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HSA Research by Devenir

2024 Devenir & HSA Council Demographic Survey

Key Findings

Over 59 million Americans covered by an HSA.

Devenir estimates that as of December 31, 2024, there were 39.3 million HSAs, collectively providing coverage for approximately 59.3 million people.

Older accountholders demonstrate strong HSA asset accumulation.

Accountholders aged 55+ had accumulated over $63 billion in their accounts at the end of 2024 (a 21% increase from the previous year). The average HSA balance for this age group reached $6,564.

Millennial accountholders remain a significant segment of HSA growth.

By the end of 2024, approximately 30% of all health savings accounts were held by individuals in their 30s.

HSAs exhibit broad socioeconomic adoption.

64% of health savings accountholders live in zip codes with median household incomes below $100,000.

Estimated HSA Covered Lives

Age Demographics of Accountholders

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Source: Devenir Research

Source: Devenir Research

30%

of health savings accountholders are in their 30s

29%

of HSA assets are held by accountholders aged 55 to 64 years old

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A funded account is defined as an account with a balance of greater than $0 as of 12/31/2024.

HSAs by State

Estimated People Covered by an HSA by State

Health Savings Accountholder Median Household Income

64%

of health savings accountholders live in a zip code with a median household income of less than $100,000

2024 Devenir & HSA Council Demographic Survey and the U.S. Census Bureau's 2023 American Community Survey (ACS). We assume that accountholders are reflective of the community and zip codes in which they live, and we then make inference assumptions about health savings accountholders. Zip code median household incomes were derived from the 2023 ACS.

Report Methodology

The majority of this report was derived from the 2024 Devenir & HSA Council Demographic Survey. Survey responses were collected primarily from leading HSA providers, representing a substantial majority of industry accounts. All data was requested for the period ending on December 31st, 2024.

Survey responses are self-reported by each HSA provider. When possible, Devenir attempts to verify responses through a variety of channels, including but not limited to press releases, annual reports, and prior HSA research.

About Devenir

Devenir is a national leader in providing customized investment solutions for HSAs and the consumer directed health care market. When health savings accounts first emerged in 2004, Devenir built its expertise around delivering cutting-edge investment solutions. As the consumer driven health care industry grew, so did Devenir's reputation as a leading researcher and award-winning investment consultant. Today, Devenir continues to lead the way in the rapidly growing HSA market. A research driven perspective makes Devenir the go-to investment advisor, HSA investment platform and consultant to employers, banks, third party administrators, health plans, and technology providers. Learn more at devenir.com.

Devenir Research Team

  • Jon Robb — Senior Vice President, Research & Technology
  • Eric Remjeske — President
  • Garrick Fults — Investment Analyst

© Devenir Group, LLC (Devenir). All Rights Reserved. Reproduction or redistribution of this report by any means is strictly prohibited. The information, data, analyses, and opinions presented herein do not constitute business or investment advice; are provided solely for informational purposes; and is not warranted to be correct, complete, or accurate. The opinions are expressed as of the date written and are subject to change without notice. Except as otherwise required by law, Devenir, shall not be responsible for any decisions, damages, or other losses resulting from, or related to, the information, data, analyses, or opinions or their use. The information contained herein is the proprietary property of Devenir and may not be reproduced or redistributed, in whole or in part, or used in any manner, without the prior written consent of Devenir.

For further information, please contact Devenir Research at 952-446-7400 or [email protected]