any other expense after age 65, you'll just have to pay the taxes, and you won't be penalized. Please see IRS Publication 502 for a complete and up-to-date list of qualified medical expenses.

  • Can I use my HSA money to reimburse myself for qualified medical expenses from last year or before?

    Yes. As long as you incurred your qualified medical expense after you established your HSA, you can reimburse yourself for those expenses using your HSA money any time.

  • How do I prove that I spent my money on a qualified medical expense?

    Keep all your receipts for your out-of-pocket qualified medical expenses as well as documentation for your claims and your explanations of benefits (EOBs).

  • What happens if I spend my HSA money on something other than a qualified medical expense?

    If you use your HSA money on something other than qualified medical expenses before retirement, your withdrawal will be subject to taxes, and it may be subject to a 20% penalty. If you use it for something other than qualified medical expenses after age 65, your withdrawal will be subject to taxes but not penalized.

  • What if I retire and haven't used all my HSA money?

    Your HSA is always yours, so you can still spend your HSA money on qualified medical expenses with no federal income taxes or penalties in retirement.

    Retirement-related qualified medical expenses, covered by your HSA, could include:

    • COBRA coverage costs
    • Health care coverage while you’re receiving unemployment benefits
    • Medicare premiums other than Medicare Supplemental coverage
    • Qualified long-term care coverage

    If you choose to use your HSA money for something other than qualified medical expenses, you will be responsible for paying federal income taxes on it and may be penalized if you’re under age 65. You’ll also still be eligible to contribute to your HSA in retirement as long as you aren’t enrolled in Medicare4 or covered by an ineligible health plan.

  • What do I do if I accidentally withdraw HSA money by mistake?

    To make a repayment to your Fidelity HSA, submit a completed "Fidelity HSA® Return of Mistaken Distribution" form to Fidelity in accordance with applicable instructions.

Fidelity HSA® debit card and NetBenefits AccessCard®

HSA investing (for Fidelity HSA®)

HSA core position (for Fidelity HSA®)

  • What is my core position?

    Opening a Fidelity account automatically establishes a core position which is needed for processing cash transactions such as deposits and withdrawals in and out of your account. Think of it like a wallet that you can access for trading, investing, or withdrawals. A benefit of the core position is that it allows you to earn interest or a yield, depending on which core option you choose.

  • What are the options on my core position?

    When you open a new Fidelity HSA®, we automatically put your uninvested cash into the Fidelity® Government Cash Reserves but you can also choose another cash option. Understanding the differences between your core options can help you make the choice that's right for you. Below are the HSA core options available to you:

    Fidelity® Government Cash Reserves (FDRXX) money market fund.6

    • Money market funds are mutual funds that invest in short-term debt securities issued by short-term, high-quality entities that borrow money to repay principal and interest to investors within a short time period. Money market funds have different characteristics than a bank sweep so read the fund's prospectus carefully.

    or

    Fidelity's FDIC Insured Deposit Sweep Program7

  • What are the rates or yields on my core position?

    Interest rates or yields may vary due to market conditions. View the latest.

  • How do I change my core position?

    The option to choose your position appears during account opening; however, you can also change it at any time.

    • Log in to Fidelity.com and select your Fidelity HSA® account. In the Positions tab, select Core or FDRXX.
    • Select the Change core position button.
    • Select FDIC or Fidelity Government Cash Reserves (FDRXX), then click "Preview order," and "Submit."

    Switching is free and will not change your ability to access or invest this money.

HSA taxes (for both Fidelity HSA® and Fidelity Go® HSA)

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