Health Spending Accounts for Canadian Businesses

Give your team tax-free health benefits without the cost or complexity of traditional insurance.

Set up an HSA
  • 7% administration fee · Pay-as-you-go · No monthly fees

Health Benefits, Without Traditional Insurance.

Give your employees the flexibility to choose the health services and products that work best for them, while you stay in control of your budget.

Traditional Insurance

- Monthly premiums
- Renewal rate increases
- Predetermined coverage limits
- Pay regardless of usage

Coastal HSA

- Set your own budget
- 100+ eligible health expenses
- Pay only when claims are approved
- No monthly premiums

Built for Canadian businesses · CRA-aligned PHSP plan rules · Transparent pay-as-you-go pricing

Small businesses deserve better health benefits.

Running a small business can hard enough. Offering great health benefits shouldn’t be.
Coastal HSA makes it simple to offer flexible, affordable health benefits without the complexity of traditional plans.

Trusted by 250+ Canadian businesses

Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient Benefits
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Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsSugandha R.
17:19 21 Sep 26
We started using Coastal HSA earlier this year and the service has been fantastic. Claims are approved very quickly, and you receive your deposit in 2-3 days. It is also very user friendly. Sam has been great and is always responsive and helpful which is very much appreciated.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsMichael Da S.
19:10 21 May 26
Coastal HSA has been an excellent partner in managing our employee group benefits program. They are highly responsive with claims processing and handle the administrative paperwork and regulatory requirements seamlessly for us as the employer. I would not hesitate to recommend them to any organization looking to provide a strong employee benefits program for their team.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsSean G.
16:38 21 May 26
We’ve been using coastal HSA for over a year now and it’s been an excellent experience Sam and his team Offer really top-notch customer service to make sure you understand everything about their platform and make sure you don’t have any issues ever. Finding them has been a huge win for us and I couldn’t recommend them more.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsDaniel H.
21:42 23 Apr 26
Our experience with Sam and Coastal HSA has been nothing less than exceptional. We are an Ontario based company with roughly 20 employees. When we researched the available HSA options, Coastal HSA was top of the list, so expectations were high but they actually exceeded expectations. We moved our benefits plan from Mutual Life to Coastal and there has been no looking back. The user experience is clean, simple, and very easy to use. I highly!, highly! recommend Coastal HSA to anyone looking for a great HSA solution.

What is a Health Spending Account?

A Health Spending Account (HSA) is a CRA-recognized employee benefit that allows Canadian businesses to reimburse employees tax-free for eligible medical, dental, vision, and other health expenses.

 

Instead of paying fixed monthly insurance premiums, businesses establish an annual health spending allowance for each eligible employee.

 

Employees pay for eligible health expenses and submit claims for reimbursement through their HSA. Businesses only pay when claims are approved, making it a flexible, pay-as-you-go alternative to traditional group benefits.

Explore How HSAs Work

Benefits That Fit
Your Employees

Dental, vision, prescriptions, paramedical services, and 100+ eligible health expenses — all in one flexible HSA.

See Eligible Health Expenses

See How Coastal HSA Compares

Total admin fee per claim

HSA Health Wallet
7%
Other HSAs
up to 15%
Insurance
up to 25%
Flexible comprehensive coverage
Pay-as-you-go
100% reimbursement with no deductibles or copays
Automated pre-authorized debit funding
No extra fees for adding additional employees

How to Set up Your HSA

Set up your HSA in minutes and start offering flexible benefits today.

Set up an HSA

01

Create an Account

Use your work email to create a Plan Admin account.

02

Build the Plan

Add employees and assign an annual HSA amount to each employee.

03

Activate the Plan

Complete your PAD agreement and pay the $50 one-time setup fee.

04

Employee Login

We send employees a welcome email with a link to access their HSA.