Health savings accounts

With a Fidelity health savings account (HSA), you can pay for qualified medical expenses in a tax-advantaged way, now through retirement.

Looking for an HSA for your business or clients?

How can an HSA benefit you?

Compare the Fidelity HSA® vs. other providers

We've put together a quick comparison to show how much harder your money could work for you when you choose a Fidelity HSA compared to other HSA providers.

  Fidelity HSA® HealthEquity® Optum Bank® Lively®
Are there annual account fees? No3 Yes Yes Yes
How much could my cash earn?*
Rate may vary due to market conditions.
Default: Money Market
Fund Government
Cash Reserves 7-day Yield
As of May-29-2023
Default: Enhanced Rates
Sweep APY
As of May-29-2023
Default: eSaver Rates
Sweep APY
As of May-29-2023
Default: Standard Sweep
As of May-29-2023
Is there a minimum amount required to invest?** No# Yes Yes No

Performance data shown represents past performance and is no guarantee of future results. Investment returns and principal value will fluctuate, so you may have a gain or loss when shares are sold. Current performance may be higher or lower than that quoted. See current yield and most recent month-end performance for Fidelity® Government Cash Reserves FDRXX.

  • More information

    You could lose money by investing in a money market fund. Although the fund seeks to preserve the value of your investment at $1.00 per share, it cannot guarantee it will do so. An investment in the fund is not insured or guaranteed by the Federal Deposit Insurance Corporation or any other government agency. Fidelity Investments and its affiliates, the fund's sponsor, have no legal obligation to provide financial support to money market funds and you should not expect that the sponsor will provide financial support to the fund at any time. Fidelity's government and U.S. Treasury money market funds will not impose a fee upon the sale of your shares, nor temporarily suspend your ability to sell shares if the fund's weekly liquid assets fall below 30% of its total assets because of market conditions or other factors.

    * Money market funds have different characteristics than bank sweep accounts and savings accounts. Read any fund's prospectus carefully. An important difference is that bank sweep products have FDIC protection, which guarantees principal and interest within limits; and money market funds and non-bank default sweep products do not. See more information about safeguarding your accounts. The Fidelity fund yield is the average amount earned by the fund after expenses over the past 7 days (per date indicated) and annualized. The comparison APY is the amount of total interest earned on a bank product in 1 year. Comparison is based on information available on each providers public website as of 5/29/23 and is subject to change. Please carefully consider ALL fees, features and characteristics for each account carefully.

Who's eligible?

You can open and contribute to an HSA if:


You're covered by an HSA-eligible health plan on the first of the month.


You cannot be claimed as a dependent on someone else's tax return or covered by an ineligible health plan, such as Medicare.

What if I already have an HSA?

checkmark Anyone with an existing HSA is eligible to spend, invest, or transfer that money at any time, even if no longer covered by an HSA-eligible health plan.

Choose from 2 different HSAs

Choose the Fidelity HSA®, a brokerage account that gives you flexibility with your money. It offers:

  • No account minimums or fees3
  • A wide range of investments, from stocks and bonds to mutual funds, and ETFs—plus cash options and fractional shares

Or choose the new Fidelity Go® HSA.

It’s an easy, affordable way to enjoy the benefits of professional money management.

How much does it cost?

With the Fidelity HSA®, enjoy no account fees3 so you can get the most from your health care saving.

With the Fidelity Go® HSA, you'll pay no advisory fee for balances under $25,000 and 0.35% per year for a balance of $25,000 and above.

Common fees charged by HSA providers

Fidelity's fees3

Account opening $0
Administration $0
Excess contribution reimbursement $0

See more common fees

Awarded for widest investment options, low fees, best savings rates, zero investment threshold, and access to professional management5


Ranked the #1 HSA provider among 10 of the largest HSA providers6

2019, 2020, 2021 & 2022

Did you know an HSA gives you more options?

HSAs are different from FSAs

HSAs are not "use-it-or-lose-it," and they generally cover a broader range of qualified medical expenses than flexible spending accounts (FSAs).

Chart: HSAs vs. FSAs

HSAs are not always employer-offered

Although many employers offer HSAs during annual enrollment, you can open one with any HSA provider.4

Personal HSA flexibility

Already have a Fidelity HSA?

Opened by me

Sign in to to access your HSA account details.

Opened through my employer

Sign in to NetBenefits® to access/activate your employer-offered HSA.