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Find the information you need to decide whether an HSA-eligible health plan and HSA are right for you.

Health savings account (HSA)toggle expand and collapse
Money is tax-free2 when you put it in, if it grows, and when you take it out to spend on qualified medical expenses
This is also called the “triple tax advantage” and is a unique benefit of the HSA.

Tax-deductible contributions: Contributions to an HSA are tax-deductible, meaning that you can deduct them from your gross income on your tax return, reducing your taxable income.

Tax-free withdrawals: Withdrawals from an HSA for qualified medical expenses are tax-free, including expenses such as doctor visits, prescriptions, and other eligible health care expenses.

Tax-free growth: Any interest or investment earnings on the funds in your HSA grow tax-free.

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Funds are yours to keep and never expire, unlike a flexible spending account (FSA)
HSA money is not “use it or lose it,” and your entire HSA balance carries over from year to year, even if you change employers, retire, or change health plans. This provides the opportunity for your money to grow over time.
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Spend on qualified medical expenses like contact lenses, sunscreen, and dental appointments
When you, your spouse, and tax dependents have qualified medical expenses not covered by your health plan, you can use your HSA to pay for them tax-free. Look up IRS Publication 502 for a full list of qualified medical expenses.
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Option to deposit only the amount you need, when you need it, with HSA on the GoSM
If you can’t set aside money for your HSA on a regular basis, you can still get some of the tax savings. When you have a qualified medical expense, contribute only the amount you need and pay your provider directly from your HSA or reimburse yourself for expenses paid out of pocket. Then, declare your contribution on your tax return to reduce your taxable income.
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Easily view and manage your account with the Fidelity Health® app
Our mobile app gives you an easier way to manage your health care expenses all in one place, wherever you are, including the ability to easily scan and save receipts.
Money Unscripted

What is an HSA and how does it work?

#1-rated HSA1

Save money on taxes.2

Funds never expire.

Spend or invest it.

Fidelity Investments

Investing involves risk, including risk of loss.

“Health care expenses” refers to qualified medical expenses as defined by the IRS.

1Fidelity HSA® is the #1-rated HSA according to Morningstar, which rated 10 retail HSA providers for HSAs as a spending account to cover current medical costs and HSAs as an investment account to save for future medical expenses. Results published in the 2023 Health Savings Account Landscape.

2The potential for lower taxes is with respect to federal taxation only. Contributions, investment earnings, and distributions may or may not be subject to state taxation. See your tax professional for more information on the state tax implications of HSAs.

3This is a hypothetical example for illustrative purposes only and does not represent the performance of any security in a Fidelity HSA. The example assumes a hypothetical 6.5% annual return. An account may earn more or less. The final account balance is prior to any distributions. You may be subject to a 20% penalty if your distribution is not for qualified medical expenses. Systematic investing does not ensure a profit and does not protect against loss in a declining market. The maximum annual contribution limit is based on your age and coverage tier (i.e., individual or family), as well as on when you become enrolled in an HSA-eligible health plan. Normally, for eligible individuals who enroll in the HSA-eligible plan as of the first of the plan year, the HSA contribution is prorated based on the number of months during the year a person is covered by an HSA-eligible plan as of the first day of the month. Individuals enrolled in an HSA-eligible health plan after the beginning of the plan year may contribute up to the statutory maximum annual contribution amount as long as they are eligible individuals in December of that tax year and remain eligible individuals for a full 12-month period following such month. If an individual fails to meet these criteria, the maximum annual contribution amount must be prorated based on the number of months he or she is an eligible individual, and any amount above such prorated amount is includible in the individual’s gross income and subject to a 10% tax.

There may be funds that require a minimum amount to invest, but Fidelity does not require a minimum to start investing. In identifying investment options to include in the Fidelity HSA Funds to Consider, Fidelity only considered Fidelity open-end mutual funds and open-end mutual funds offered by a limited universe of third-party fund companies that participate in an exclusive marketing, engagement, and analytics program with Fidelity for which they pay Fidelity an annual fee. The only third-party fund companies whose funds were eligible for this program were companies that generally have a track record of generating the strongest customer demand for their products from across Fidelity’s customer channels and have been paying Fidelity a sufficient level of compensation for the shareholder servicing performed by Fidelity.

This penalty does not apply if you become disabled, once you reach age 65, or after your death.

The information provided herein is general in nature. It is not intended, nor should it be construed, as legal or tax advice. Because the administration of an HSA is a taxpayer responsibility, you are strongly encouraged to consult your tax advisor before opening an HSA. You are also encouraged to review information available from the Internal Revenue Service (IRS) for taxpayers, which can be found on the IRS website at www.IRS.gov. You can find IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, and IRS Publication 502, Medical and Dental Expenses (including the Health Coverage Tax Credit), online, or you can call the IRS to request a copy of each at 800-829-3676.

Fidelity HSA , Fidelity Health, NetBenefits, and the Fidelity Investments logo are registered service marks of FMR LLC. HSA on the Go is a service mark of FMR LLC.

Fidelity Brokerage Services LLC, Member NYSE, SIPC, opens in a new window, 900 Salem Street, Smithfield, RI 02917