Health Savings Accounts

Created for employers with an HSA-eligible health plan seeking an HSA solution that helps employees manage today's health care expenses while planning for their future health care needs.
Health Savings Accounts

Health savings accounts (HSA) enable people to regularly put aside money for today’s health care expenses while also investing for medical costs they will incur in retirement. Plus they have three key tax benefits: contributions go in tax-free, balances grow tax-free, and savings can be withdrawn tax-free for medical costs.1

Fidelity HSA®:

Helping employees manage today’s health care expenses while enabling them to plan, save, and invest for their current and future health care needs.

Help Control Costs

Curb your premium increases year over year by offering a benefit designed to create longer-term changes in health care consumption and expenses.

  • Get full administrative support, including recordkeeping and custodial services
  • Integrate easily into an existing platform, including all HSA-eligible health plans
  • Keep up-to-date with a convenient single data feed
  • Controls to help safeguard information

Help Participants Prepare

Give employees the power to manage today's qualified medical expenses, as well as prepare for the out-of-pocket medical costs in retirement.

  • Wide array of options, including many low cost investment options, for short and long term savings strategies*
  • Education, personalized communications, and targeted messaging coupled with a guided, multi‐channel experience that drive engagement
  • Convenient tools and features to easily track and pay claims, manage the HSA, and take action

*HSA accountholders can choose investments based on their goals, investment objective, and risk tolerance.

Why an HSA Plan Now

A Benefit That's Right for These Times

Health savings account plans (HSA® plans) are becoming more prevalent every year. In fact, they have grown 23% over the last three years.2 They can help employers reduce costs and help keep employees engaged with their benefits programs. And, at the same time, they help employees manage today's medical expenses, as well as prepare for the substantial out-of-pocket medical costs they'll face in retirement.

  • Offer a triple tax advantage – With a Fidelity HSA employees contributions are pretax, any growth is tax free, and withdrawals for qualified medical expenses are not taxable.1 
  • Provide a true retirement asset - Money left in an HSA is the employees to keep and can be invested – with the potential to grow - year after year. In effect, a well-funded HSA is a kind of "health care 401(k)."
  • Keep ahead of the trends - Over 22 million people had an HSA account by end of 2017 – up from 8.2 million in 2012.2

1Contributions, investment earnings, and distributions for qualified medical expenses are free from federal income taxes. State taxation varies from state to state.

2Devenir Research 2017 Year-End HSA Market Statistics & Trends.

Investing involves risk, including risk of loss.

A connection between retirement and health savings

Fidelity's research3 shows some interesting links between saving for retirement and saving for health care through an HSA.

  • HSA participants across all income levels defer more in their 401(k) plans than the average Defined contribution (DC) participant at the same income levels.
  • HSA participants have significantly higher average DC account balances than the average DC participant across all age and income levels.
  • DC participants who also have an HSA have saved more than twice as much in their DC plan as the average participant ($93,600 vs. $229,275). 

3Fidelity Investments analysis as of 12/31/2017

*HSA accountholders can choose investments based on their goals, investment objective, and risk tolerance.

Fidelity HSA Features

Make Saving Simple

The Fidelity Health Savings Account (HSA) combines tax-advantaged saving, account management, and investment flexibility. Everything is available to you with a single data feed—and to your employees with a single sign-on.

  • Account features—debit card, checkwriting, electronic funds transfer, and bank wire
  • Online Fidelity BillPay®—an efficient, convenient way to make online payments for qualified medical expenses
  • Account management—online account opening, balance inquiry, transaction history, and beneficiary designation
  • Fidelity core positions, plus thousands of mutual funds available through Fidelity FundsNetwork® (which are subject to investment minimums). There is no fund minimum for Fidelity Asset Manager® and Fidelity Freedom Funds®. You can also invest in individual securities (stocks, bonds, ETFs) which are subject to commission fees. Visit to view the commission schedule. There are no additional investment maintenance fees.
  • Reporting—integrated Fidelity Account® statements and aggregate employer and tax reporting (1099-SA and 5498-SA)
  • Track and Pay – Manage health care claims, payments, and receipts all in one place

Take Advantage of Decision Support

We have resources that can help you and your employees.

  • Fund EvaluatorSM—compares mutual funds by fund type, performance, and expense ratio; reviews top fund picks

*HSA accountholders can choose investments based on their goals, investment objective, and risk tolerance.

Advantages of a Fidelity HSA

The Fidelity Health Savings Account (Fidelity HSA®) provides a tax-advantaged savings opportunity to help cover qualified medical expenses in retirement. Employees get access to a wide range of investment options with complimentary research.

Offer a Full Range of Investment Options

  • A wide range of investments options to help employees fit individual objectives, subject to fund minimums
  • Provide access to free independent third-party research
  • Leverage a robust trading platform
  • Access to no-transaction-fee funds
  • Pay just $4.95* for online U.S. equity trades
  • Integrate with ease with seamless account aggregation and single sign-on
  • Feel confident knowing that all contributions have an FDIC insured option*

Other fees and expenses, including those which apply to a continued investment in the fund, are described in the fund's current prospectus.

*$4.95 commission applies to online U.S. equity trades in a Fidelity retail account only for Fidelity Brokerage Services LLC retail clients. Certain accounts may require a minimum opening balance of $2,500. Sell orders are subject to an activity assessment fee (from $0.01 to $0.03 per $1,000 of principal). Other conditions may apply. See for details. Employee equity compensation transactions and accounts managed by advisors or intermediaries through Fidelity Clearing & Custody Solutions are subject to different commission schedules. 

*The cash balance in the Fidelity HSA Account is swept to an FDIC-insured interest-bearing account at a Program Bank. The deposit at the Program Bank is not covered by SIPC. The deposit is eligible for FDIC insurance, subject to FDIC insurance coverage limits. All assets of the account holder at the depository institution will generally be counted toward the aggregate limit. For more information about FDIC insurance coverage, please visit or call 877-ASK-FDIC. As referenced in the FDIC-Insured Deposit Sweep Disclosure Document for the Fidelity HSA Account, customers are responsible for monitoring their total assets at the Program Bank to determine the extent of available FDIC insurance. All FDIC insurance coverage is in accordance with FDIC rules. Visit to see a list of eligible Program Banks and the FDIC Disclosure Document.

Before investing, consider the funds' investment objectives, risks, charges, and expenses. Contact Fidelity for a prospectus or, if available, a summary prospectus containing this information. Read it carefully.

Investing involves risk, including risk of loss.

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