Health Savings Account (HSA) Tackle health care tax-smart

Never 'use-it-or-lose-it,' an HSA is one of the best ways to save for qualified medical expenses, and any earnings are tax-free.1


Open an HSA


Looking for an HSA for your business or clients?

What’s an HSA?

A health savings account (HSA) is a tax-advantaged account you can use in conjunction with an HSA-eligible health plan to pay or save for qualified medical expenses.

A smarter way to pay for qualified medical expenses

Always your money

Unlike an FSA, an HSA is not use-it-or-lose-it, so the money you save stays yours, no matter what.


See how HSAs compare to FSAs

Triple-tax advantaged

    1. Tax-deductible contributions
    2. No immediate tax on earnings1
    3. Tax-free withdrawals for qualified medical expenses

No account fees

At Fidelity, there are no account fees or minimums,2 and $0­ commissions for US stock & ETF trades.3


Is an HSA right for you?

See if you're eligible


Answer 4 quick questions to determine if you can contribute to an HSA.


Get started

Goodbye, guesswork


We’ll help you quickly estimate your future health care expenses... and calculate the right amount to save to cover it.


Calculate your future expenses

Direction for your next dollar


What to save where? Check out the article Money milestones to aim for in your 30s, 40s, 50s to help grow your financial stability.


Read our Viewpoints article

Why a Fidelity HSA?


No account fees or minimums3—and your money has the potential to grow

See how the Fidelity HSA compares to the largest HSA providers:



Features Fidelity HSA® HealthEquity® Optum Bank® Lively®
No annual account fees green checkmark table-dash table-dash table-dash
No minimum to invest*
green checkmark table-dash table-dash green checkmark
Widest range of investment options green checkmark table-dash N/A** table-dash
Cash rate***
Rate may vary due to market conditions.		 4.3%
Default: Money Market
Fund Government
Cash Reserves 7-day Yield
As of December 10-2024		 0.10%
Default: Enhanced Rates
Sweep APY
As of December 10-2024		 0.01%
Default: eSaver Rates
Sweep APY
As of December 10-2024		 0.02%
Default: Standard Sweep
APY
As of December 10-2024
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.

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 a bank account and 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, is not required to reimburse the fund for losses, and you should not expect that the sponsor will provide financial support to the fund at any time, including during periods of market stress. Fidelity's government and U.S. Treasury money market funds will not impose a fee upon the sale of your shares.

  • More information

    * Minimum investment requirements are based on information on each provider's website as of December 10, 2024. Investment services may be provided by third-party firms.


    ** Investment options were not assessed for Optum Bank.

    *** 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 12/10/2024 and is subject to change. Please carefully consider ALL fees, features and characteristics for each account carefully.

    † When you open a new Fidelity HSA, we automatically put your uninvested cash into Fidelity Government Cash Reserves unless you choose another option. 7-day yield is as of the date quoted and subject to change.

    HealthEquity interest rates reflect the effective "Enhanced Rates" default sweep for a $2,000 average HSA balance as of December 10, 2024 per the HealthEquity website disclosures (available to access for existing customers). Higher HSA balances may have higher rates. Enhanced Rates options consists of interest-bearing group annuity contracts issued by participating insurance companies for the customer's HSA cash balance. Principle and interest are subject risk of loss and not covered by deposit insurance. Interest rates are subject to change. Annuity guarantees are subject to the claims-paying ability of the Issuing insurance company.

    Optum APY reflect the "eSaver" default sweep for a 2,000 average HSA balance as of December 10, 2024 per the Optum Bank website disclosures (available to access for existing customers). Interest rates are subject to change.

    Lively APY reflect the standard FDIC cash rate for a $2,000 average HSA balance for a $2,000 average HSA balance as of December 10, 2024 per the Lively website of https://support.livelyme.com/hc/en-us/articles/4405466272667-What-is-the-standard-interest-rate-for-a-Lively-HSA-. Interest rates are subject to change.

    There may be funds that require a minimum amount to invest, but Fidelity does not require a minimum to start investing.

Rated #1 HSA and best HSA in the industry


Named the #1 HSA provider for 6 years in a row (2019-2024)4


Named for widest investment options, low fees, best savings rates, and zero investment threshold5

2024

No account fees

No account fees or minimums, and $0­ commission for US stock & ETF trades.


Open an HSA

Learn

Can I save on taxes with an HSA?
How much should I contribute to an HSA?

What is an HSA, and how does it work?

Here's how to get the most out of a health savings account.


Article

Benefits of an HSA

How a health savings account can help you now and in retirement


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HSA vs. FSA: Which is right for you?

Here's what to know about both accounts.


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What is a high-deductible health plan?

Enrolling in an HDHP could lead to lower premiums.


Article

Frequently asked questions

  • 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.1 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.

  • How much should I save to an HSA?

    It depends on multiple factors. To give yourself an idea of the right amount to save, Try our health savings account calculator

View all HSA FAQs

Already have a Fidelity HSA?

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Opened by me


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Opened through my employer


Sign inLog In Required to NetBenefits® to access/activate your employer-offered HSA.


Always know where your HSA stands


Download the Fidelity Health® App to easily access and manage your HSA activity.


Questions?


866-402-7610