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Managing your HSA

If you enroll in an HSA-qualified deductible plan, you have the option of opening a health savings account (HSA). An HSA is made up of funds that you contribute through your employer's pre-tax payroll deduction plan or a tax-deductible contribution that you, your employer, or your family members make directly to your account up to the maximum amount allowed each year by the IRS.

The account is yours, and you can use the money in your account to pay for qualified medical expenses. You can withdraw money tax-free* to pay for your qualified medical expenses now, or invest the funds and use them for your medical expenses later, even after you're 65. No matter when you choose to use it, the money in your HSA is yours. Whatever you don't spend rolls over to the next year, and you can take it with you if you retire, change jobs or health plans. 

Your employer may offer an HSA that you can choose to elect or you can open an HSA through a custodian of your choice. If your employer chooses to offer an HSA, they can offer an HSA administered through Kaiser Permanente or an HSA administered by another administrator. If your employer offers an HSA with another administrator, contact your company's benefits manager to find out how to enroll and how it will work for you.

HSA administered through Kaiser Permanente

Getting Started

If your employer offers an HSA administered through Kaiser Permanente, you can set up an account directly through your employer to be paired alongside your HSA-qualified Deductible HMO plan. There is a monthly administrative fee of $3.25 which may be paid by you, through your HSA, or your employer. This fee is waived for each month where your HSA's average daily cash account balance reaches $2,000 or more. Additionally, you'll have the option to invest money from your HSA into a selection of mutual fund options once your account balance reaches $2,000 or more. See the HSA frequently asked questions at the bottom of this page for more information.

To enroll, follow your employer's enrollment process to sign up for the HSA-qualified Deductible HMO plan and let your employer know how much you plan to contribute to your HSA for the year. Your employer will handle your payroll contributions which allows you to contribute pre-tax dollars to your account. Once you're enrolled in the health plan, look for your HSA health payment card, our debit card, and a welcome letter in the mail.

Before can access the money in your HSA, you'll need to sign on to using your user ID and password. Once you're logged in, accept the online terms and conditions and Disclosure and Authorization agreements for your account. Now you can start using an managing your HSA! See Managing your account on this page for more info.

Paying for care

Health Payment Card

With your HSA administered through Kaiser Permanente, you'll get this debit card and can use it either to:

- Pay for services when you go in for care, or

- Pay a bill by mail by writing the card number on the bill and sending it in.

For payments made with your Health Payment Card, no additional action is required. Just be sure to save copies of your Explanation of Benefits (EOBs), bills, and itemized receipts, which may be required later for tax purposes.

Reimburse yourself from your account

You can request a distribution from your HSA in 3 ways:

1. Online at

2. Through the KP HRA/HSA/FSA Balance tracker app

3. By calling Health Payment Services and requesting a distribution request form that you can fill out and mail or fax 

For more information, see Managing your account.

Note: If your qualified medical expense is greater than the funds available in your HSA, you will need to use another form of payment to cover any amount above your available HSA balance. After, you can contribute additional funds to your HSA and request reimbursement for the charges. 

The IRS sets a limit on how much you can contribute to your HSA each year. If you reach this limit and use all the funds in your HSA, you’ll need to pay for any additional qualified medical expenses out of your own pocket for the rest of the year. For details, please IRS Publication 502.

Save your receipts and other documentation

Remember to save all your Explanation of Benefits (EOBs), bills, and itemized receipts. They may be required for tax purposes. If you lose a bill, you can view and print copies at All documentation should show:

  • name of the person getting the service
  • name of service provider
  • type of service
  • date of service
  • amount charged

Managing your account

With your HSA administered through Kaiser Permanente, you can access account information online 24 hours a day, 7 days a week, at You'll be able to view your account balance and information, request a distribution, make post-tax contributions, and more. 

You can check your balance on the KP HRA/HSA/FSA Balance Tracker app,, or by calling Health Payment Services.

You can also access your account when you're on the go. Just download our HRA/HSA/FSA Balance Tracker app for your smartphone or mobile device. For instructions on logging into the app for the first time, please login to From the home page, go to Tools & Support, then click Download Mobile App under How Do I?.

You can also call 1-877-761-3399 to speak to a customer service representative, Monday through Friday from 5 a.m. to 7 p.m. Pacific time (except holidays).

Calculate your savings

You can use our online calculator to see how an HSA can reduce your taxes — and grow over time.

Contribution limits

There’s a limit on how much you can contribute each year, set by the federal government. That amount can change every year. To find out the current limit, see IRS Publication 502.

For additional information

HSA frequently asked questions — Kaiser Permanente
(English) (Spanish) (Chinese)

HSA and limited-purpose FSA Frequently Asked Questions—Kaiser Permanente
(English) (Spanish) (Chinese)

*The tax references on this website relate to federal income tax only. Consult with your financial or tax adviser for information about state income tax laws. Federal and state tax laws and regulations are subject to change. If tax, investment, or legal advice is required, seek the services of a qualified professional.

If an HSA debit card is available through your HSA administrator.

A qualified medical expense is defined under Internal Revenue Code Section 213(d). For a list of qualified medical expenses, download IRS Publication 502, Medical and Dental Expenses, at As an HSA account holder, you’re ultimately responsible for determining whether an expense is a qualified medical expense.

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You can also call 1-877-761-3399 to speak to a customer service representative, Monday through Friday from 5 a.m. to 7 p.m. Pacific time (except holidays).