Lively, Inc., a top-rated health and lifestyle benefits platform and the #1 fastest growing HSA provider according to Devenir, known for building the modern Health Savings Account (HSA), today revealed another record year for average HSA balances even as U.S. healthcare costs continue to climb.

As employers and households grapple with historic premium increases, higher deductibles, and rising out-of-pocket healthcare expenses, Americans are increasingly turning to Health Savings Accounts as a critical financial tool to manage both near-term medical costs and long-term healthcare planning. Against this backdrop of persistent cost pressure and economic uncertainty, Lively’s data highlights how effective HSA engagement can help account holders build greater financial resilience.

HSAs offer a unique combination of tax-free saving, investing, and spending for qualified health expenses, making them one of the most powerful benefits available to workers enrolled in high-deductible health plans. Lively’s latest insights underscore the importance of choosing an HSA provider that prioritizes ease of use, built-in education, and accessible investing options—capabilities that are increasingly essential as healthcare affordability becomes a defining issue for employers and employees alike.

HSA eligibility expansion from the One Big Beautiful Bill (OBBB) went into effect on January 1, 2026. As a result, more individuals now qualify for an HSA based on their health plan type. Those enrolled in Bronze or Catastrophic Affordable Care Act (ACA) health plans meet the primary coverage requirement for HSA eligibility under the new law.

“HSAs have long been a strategy to help offset the high cost of healthcare. With premiums and out-of-pocket costs continuing to rise, making healthcare more affordable and accessible is at the core of our mission at Lively. Continued HSA eligibility expansion to all Americans is the most direct way to reduce healthcare costs and help more families.”

2025 HSA Account Holder Insights

• Lively HSA account balances were 37% higher than the industry average on January 1.
• The average balance of Lively HSA accounts, including unfunded accounts, was $5,457, compared to the industry average of $3,997 as reported by Devenir’s 2025 mid-year report.
• Lively’s average HSA account balances grew 11% year-over-year.
• The average balance increased from $4,923 last year to $5,457, including unfunded accounts.

“At Lively, we believe in empowering account holders with the information and options they need to make the most of their HSA balances. As Americans contend with rising healthcare prices and financial uncertainty, we’re proud to help them build flexibility, confidence, and greater financial security—so they have more money available for the care they need, when they need it.”