Health Spending Account Wallet
The HSA Wallet is currently available to businesses and nonprofits in British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, New Brunswick, Nova Scotia, Prince Edward Island, Newfoundland and Labrador, Northwest Territories, Nunavut, and the Yukon.
HSA Wallet
Flexible, pay-as-you-go health benefits for Canadian teams — from solo founders to 500 employees. Start your plan today as a Plan Administrator.
- Coastal HSA App
- 100+ Eligible Health Expenses
- Health Claim Adjudication
- Quick Direct Deposit Reimbursement
Get reimbursed in just 2-5 business days
- Automated Pre-Authorized Debit (PAD) Billing
- Quarterly Health Credit Allocation
For example, a $1,000 Health Wallet will generate a $250 credit distributed on January 1, April 1, July 1, and October 1.
- Carryover Unused Health Credits
On January 1st, unused health credits rollover for up to 1 year.
- Monthly Statements
- RDS AES-256 Data Encryption
- CRA Compliant
- In-App Support
HSA Health Wallet
HSA Plan Structure .
Guidelines and Rules.
A Health Spending Account (HSA) is a Private Health Services Plan (PHSP) recognized by the CRA. It must be employer-funded and provided on a reasonable basis to employees.
1. T4 Income
Employees must receive T4 employment income. HSA limits are based on that income.
2. Business Structure
Available to incorporated businesses with active income, or sole proprietors who employ at least one arm’s-length employee.
3. Health Expenses
Only expenses listed on the Coastal HSA Eligible Health Expenses list qualify.
4. Claim Date Eligibility
Your coverage starts on your plan start date. Only expenses incurred on or after that date are eligible.
5. Quarterly Allocation
HSA funds are distributed to employees quarterly on Jan 1, Apr 1, Jul 1, and Oct 1.
6. Fairness
Employees performing the same or similar duties must receive the same HSA amount.
7. Claim Deadline
Expenses must be from the plan year, submitted by March 1 of the following year, and reimbursed only from that year’s credits.
8. Rollover
Unused HSA credits roll over on January 1 and remain available for 12 months before expiring.
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)
- Dermatologist*
- Dietitian or Nutritionist (Registered)
- Gynaecologist (Ob. Gyn)
- Homeopath (Registered Professional)
- Kinesiology (Ontario only, and must provide professional registration number)
- Massage Therapist (must be provincially registered)
- Mental Health Professional (Registered): Clinical Counselor (RCC), - Psychiatrist (M.D.), Psychoanalyst, Psychologist (R. Psych), Psychotherapist (RP), Registered Psychotherapist, Social Workers (RSW, MFT)
- Midwife (Registered)
- Naturopaths (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
- Respiratory Therapist
- 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 it is performed for medical or reconstructive purposes, such as correcting a congenital deformity or 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 incurred for medical treatment or hospitalization for conception of a child. Expenses for a surrogate mother are not covered
- Laser eye surgery – the amount paid to a medical practitioner or a public or licensed private hospital
- Medical services provided outside of Canada – if you travel outside Canada to get medical services, you can claim the amounts you paid to a medical practitioner and a public or licensed private hospital
- MRI, Ultrasound, X-Ray Treatments
- Tests – the cost of non-holistic diagnostic tests such as electrocardiographs, stool examinations, sugar content tests, metabolism tests, radiological services or procedures, urine analysis, spinal fluid tests, allergy and asthma testing*
- Treatment centre for a person addicted to drugs, alcohol, or gambling*
- Air conditioner for a person with a severe chronic illness, disease, or disorder. The eligible amount is $1,000 or 50% of the amount paid, whichever is less*
- Air filter, cleaner, purifier for severe chronic respiratory ailment*
- Any apparatus or materials paid directly to a doctor, dentist, nurse, or hospital
- Any device designed to assist an individual in walking where the individual has a mobility impairment
- Baby breathing monitor with written certification from a medical practitioner that the infant is at risk of sudden infant death syndrome*
- Bathroom aids to help a person get in or out of a bathtub/shower or on and off a toilet*
- Brace for a limb, spinal brace
- Braille note takers, printers, synthetic speech systems, large print-on-screen devices, computer peripherals, and other devices designed for a person who is blind to operate a computer*
- 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, pace makers, including repairs and batteries*
- Hospital bed if required in home*
- Incontinence supplies catheters, catheter trays, tubing, etc.*
- Needles and syringes
- Orthotic inserts, orthopaedic shoes or boots*
- Oxygen and equipment*
- Phototherapy equipment for treating psoriasis or other skin disorders
- Prosthetics, artificial limb
- Renovation expenses specifically required for person with mobility impairment. Doctor confirmation required*
- Support hose, compression stockings, to relieve swelling*
- TENS/Electrotherapy devices*
- Wheel chair, scooter, power operated chair or lifts for persons with mobility impairment*
- Wigs – for people who have suffered abnormal hair loss because of an accident, disease, or medical treatment*
- Doctors note or form completed by a doctor
- Employee premiums paid to a non-government health, dental or vision plan, such as Blue Cross are eligible for reimbursement
Gluten-Free Products (only the cost difference from a standard product is eligible))*
- Home care for an illness or disability*
- Private healthcare when membership or access fees paid to a private medical clinic are pre-payment 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 substantially equivalent medical services were not available near your home, you took a reasonably direct travelling route, it is reasonable, under the circumstances, for you to have travelled to that place to get those medical services.* Subject to additional conditions, please contact us before claiming.
- Travel insurance (emergency medical only)
- Ambulance to and from the hospital
- Hospital bills
- Vaccines*
How to Setup Your HSA
01
Create an Account
Get up and running in no time by creating a free account. Login with your work email address.
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 to fund your health plan.
04
Employee Login
A welcome email is sent out to employees with a link to setup their Health Wallet.
How HSA Taxes Work in Canada
Taxes on HSAs
Taxes are calculated, collected, and remitted based on the employee’s province of residence.
5% GST is charged on the admin fee.
Example: $100 claim → $6 admin → $0.30 GST → $106.30 total
15% HST is charged on the admin fee.
Example: $100 claim → $6 admin → $0.90 GST → $106.90 total
14% HST is charged on the admin fee.
Example: $100 claim → $6 admin → $0.84 GST → $106.84 total
2% PPT is charged on the claim + admin.
8% RST is charged on the claim.
13% HST is charged on the admin fee.
Example:
$100 claim → $6 admin → $2.12 PPT → $8.00 RST → $0.78 HST → $116.90 total
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Coastal HSA does not currently offer HSAs in Québec.