Guide
HSA fees explained: monthly, investment, and transfer-out
Last reviewed
HSA fees are small enough to ignore and big enough to matter. A few dollars a month can add up over years, and some fees only show up when you leave.
Here’s what each type of fee is, where to find it, and how to compare. The provider directory lists the figures we’ve found, and the calculator shows whether switching to a cheaper account pays off.
Educational, not financial or tax advice
This guide explains how HSAs work in general. It isn’t a recommendation to open, move, or invest any account. Your plan and tax situation are your own, so check the sources below and talk to a tax professional for decisions that matter.
The fees an HSA can charge
The FDIC lists the main ones: some HSA administrators charge monthly maintenance fees, paper statement fees, outbound transfer fees, and account closure fees, which “can exceed the interest earned on the account.” It tells people to review the account disclosures for fee information and the interest rate (shown as an APY) before choosing. (FDIC)
| Fee | What it is | What to look for |
|---|---|---|
| Monthly maintenance | A recurring charge for keeping the account open. | Whether it’s waived above a balance, and whether the waiver counts cash only or your total balance. |
| Investment account fee | A charge for using the investing side of the account, if there is one. | Is it flat or based on your balance? Does it kick in only below a cash balance? |
| Fund expense ratios | The ongoing annual cost built into each fund you hold. | A percentage of assets. Compare the cost of the funds on the menu. |
| Transfer-out fee | A charge to move your balance to another HSA. | Whether it applies to a direct transfer and to a rollover, and whether there’s a separate closure fee. |
| Account closure fee | A charge to close the account. | May be separate from the transfer-out fee. |
| Paper statements and other add-ons | Extra charges for mailed statements, replacement cards, and similar services. | Go paperless if it avoids a fee. |
1. Monthly maintenance fees
This is the fee people notice first, and it’s often small, but it repeats every month. As a made-up example: $2.50 a month is $30 a year. If your balance is $1,000 and the cash rate is 0.05%, interest would be about $0.50 a year. That’s the point of the FDIC’s warning that fees can exceed interest.
Some providers waive the fee above a balance. Check how the waiver is counted, and see the directory for the details we’ve found.
| Provider | Monthly fee | Cash rate |
|---|---|---|
| Fidelity HSA | $0 | 3.40% |
| Lively | $0 | Not confirmed |
| HealthEquity | Not confirmed | 0.10% |
| HSA Bank | $2.50 | 0.05% |
| Optum Bank | $2.50 | 0.06% |
| Inspira Financial (formerly PayFlex/Millennium Trust) | Not confirmed | Not confirmed |
| Further (formerly SelectAccount) | $1 | 0.05% |
| Bank of America HSA | $2.50 | Not confirmed |
| The HSA Authority (UMB) | $3 | Not confirmed |
| First American Bank HSA | $0 | Not confirmed |
| Saturna HSA | $0 | Not confirmed |
From our provider directory, checked October 15, 2026. “Not confirmed” means we haven’t found a published figure. It is not zero. Some figures come from comparison sites rather than the provider’s own page, and workplace accounts can differ from the public retail account. Open a provider’s page for its source, and confirm with the provider before you act.
Cash rates aren’t always measured the same way. A money-market fund’s yield, for example, isn’t the same thing as the APY on a bank deposit, so read the fine print before comparing.
2. Investment fees: account fees and fund costs
If you invest, there are usually two layers. One is any fee the provider charges for the investment account. The other is the ongoing cost inside each fund, called the expense ratio. Investor.gov defines it as the annual percentage of a fund’s assets used for operating expenses, which reduces your return. (Investor.gov)
Our cash minimums guide explains how providers decide when you can start investing.
3. Transfer-out and closure fees
These are the fees you pay on the way out. The FDIC says HSAs “may impose ‘exit’ fees, including outbound transfer fees and account closure fees,” and suggests asking about delays in the availability of funds. (FDIC) You’ll see the fee figures we’ve found in the table below. For how to move money without creating a tax problem, see how to transfer your HSA without fees.
| Provider | Transfer-out fee |
|---|---|
| Fidelity HSA | Not confirmed |
| Lively | Not confirmed |
| HealthEquity | $25 |
| HSA Bank | $25 |
| Optum Bank | Not confirmed |
| Inspira Financial (formerly PayFlex/Millennium Trust) | Not confirmed |
| Further (formerly SelectAccount) | Not confirmed |
| Bank of America HSA | $25 |
| The HSA Authority (UMB) | Not confirmed |
| First American Bank HSA | Not confirmed |
| Saturna HSA | Not confirmed |
From our provider directory, checked October 15, 2026. “Not confirmed” means we haven’t found a published figure. It is not zero. Some figures come from comparison sites rather than the provider’s own page, and workplace accounts can differ from the public retail account. Open a provider’s page for its source, and confirm with the provider before you act.
How fees are paid and reported
The IRS notes that HSA administration and maintenance fees withdrawn by the trustee aren’t reported as distributions from the HSA. (IRS Pub. 969) That’s about how the fee is reported. It doesn’t tell you whether the fee is a good deal. Your provider’s fee schedule does.
Workplace accounts can be different
Some employers contract with a specific HSA provider, and the fee schedule that applies to you may differ from the provider’s public retail account. In our directory, for example, one workplace-only provider’s schedule changes depending on whether you’re still enrolled through your employer. Always ask HR or the provider for the schedule that applies to your account.
Sources
Checked on October 28, 2026. Rules and limits change, so look at the source for the year you’re in.
- FDIC: Health Savings Accounts (consumer guide) — monthly maintenance, paper statement, outbound transfer, and closure fees; comparing disclosures
- IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans — how trustee administration fees are reported
- Investor.gov: Expense Ratio — ongoing fund costs
Keep reading
- HSA vs FSA: what’s the difference?
- How to transfer your HSA without surprise fees
- Should you invest your HSA? Cash minimums explained
Or jump straight to the provider directory or the move calculator.