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Updated on Friday, October 1, 2021
So, you need to choose a health savings account (HSA) to go along with your new health insurance plan. There are plenty of options out there, and it’s easy to get overwhelmed. The best savings accounts help you save money with high interest rates and low fees—your HSA should be no different. With a high-yielding HSA, you can cover your out-of-pocket medical expenses and boost your savings at the same time.
We’ve taken the work out of finding the best health savings accounts on the market. Using data from DepositAccounts.com we scoured more than 17,100 nationwide banks and credit unions to find the highest health savings account rates available. To ensure quality and availability, we excluded institutions with a DepositAccounts health rating below a B and credit unions with restrictive membership requirements.
Health savings account deposits at all of the institutions listed below are insured by the FDIC or NCUA.
The 10 best health savings accounts in October 2021
|Institution||APY||Minimum balance to earn APY|
|Evansville Teachers FCU||2.01%||$500|
|Connexus Credit Union||2.00%||$15,000|
|The Adirondack Trust Company||1.00%||$1|
|First Technology Federal Credit Union||1.00%||$10|
|Technology Credit Union||0.50%||$2,500|
|Lake Michigan Credit Union||0.30%||$5,000|
|Corporate America Family Credit Union||0.50%||$10,000|
1. Evansville Teachers FCU: 2.01% APY, $500 minimum deposit
Evansville Teachers FCU’s Health Savings Checking account earns at a great interest rate on all balances of $500 and over. Plus, there’s no maintenance fees. You can also benefit from check writing abilities, debit card access and payroll deductions with an ETFCU HSA.
ETFCU also offers five HSA share certificates with term lengths ranging between one to five years. Each require $1,000 to open and earns a competitive interest rate. However, ETFCU doesn’t recommend you use HSA share certificates unless you’ve had an HSA established for a while, since locking money in share certificates make it much harder to to dip into your funds.
You can find Evansville Teachers Federal Credit Union locations in Indiana, Kentucky and Tennessee. The credit union is also a member of the Alliance One ATM network, which offers fee-free access to about 5,000 ATMs. ETFCU was started by several teachers in Evansville, Indiana, in 1936 — but you don’t have to be a teacher to qualify for ETFCU membership, though.
2. Connexus Credit Union: 2.00% APY, $15,000 minimum deposit
Connexus Credit Union also offers a high health savings account rate, but you’ll need at least $15,000 in your account to earn at that rate. Still, you can earn at decent rates on all other balances larger than $100, with higher balances benefiting best. The account doesn’t require a minimum balance or charge a monthly fee (unless your account is inactive). You can request an HSA debit card when you open your account for use at Connexus ATMs.
You can find Connexus branches and ATMs in Wisconsin, Minnesota, Ohio and New Hampshire. Connexus is also part of the CO-OP Shared Branch network, which gives you access to more than 5,600 Shared Branches and tens of thousands of surcharge-free ATMs through both CO-OP and MoneyPass. To open an account with the credit union, you’ll need to become a Connexus Credit Union member.
3. The Adirondack Trust Company: 1.00% APY, $1 minimum deposit
To get started with an Adirondack Trust Company Health Savings Account, you’ll only need to deposit $1 — after that, there’s no other minimum balance requirement to earn interest. To access your health savings account, you can take advantage of free unlimited check writing and free ATM access with your ATC HSA Visa debit card. Getting paper statements on this account will cost $4, while using online banking will still cost you $2.
Founded in 1901 in upstate Saratoga Springs, N.Y., ATC maintains 13 branches along the Adirondack Mountains area and offers access to two Amsure branches in Saratoga Springs and Albany, N.Y.
4. First Technology Federal Credit Union — 1.00% APY, $10 minimum deposit
First Technology Federal Credit Union’s HSA Checking account is easy to open and own. In addition to its decent rate, it doesn’t charge HSA setup or monthly service fees, nor are there any minimum balance requirements. You just need at least $10 to open the account and to start earning interest. To open this HSA, you can call First Technology FCU at 855-855-8805.
You’ll receive a free HSA debit card with the account, which you can use at nearly 30,000 CO-OP ATMs. You can also visit First Tech branches in 10 states and access more than 5,000 CO-OP Shared Branch locations.
You can qualify for a First Tech membership depending on your employment, place of residence or by becoming a member of either the Computer History Museum or the Financial Fitness Association. First Technology Credit Union was founded in 1952 by members of Hewlett-Packard and Tektronix.
5. IncredibleBank — 0.45% APY, $25,000 minimum balance
While there’s no minimum deposit or balance requirement, you’ll want to keep a balance of $25,000 or above in the account to snag the worthwhile 0.45% APY. Balances from $1,000 and up still earn interest, just at much lower rates. If you sign up for paperless statements, you’ll avoid their $5 paper statement fee.
IncredibleBank traces its history back to 1967 as River Valley Bank. Today, it is headquartered in Wausau, Wis., and has 15 locations in Wisconsin and Michigan.
6. Elements Financial: 0.30% APY, $10,000 minimum deposit
You can benefit the most from Elements Financial’s HSA if you have $10,000 available to set aside for future medical expenses; lower balances still earn interest, but at lower rates. The account does charge a $4 monthly fee, but you can avoid it by averaging a daily balance of at least $2,500.
The account includes a free Visa debit card, which you can use for purchases and to access your funds with over 78,000 ATMs worldwide through the Allpoint, CO-OP and Alliance One networks. In addition to these ATMs, you can visit Elements Financial branches and over 5,000 CO-OP Shared Branches nationwide.
Elements Financial is a credit union that requires membership before you open an account. Founded in 1930, it currently serves employees from around 150 companies in the U.S. If your company is an Elements partner, you can open a checking or savings account or complete an application for a loan or credit card to start the application process. Opening a member savings account will also get you into the credit union so you can apply for this HSA.
7. Northpointe Bank: 0.50% APY, no minimum deposit
There’s no minimum to open a health savings account at Northpointe Bank, and you’ll earn this APY on any balance of $0.01 or over. You’ll also pay no monthly fee. Debit cards, checks and bill pay are available on the account, which allows unlimited transactions.
With headquarters in Grand Rapids, Mich., Northpointe Bank was established in 1999. The bank has branch locations in 24 states, but you can also bank online.
8. Technology Credit Union: 0.50% APY, $2,500 minimum balance
Technology Credit Union offers both individual and family health savings accounts, which you can open with any balance. You’ll need to contribute $2,500 to secure this rate, but if you can’t swing that much at first, you’ll still earn a competitive APY on balances below $2,500. The monthly maintenance fee is a low $2. Technology Credit Union will even waive the fee for the first six months; after that, you’ll need a minimum balance of $100 to waive the fee.
Founded in 1960, Technology Credit Union was started by employees at Fairchild Camera and Instrument Semiconductor Division in Silicon Valley. Today, Technology Credit Union membership is available to employees at several partner companies, family members of current members, individuals in select California counties and members of affiliated organizations.
9. Lake Michigan Credit Union: 0.30% APY, $5,000 minimum deposit
While you’ll only need $5 to open a Lake Michigan Credit Union account, you’ll need at least $5,000 in your HSA to earn at the listed APY; balances below $5,000 will have a much lower rate. The account doesn’t charge a monthly service fee and comes with a free debit card. You can use this debit card to pay for your medical costs and withdraw cash at any LMCU branch. You can also access your LMCU HSA funds through unlimited check writing and online banking.
Founded in 1933, Lake Michigan Credit Union offers open and free membership. As you might expect, you can find LMCU branches in Michigan, but there are also several branches in Florida. Plus, in addition to LMCU ATMs, you can also take advantage of over 55,000 Allpoint ATMs.
10. Corporate America Family Credit Union: 0.50% APY, $10,000 minimum balance
At Corporate America Family Credit Union, or CAFCU, you’ll earn interest on as little as $1 in your account. To take advantage of this listed rate, you’ll need to fund your HSA with $10,000, but even as little as $5,000 earns you a rate not far below our top 10.
CAFCU was founded by 15 employees at Automatic Credit Union in 1939. After a couple changes in management and name, the credit union has widened its membership eligibility to include employees at sponsor companies, family members of current members and those residing or working within a 25-mile radius of a CAFCU branch. You can also join the credit union by being a member of The Hope Group, which you can join at the end of your CAFCU application.
How to use your HSA wisely
Health savings accounts are used only for medical expenses, and if you shop around you can earn interest on your balances with the right account. But did you know HSAs offer tax benefits, too? You fund an HSA with pre-tax dollars, which lowers your taxable income in the year you make the deposit. As long as you spend HSA funds on approved medical expenses, it doesn’t get taxed. If you do use your HSA funds for something other than approved medical expenses, you may get hit with a 20% tax penalty.
This HSA tax advantage can come in especially handy in retirement. Funding an HSA today reduces your tax burden come tax time. If you wait until retirement to make those withdrawals, you can turn your HSA into a significant retirement contribution. Not only has the balance been earning interest for years, but now you can use that money for medical expenses, which tend to pile up in retirement. Plus, after you reach age 65, you can use your HSA for non-medical expenses without triggering the 20% tax penalty, although the withdrawals are taxed like normal income, similarly to IRA withdrawals. This also applies in the event you become disabled or die.
You can generally open a health savings account if you’re already covered by a high-deductible health plan (HDHP). This works well since the HSA funds can help you cover the higher out-of-pocket costs that usually come with having an HDHP. To qualify for an HSA, you also can’t have other health coverage, be enrolled in Medicare or be claimed as a dependent on someone else’s tax return.
HSA contribution limits
As set by the IRS, the amount you can contribute to your health savings account will depend on your HDHP coverage, your age, the date you become eligible and the date you stop being eligible.
For 2021, you can contribute up to $3,600 to your HSA as an individual with self-only coverage (up from $3,550 for 2020). Individuals with family coverage may contribute up to $7,200 (up from $7,100 for 2020).
For 2021, an HDHP is defined as a health plan where the annual deductible is greater than $1,400 for self-only coverage and $2,800 for family coverage. Additionally, the maximum annual deductible and for other out-of-pocket expenses is $7,000 for individuals and $14,000 for families.
HSA vs. FSA
A flexible spending account, or FSA, is another type of supplemental medical spending account. Like a health savings account, FSAs are also funded with pre-tax dollars to use towards qualified medical expenses like prescriptions and copayments. FSAs are employer-sponsored, however, and are usually funded through voluntary salary contributions, but your employer can also contribute. You cannot open an FSA if you’re self-employed. No taxes are deducted from your contribution. For 2021, you cannot contribute more than $2,750 to an FSA.
What further sets FSAs apart from HSAs is that you must use the money in an FSA by Dec. 31 of the contribution year, unless you’re granted a grace period or a $500 carryover option by your employer. A big drawback to FSAs is that if you don’t use the money in the account on time, your employer gets those funds. This is also true if you were to leave the company. To the opposite, the funds in an HSA are yours to keep even if you leave your company.
Health savings account vs. online savings accounts
While health savings accounts help you designate funds toward medical expenses, most HSAs traditionally don’t earn at the competitive rates we’ve come to see from online savings accounts. A $10,000 deposit into an HSA earning 2% APY would yield $200 after a year of annual compounding interest. This actually currently beats the best online savings accounts. A savings account earning 0.75% would yield $125 less than the HSA after a year.
Still, it’s worth considering a high-yield online savings account for your non-medical expenses, especially since you typically don’t have to meet any requirements to open an online savings account, like having an HDHP or meeting credit union membership qualifications.