Health Spending Accounts
Modern HSAs for Canadian Businesses & Entrepreneurs
Flexible, tax-efficient health benefits with low fees
- Canadian Health Plan
- CRA-compliant
- Setup in minutes
- Low admin fees
Health Spending Accounts
What is an HSA?
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.
The Problem
Traditional insurance-based health plans are built for profit, not people
Limited coverage + confusing plans + rising premiums + agent commissions + copays + deductibles
=
Record insurance company profits
Health Spending Accounts (HSAs) offer businesses a better way.
Unlike traditional insurance, you only pay for what your team actually uses. Your employees get flexible, tax-efficient benefits that cover the care they need, so every dollar goes further.
The Solution
Pay only for what you actually use
A Health Spending Account (HSA) allows your corporation to reimburse eligible health expenses directly.
Health Spending Account
Health Insurance
Trusted HSA experts
Why Coastal HSA?
Flexible, tax-efficient benefits built for Canadian Teams
"Great user interface. Simple, clean, and effective. So much better for our staff. Very happy we made the move to Coastal."
Dan H, CEO
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.
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. A licensed or registered medical practitioner must be recognized in the employee’s province and acting within their authorized scope of practice for the expense to qualify.
- 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)
- Clinical Counselor (RCC)
- Dermatologist*
- Dietitian or Nutritionist (Registered)
- Gynaecologist (Ob. Gyn)
- Homeopath (Registered Professional)
- Kinesiology (Ontario only; must provide professional registration number)
- Massage Therapist (must be provincially registered)
- Midwife (Registered)
- Naturopath (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
- Psychiatrist (MD)
- Psychoanalyst
- Psychologist (R. Psych)
- Psychotherapist (RP)
- Registered Psychotherapist
- Respiratory Therapist
- Social Worker (RSW, MFT)
- 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 performed for medical or reconstructive purposes, such as correcting a congenital deformity or an 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 for medical treatment or hospitalization for conception of a child (expenses for a surrogate mother are not covered)
- Laser eye surgery – amounts paid to a medical practitioner or a public or licensed private hospital
- Medical services provided outside of Canada – eligible if paid to a medical practitioner or a public or licensed private hospital while traveling
- MRI, ultrasound, and X-ray treatments
- Diagnostic tests – non-holistic tests such as electrocardiographs, stool examinations, blood sugar tests, metabolism tests, radiological services, 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 (eligible amount is $1,000 or 50% of the cost, whichever is less)*
- Air filter, cleaner, or purifier – for severe chronic respiratory ailment*
- Apparatus or materials – paid directly to a doctor, dentist, nurse, or hospital
- Mobility devices – designed to assist an individual with a mobility impairment in walking
- Baby breathing monitor – with written certification from a medical practitioner confirming risk of sudden infant death syndrome*
- Bathroom aids – to help a person get in or out of a bathtub or shower, or on and off a toilet*
- Brace – for a limb or spine
- Braille devices – note takers, printers, synthetic speech systems, large print-on-screen devices, computer peripherals, and similar equipment for individuals who are blind*
- 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, pacemakers, including repairs and batteries*
- Hospital bed – if required for use in the home*
- Incontinence supplies – catheters, catheter trays, tubing, etc.*
- Needles and syringes
- Orthotic inserts, orthopedic shoes or boots*
- Oxygen and related equipment*
- Phototherapy equipment – for treating psoriasis or other skin disorders
- Prosthetics – including artificial limbs
- Renovation expenses – specifically required for a person with a mobility impairment (doctor confirmation required)*
- Support hose or compression stockings – to relieve swelling*
- TENS or electrotherapy devices*
- Wheelchair, scooter, power-operated chair, or lifts – for individuals with mobility impairment*
- Wigs – for individuals with abnormal hair loss due to an accident, disease, or medical treatment*
- Doctor’s note or form completed by a doctor
- Employee premiums paid to a non-government health, dental, or vision plan (e.g., Blue Cross)
- Gluten-free products (only the cost difference from a standard product is eligible)*. A celiac diagnosis is required. Include this diagnosis in your first claim.
- Home care – for an illness or disability*
- Private healthcare – when membership or access fees to a private medical clinic are prepayment 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 equivalent medical services are not available near your home and travel is reasonably direct and necessary* (subject to additional conditions; please contact us before claiming)
- Travel insurance – emergency medical coverage 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 Plan Admin account and begin setting up your HSA plan.
02
Build The Plan
Add employees to your organization and allocate an annual health credit to each employee.
03
Activate the Plan
Complete a Pre-Authorized Debit (PAD) agreement and pay a $50 one-time setup fee to fund your health plan.
04
Employee Login
A welcome email is sent to employees with a link to access their HSA and start using it.
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
Automated pre-authorized debit funding
No extra fees for adding additional employees
HSA Health Wallet
HSAs powered by the
Coastal HSA App
Easily manage your HSA with the Health Wallet app. Submit claims in seconds, anytime, anywhere.
