Health Spending Accounts

Flexible Employee Health Benefits for Canadian Businesses

Modern Health Spending Accounts with low fees

Trusted by businesses across Canada

From solo entrepreneurs to 150-employee teams

We serve Canadian businesses across industries: law, tech, consulting, healthcare, construction, manufacturing, nonprofit, hospitality, creative services, and more.

Coastal HSA Services Inc.

5.0

review us on

Daniel Hawes

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.

Hot Water LeisureScapes

18:44 02 Apr 26

Quick to get in touch with me and meet virtually to discuss switching HSA providers. Process to set up our new account was seamless, and we were up, running, and funding our employees within a week. Flexible with our requirements and transparent. Very satisfied with our new HSA account for our employees. Would recommend to any business. - Sarah Sperrin, co-owner Hot Water LeisureScapes

Prajnesh Amrit

15:42 19 Aug 25

Service is very simple to use and claims are processed quickly.

Dhruv Bhatia

00:14 14 Aug 25

Great organization to work with. There dedication and attention to detail will leave you feeling like you’re in good hands.

Maddy Doucette

17:32 31 Jul 25

The Problem

Traditional insurance-based health plans are complex, rigid, and expensive.

Limited coverage, rising premiums, high administrative costs, and layered out-of-pocket expenses make plans difficult to use and inefficient for both employers and employees.

The Solution

Health Spending Accounts (HSAs) offer a better way.

A Health Spending Account (HSA) is a flexible, tax-efficient way for Canadian employers to provide health benefits. Instead of paying fixed insurance premiums, employers set a yearly health allowance for each employee.

Employees can then use these funds to get reimbursed for a wide range of eligible medical expenses, such as dental care, vision care, prescriptions, physiotherapy, mental health services, and more.

Trusted HSA experts

Why Businesses Choose Coastal HSA

Freedom to spend on what matters

Give employees the flexibility to use their health benefits on the care they need most. No wasted coverage or unnecessary restrictions.

More value for your health budget

Only pay for eligible claims as they’re submitted. With a tax-efficient structure and low fees, more of your budget goes toward employee health.

Easy claims and reimbursements

Employees can submit claims in under a minute and receive reimbursements within 2–5 business days. No complex processes or unnecessary delays.

Compare health plans

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% coverage with no copays or deductibles

Automated pre-authorized debit funding

No extra fees for adding additional employees

How to Setup Your HSA

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

Create an Account

Use your work email to create a Plan Admin account and begin setting up your HSA plan.

Build The Plan

Add employees to your organization and allocate an annual health credit to each employee.

Activate the Plan

Complete a Pre-Authorized Debit (PAD) agreement and pay a $50 one-time setup fee to fund your health plan.

Employee Login

A welcome email is sent to employees with a link to access their HSA and start using it.