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Health savings accounts

A health savings account (HSA) is one of the best ways to save for qualified medical expenses and any earnings are tax-free¹ along the way.

Open an HSA

Looking for an HSA for your business or clients?

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?	No²	Yes	Yes	Yes
How much could my cash earn?* Rate may vary due to market conditions.	5.00%^† Default: Money Market Fund Government Cash Reserves 7-day Yield As of November 27-2023	0.10%^‡ Default: Enhanced Rates Sweep APY As of November 27-2023	0.01%^§ Default: eSaver Rates Sweep APY As of November 27-2023	0.01%^» Default: Standard Sweep APY As of November 27-2023
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.

* 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 11/27/2023 and is subject to change. Please carefully consider ALL fees, features and characteristics for each account carefully.

Ranked the #1 HSA provider among 10 of the largest HSA providers³

2019, 2020, 2021, 2022, & 2023

Awarded for widest investment options, low fees, best savings rates, zero investment threshold, and access to professional management⁴

2023

Your savings aren't "use it or lose it"— your money can accumulate year over year

Investing your savings may help you grow your account over time when compared to a regular savings account. The longer the money is invested, the greater the potential difference. If you don't want to manage your investments yourself, try Fidelity Go^® HSA and leave it to the professionals.

Monthly contribution

Minimum 0 Maximum 640

Investing account

This is your potential HSA value after investing for 30 years.

FDIC-insured savings account

This is your potential regular savings account value after saving for 30 years.

Chart is a hypothetical comparison. Investing involves risk of loss and performance is not guaranteed.

How this chart works

The hypothetical chart above illustrates the potential growth of an investment account assuming a 7% annual nominal investment growth rate vs a .46% National savings account deposit rate as of October 16, 2023.^* This chart assumes estimated/average return rates stay constant over the course of the time horizon and that no withdrawals were taken. Taxes, fees, and inflation are not included. Unlike traditional FDIC savings accounts, investments accounts are subject to market risk and do not carry FDIC insurance to protect from loss.

Each type of account has its own unique set of potential benefits and limitations that you should consider before deciding what type is right for you.

Interact with the slider to increase or decrease the monthly contribution to discover how the money could grow in an investment account vs an FDIC savings account. The monthly contribution is how much you want to invest every month. In this chart it is set at $320, but you can move the slider from $0 to $640 to see how your contributions could grow over time. For example, a $320 monthly contribution in an investment account could grow to $390,391 in 30 years compared to $123,502 in a traditional savings account, using end of month compounding.

This example is for illustrative purposes only and does not represent the performance of any security. The assumed rate of return is not guaranteed. Investments that have potential for a 7% rate of return also come with risk of loss. Past performance does not guarantee future results.

^* FDIC: National Rates and Rate Caps

1094356.2.0

How can I save money with an HSA?

With an HSA you get a triple-tax advantage¹ to help you save money. All your HSA contributions are tax-free, whether pre-tax through your paycheck or after-tax contributions. Your investments grow tax-free, and withdrawals for qualified health expenses aren’t taxed either.⁵ Plus after age 65, you can spend your HSA savings on anything you want. You can estimate your future health care expenses and how much you may want to save by trying our health savings account calculator.

Am I eligible for an HSA?

You're eligible to open and contribute to an HSA if you have a high-deductible health plan. You may also be able to get an HSA through your spouse or domestic partner.

What happens if I switch jobs?

Your money is always yours—it stays with you if you change jobs or health plans and when you retire. You can also spend, invest, or transfer your money at any time, even if you're no longer covered by a high-deductible health plan.