HSA Health Wallet
Modern Health Spending Accounts for Canadian Businesses & Entrepreneurs
Flexible, tax-efficient benefits with ultra-low fees — no insurance, no complexity.
- Proudly Canadian
- CRA-compliant
- Setup in minutes
- Ultra-low admin fees
Why Coastal HSA?
Freedom to Choose What Matters
More Value for Your Health Budget
Built for Canadians
What is a Health Spending Account ?
A Health Spending Account (HSA) is a flexible, tax-efficient way for Canadian employers to offer health benefits. Instead of paying traditional insurance premiums, employers set a yearly health allowance for each employee.
Employees can then use those funds to get reimbursed for a wide range of eligible medical expenses like dental, vision, prescriptions, physiotherapy, mental health, and more. It is a simple, transparent, and cost-effective way to support employee health.
Our HSA App
Easily manage your HSA with the Health Wallet app. Submit claims in seconds, anytime, anywhere.
Our Clients
Trusted by Canadian businesses across industries, including law firms, tech startups, construction companies, consultants, medical clinics, and restaurants, who rely on Coastal HSA for simple and flexible health benefits.
140+ Eligible Health Expenses.
100+ Eligible HSA Expenses
Items with an asterisk require a prescription or written confirmation from a licensed medical practitioner to qualify.
Accepted: Medical doctor (MD), nurse practitioner (NP), dentist (for dental items), optometrist (for vision items), psychologist (for mental-health items), podiatrist/chiropodist (for foot-care items).
Not accepted: Naturopath, nutritionist, dietitian (for prescriptions), chiropractor (outside their treatment scope), massage therapist, health or wellness coaches.
- Exams
- Cleanings & Polishing
- Oral Hygiene
- X-rays
- Gum Treatments
- Repair
- Root canals
- Fillings
- Tooth extractions
- Denture repair and replacement
- Orthodontic work, including braces paid to a medical practitioner or a dentist. Expenses for solely cosmetic procedures are not covered.
- Eyeglasses & Contact lenses
- Optician, Optometrist, Ophthalmologist
- Laser Eye Surgery
- Acupuncturist (R.Ac.)
- Anesthesiologist
- Athletic Therapist (must provide professional registration number)
- Audiologist
- Chiropodist
- Chiropractor (DC)
- Dermatologist*
- Dietitian or Nutritionist (Registered)
- Gynaecologist (Ob. Gyn)
- Homeopath (Registered Professional)
- Kinesiology (Ontario only, and must provide professional registration number)
- Massage Therapist (must be provincially registered)
- Mental Health Professional (Registered): Clinical Counselor (RCC), - Psychiatrist (M.D.), Psychoanalyst, Psychologist (R. Psych), Psychotherapist (RP), Registered Psychotherapist, Social Workers (RSW, MFT)
- Midwife (Registered)
- Naturopaths (ND)
- Neurologist
- Nurse (RN, LPN, NP)
- Occupational Therapist
- Orthopedist
- Osteopath (must have a certificate or be licensed in the jurisdiction where the individual resides)
- Pharmacist
- Physician (MD), Pediatrician, Podiatrist (DPM), Surgeon
- Physiotherapist (B.PhysT, B.ScPhysio, - B.Physio, CPTA)
- Plastic Surgeon (Must be medically required with doctor certification)*
- Prosthetist
- Respiratory Therapist
- Speech Therapist (SLP)
- Traditional Chinese Medicine Practitioner (TCM)
- X-Ray Technician
- Any prescription medicine obtained through a licensed pharmacist is eligible. Include your prescription
- Cosmetic surgery – considered a medical expense if it is performed for medical or reconstructive purposes, such as correcting a congenital deformity or injury from an accident
- Covid tests – completed and processed by a lab or pharmacy
- Electrolysis – amounts paid to a qualified medical practitioner.
- Fertility-related procedures – expenses incurred for medical treatment or hospitalization for conception of a child. Expenses for a surrogate mother are not covered
- Laser eye surgery – the amount paid to a medical practitioner or a public or licensed private hospital
- Medical services provided outside of Canada – if you travel outside Canada to get medical services, you can claim the amounts you paid to a medical practitioner and a public or licensed private hospital
- MRI, Ultrasound, X-Ray Treatments
- Tests – the cost of non-holistic diagnostic tests such as electrocardiographs, stool examinations, sugar content tests, metabolism tests, radiological services or procedures, urine analysis, spinal fluid tests, allergy and asthma testing* (Cannot be prescribed by a Naturopath or Nutritionist)
- Treatment centre for a person addicted to drugs, alcohol, or gambling*
- Air conditioner for a person with a severe chronic illness, disease, or disorder. The eligible amount is $1,000 or 50% of the amount paid, whichever is less*
- Air filter, cleaner, purifier for severe chronic respiratory ailment*
- Any apparatus or materials paid directly to a doctor, dentist, nurse, or hospital
- Any device designed to assist an individual in walking where the individual has a mobility impairment
- Baby breathing monitor with written certification from a medical practitioner that the infant is at risk of sudden infant death syndrome*
- Bathroom aids to help a person get in or out of a bathtub/shower or on and off a toilet*
- Brace for a limb, spinal brace
- Braille note takers, printers, synthetic speech systems, large print-on-screen devices, computer peripherals, and other devices designed for a person who is blind to operate a computer*
- CPAP – Continuous Positive Airway Pressure Devices and supplies
- Crutches
- Diabetic supplies and devices
- Electronic bone healing device*
- Exercise equipment prescribed by a physician for treatment or recovery from an illness or injury*
- Hearing aids or personal assistive listening devices including repairs and batteries
- Heart and blood pressure monitoring devices, pace makers, including repairs and batteries*
- Hospital bed if required in home*
- Incontinence supplies catheters, catheter trays, tubing, etc.*
- Needles and syringes
- Orthotic inserts, orthopaedic shoes or boots*
- Oxygen and equipment*
- Phototherapy equipment for treating psoriasis or other skin disorders
- Prosthetics, artificial limb
- Renovation expenses specifically required for person with mobility impairment. Doctor confirmation required*
- Support hose, compression stockings, to relieve swelling*
- TENS/Electrotherapy devices*
- Wheel chair, scooter, power operated chair or lifts for persons with mobility impairment*
- Wigs – for people who have suffered abnormal hair loss because of an accident, disease, or medical treatment*
- Doctors note or form completed by a doctor
- Employee premiums paid to a non-government health, dental or vision plan, such as Blue Cross are eligible for reimbursement
Gluten-Free Products (only the cost difference from a standard product is eligible))*
- Home care for an illness or disability*
- Private healthcare when membership or access fees paid to a private medical clinic are pre-payment for eligible medical expenses
- School for individuals with mental or physical impairments*. Subject to additional conditions, please contact us before claiming.
- Travel for healthcare when substantially equivalent medical services were not available near your home, you took a reasonably direct travelling route, it is reasonable, under the circumstances, for you to have travelled to that place to get those medical services.* Subject to additional conditions, please contact us before claiming.
- Travel insurance (emergency medical only)
- Ambulance to and from the hospital
- Hospital bills
- Vaccines*
How to Setup Your HSA
01
Create an Account
Use your work email to create a free account and start using Coastal HSA in just a few minutes.
02
Build The Plan
Add employees to your organization and allocate an annual health credit to each employee.
03
Activate the Plan
Fund your health plan with a fully refundable deposit of 10% of your total annual plan value.
04
Employee Login
A welcome email is sent out to employees with a link to access their Health Wallet.
Compare health plans
Total admin fee per claim
HSA Health Wallet
6% /claim
Other HSAs
up to 15% /claim
Insurance
up to 20% /claim
Flexible comprehensive coverage
Pay-as-you-go
No setup fee
100% coverage
No extra fees for adding additional employees
HSA Health Wallet
HSAs powered by the
Coastal HSA App
Allocate an annual health spending account credit to each employee of $1000 - $25,000. Only pay for approved health claims up to that maximum.