Health Spending Accounts

Flexible Employee Health Benefits for Canadian Businesses

Modern pay-as-you-go Health Spending Accounts with low fees.

Set up an HSA
  • Extended Health Plan
  • Tax-efficient
  • CRA-compliant
  • Setup in minutes

Trusted by Businesses Across Canada

We support Canadian teams of all sizes across a wide range of industries, including legal, technology, consulting, healthcare, construction, manufacturing, nonprofit, hospitality, creative services, and more.

Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient Benefits
Coastal HSA Services Inc.
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Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient Benefitskristina hampton
18:54 02 Jun 26
We've had a great experience with Coastal HSA Services. It has been easy to set up, much more cost-effective for a small business than government benefits and it gives our employees access to a wider range of services they can claim.

Sam was incredibly helpful throughout the process. In our initial meeting, he was clear, thorough, and efficient in explaining everything. Since then, he's been easy to reach whenever we've had questions and has always provided prompt, helpful support.

I would highly recommend Coastal HSA to other small businesses looking for a flexible and affordable employee benefits solution.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsMichael Da Silva
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 Grabowski
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 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.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsHot 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
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsPrajnesh Amrit
15:42 19 Aug 25
Service is very simple to use and claims are processed quickly.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsDhruv 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.
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient BenefitsMaddy Doucette
17:32 31 Jul 25
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A Better Way to Do Benefits

Tired of the insurance hassle? There's a better way.

The Problem: Insurance-based health plans are complex, rigid, and expensive.

Rising premiums, broker commissions, administrative overhead, and out-of-pocket costs leave employers paying more and employees getting less.

The Solution: Health Spending Accounts (HSAs) are simple, flexible, and affordable.

A Health Spending Account often provides better value than traditional insurance, while being simpler to manage and more flexible for employees.

What is a Health Spending Account?

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

 

Instead of paying fixed insurance premiums every month, you provide employees with an annual health allowance. Employees use that allowance to cover eligible health expenses, submit their receipts, and receive tax-free reimbursements, while the business claims the cost as a tax deduction.

HSA Structure
Health Spending Accounts,Employee Health Benefits,Canadian Businesses,Flexible Health Plans,Tax-Efficient Benefits

Trusted HSA experts

Why Businesses Choose Coastal HSA

Extensive coverage

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

Value for your health budget

No upfront funding required. 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.

Quick reimbursements

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

Your admin fee.
Locked in.

7% on every claim. Guaranteed for 7 years. No rate increases. No renewal negotiations. No hidden fees.

Your price is locked in. You're not. Cancel anytime with 30 days' notice.

  • Rate locked 7% on claims, guaranteed for 7 years.
  • No surprises Your rate stays the same year after year.
  • Pay-as-you-go Pay only when claims are made.
  • Cancel anytime No long-term contracts or commitments.

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.

Set up an 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.