1、 CONSUMER FINANCIAL PROTECTION BUREAU|MAY 2024 Health Savings Accounts Issue Spotlight 1 CONSUMER FINANCIAL PROTECTION BUREAU Table of Contents Table of Contents.1 Executive Summary.2 Background.4 What is an HSA?.4 HDHP Growth.5 HSA Market Dynamics.6 Who offers HSAs?.8 HSA Product Analysis.10 Mainte

2、nance fees.10 Transfer fees and other switching costs.11 Other fees.13 Zero or low interest.13 Conclusion.15 Appendix A:Interest rate schedule.16 Appendix B:Investing HSA funds.17 2 CONSUMER FINANCIAL PROTECTION BUREAU Executive Summary A health savings account(HSA)is a type of tax-advantaged saving

3、s account available to consumers enrolled in High Deductible Health Plans(HDHPs)to use for certain healthcare expenses.The prevalence of HSAs among consumers has surged in recent years,with approximately 36 million HSAs reported in 2023.1 These accounts collectively hold over$116 billion in assets,r

4、epresenting an increase of more than 500 percent since 2013.2 This significant growth has coincided with the rising prevalence of HDHPs,as HSAs were established to provide tax benefits to individuals with HDHPs.An HSA typically has an underlying consumer deposit account,and while HSAs share similari

5、ties with healthcare spending accounts like flexible spending accounts(FSAs)and certain tax-advantaged retirement accounts,they also have distinct elements.This report examines these unique characteristics and evaluates consumer experiences in the HSA market.3 Overall,while the tax benefits associat

6、ed with HSAs may add value for certain consumers,HSAs also present increased costs,primarily in the form of fees and low interest rates.Key findings in this report include:Costly and Complex Fee Structure:Among the organizations that offer HSAs(“HSA trustees”),many charge various fees,including mont