Where and How to Open a Health Savings Account

Open a Health Savings Account

How to open a health savings account is a question I’ve struggled with myself. After my group insurance ran out, I started a high-deductible individual health insurance plan with BlueCross BlueShield.

At that point, finding a Health Savings Account (HSA) was top of my list of things to do. We wanted to start saving tax dollars on our out-of-pocket health care costs as soon as possible.

To open a health savings account, you must be enrolled in an HSA-eligible High Deductible Health Plan (HDHP). You may be able to open an HSA with your HDHP insurance provider if they also offer HSAs. Individuals can open an HSA by researching and picking a plan provider. After that, you set up an account and begin making contributions.

Knowing where and how to open your HSA isn’t always clear throughout the health insurance process. Doing a little research to figure out the best plan provider and their benefits can help you decide on where to open one.

What is a Health Savings Account?

A Health Savings Account or HSA is a way to maximize your health savings. They are tax-advantaged saving accounts to pay for out-of-pocket medical expenses like doctor visits, deductibles, copays, and medicine. An HSA can function primarily for spending on those qualified out-of-pocket expenses, or it can also be used to save and invest the excess money you don’t spend on medical costs for your future.

At the end of the year, any unspent HSA money rolls over, so you’re able to use the money in the future. With an HSA, you receive three tax benefits:

  1. Tax-free contributions: Contributions you make as an individual can be deducted from your taxes
  2. Tax-free gains: Earnings on the money in your account grow tax-free
  3. Tax-free withdrawals: You do not pay taxes on money taken out for qualified medical expenses (Here is the IRS definition of that qualified medical expenses.)

HSAs can be either employer-sponsored if you have an employer or individuals that are self-employed can open their own accounts.

Related: High Deductible Health Insurance Plan Plus HSA

Can I Open a Health Savings Account?

If you have an HSA-eligible High Deductible Health Plan, you’re eligible to have an HSA. For a plan to be considered HSA-eligible by the IRS, it needs to meet criteria like minimum deductible amounts and maximum out-of-pocket expenses. You are not eligible if you can be claimed as a dependent by someone else.

Where to Open a Health Savings Account

When you’re trying to figure out where to open an HSA, start with your goals. How will you use the money you deposit? Do you plan to use your contributions for only covering medical expenses, or do you also want to save and invest excess contributions? Your goals will help you pick the best HSA provider that aligns with how you want to use your money.

If you plan to save more than you spend, investment options and interest rates are going to be determining factors when selecting a provider. Versus if you plan to use your account for just paying for out-of-pocket costs. Your health insurance company may have a preferred HSA provider that you can sign up with. Bank, credit unions, insurance companies, and financial brokers are other places you can open HSA accounts. For convenience, if you like your bank or credit union, that might be the place to start for you.

After doing a little research on HSAs, what stuck out to me, was the monthly fees associated with the accounts for smaller balances. No thanks! That’s when I decided to call my local credit union to find if they had an HSA free of monthly fees. They did. Because they charged zero monthly fees, we decided to go with our credit union to open my HSA.

Note that if an HSA pays an interest rate and you like to keep a high balance in your account, it might make sense to pay a monthly fee. We’re just getting started with our HSA, so I’m sticking with a no-fee account.

How to Pick an HSA Provider

There are hundreds of places to open an HSA. Most HSA providers have similar fees and features, so it’s best to find one that works for you. Here are some things to consider when selecting a plan provider.

  • Account fees
  • Minimum balance requirements
  • Banking options (do they offer debit cards for spending)
  • Investment options and associated fees
  • Customer support (can you call someone for help)
  • Easy to manage (is it convenient)
  • Interest rates

You can search for an HSA using HSA Search to compare providers. Their search tools give you the option to search by your preferred features like debit card availability, online banking, and investment options.

Once you filter the features you’re looking for. You can review and compare different providers. They give you reviews that include user ratings, feature lists, interest rates, fees, and investment options. The comparison of plans can help you make an informed decision to reach your HSA goals.

How to Open an HSA

Opening an HSA is as easy as setting up a new bank account. More effort goes into finding the right provider than the actual set up. You’ll need to provide the institution with information about yourself open an HSA account. Most accounts can be completely set-up online if you prefer. When the account is set-up, your provider will let you know the process for making contributions to your HSA.

For me, the sign-up process was fairly straight-forward. I went down to the credit union branch with my ID and a check for $1,000 as an initial deposit for my account. There wasn’t a minimum requirement. It’s just what I chose to fund the account with initially.

Next, they gave me some forms for future contributions and sent me on my way. A few days later, I received a debit card to use towards out-of-pocket expenses.

The great thing about the HSA is that, unlike a flexible spending account (FSA), the contributions do not have to be used within the year. The balance rolls over each year so you can continue to use that money for qualified medical expenses.

Related: HSA vs. FSA: Which is Better?

HSA Contribution Limits

Tax Year

Note that if this is your first year to have an HSA, contributions are further limited by the number of months you’ve been on an eligible plan. Read more about HSA contribution limits.


One of the best HSA account for both spending and investing is Lively. Lively is an online provider of HSA accounts for individuals and families. Their mission is to make it easy for people to save money on health care costs now so they have more money for future expenses.

Their accounts are free for individuals and $2.95 per employee per month with no minimum balance required to open a Lively HSA.

They make it simple to pay for expenses like doctor’s visits and medicine with their debit card. You can also track and manage your HSA spending from anywhere with their mobile app. It’s available for iOS and Android. The app allows you to view your account activity and manage your debit card as well as upload receipt photos.

Open an account with Lively here

With Lively, you can also invest your funds with TD Ameritrade. You’re able to amplify your savings with investment options like stocks, bonds, and ETFs. , One thing to note is you will need to set up a TD Ameritrade Self-Directed Brokerage Account. Even if you have an existing TD Ameritrade account, you will need to set up an account through Lively. The good news is, TD Ameritrade does not charge fees for online stock and ETF trades. Some fees do apply like a $25 charge for no-load mutual funds. You can also set up automatic transfers making it easier to invest.

Opening an HSA with Lively is simple and takes less than five minutes. To begin the set-up process, they ask you the necessary information about yourself and your contact information to start the account set-up.

Once that’s complete, they ask questions to confirm you’re eligible to set up an HSA.

After your account is created, they make it simple to link your bank account and either set up recurring contributions or a one-time contribution to fund your HSA. If you have questions about how much to contribute, Lively has a resource section with guides and calculators to assist in your decision making.

If you have an HSA with another provider, you’re able to transfer your account to Lively. Lively’s customer support is available by phone, email, and chat to help you set up your account or to assist you in resolving account problems.

Lively is an easy way to get an HSA account started and funded right away. The customer support, resources, and mobile app make it convenient to get help and manage your account too.

Bottom Line

When opening an HSA account, begin with the end in mind. Will you use the account primarily for spending or will it be more for saving and investing. Knowing what you want out of your HSA will help you determine where and how you will start a HSA.

Have you funded an HSA? Where did you open it?

Avatar About Philip Taylor, CPA

Philip Taylor, aka "PT", is a CPA, blogger, podcaster, husband, and father of three. PT is also the founder and CEO of the personal finance industry conference and trade show, FinCon.

He created Part-Time Money® back in 2007 to share his advice on money, hold himself accountable (while paying off over $75k in debt), and to meet others passionate about moving toward financial independence.


    Speak Your Mind


  1. Like Philip I went with a local Credit Union. They do have a small monthly charge, but having it local has been nice. Other people I know use HSABank and Alliant Credit Union has had good rates on HSA accounts in the past.

    cd :O)

  2. I have my HSA through Chase because it was convenient for me even with the $2.50 monthly fee. My company did not offer funding of the HSA so I had to find my own carrier and since I have Chase cards and a checking account I wanted the easy access of that. I just started the HSA so my balance is low but it looks like the best bet would be for me to stay with Chase for now and then move to the second one in the image as they waive the monthly fee AND offer a higher rate of interest.

  3. Avatar Philip Taylor says

    Good point that you bring up, Jenna. Another good post idea: new changes for 2011 with FSAs and HSAs due to the new healthcare law.