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The 2025 myHSA Year-End Trend Report: A Closer Look into the World of Spending Accounts

  • Writer: Hailey Dirk
    Hailey Dirk
  • 3 hours ago
  • 2 min read
2025 myHSA Trends Report cover on cream background with teal and black text; subtitle reads a closer look into the world of spending accounts

It’s been a couple of years since we checked in on the state of spending accounts in Canada’s benefits industry.


With over 250,000 myHSA users across the country, we’re happy to share some of the ways spending accounts have continued to evolve since our 2023 report.


We hope you’re able to take something from the following report.


myHSA infographic on spending accounts across Canada, with map and growth labels for Quebec +92%, Ontario +62%, Alberta +33%, BC +40%

The generation that saw the most growth was Gen Z. With 87% growth in total numbers from 2023 to 2025, this group moved from taking up just over 12% of the workforce on the myHSA platform to over 15%.


Millennials and Gen X stayed relatively consistent, while numbers among the Baby Boomers & the Silent Generation dwindled. 


Teal infographic titled Generations Across All Plans with pie charts for 2023 and 2025, showing Gen Z growth to 15.8%.

HSAs can be used for so much more than meets the eye, and this is being embraced by the modern workforce as claims in the Expense Not Covered* category grow.


Infographic titled Total Claims by Category shows claim growth, with Expense Not Covered up 127% and total claims +151%.

A lot changed in 2 years when it comes to our Top 10 Claim Categories!


Physician services, including Prescription Drugs & Medicines rose to the top while Mental Health Professional services dropped.


Infographic comparing top 10 claim categories in 2023 and 2025, with arrows and +37.7% growth in myFlexplan accounts.

In 2023, we observed the “sweet spot” for HSA plans was within the $500-1000 range. At lower or higher ranges, there was a dropoff. 


This trend continued in 2025.


For WSAs, however, utilization continued to rise as plan amounts scaled up in both 2023 and 2025.


Two line charts show Average Utilization by Plan Amount for 2023 and 2025; WSAs trend higher than HSAs, peaking at $500-$1000.

The average myHSA plan amount grew 53% from 2023, and the average myFlexplan amount grew 22%.


Infographic showing Average Plan Amount by Company Size, with teal myHSA and dark myFlexplan bars and +53%/+22% since 2023.

According to advisors, 72% of clients are at least somewhat familiar with HSAs, though 28% still require education support.


Bar chart on teal slide about HSAs: 72% of clients are somewhat familiar, 28% need education support; source cited.

38% of respondents said 10-25% of their clients offer an HSA.


Bar chart on HSA clients: 38% say 10-25% offer an HSA; title asks what percentage of current clients offer HSAs to employees.

The three biggest barriers advisors say they face when recommending HSAs, in order, are a lack of employer awareness about HSAs, employers preferring traditional group benefits, and cost or budget constraints.


Need assistance addressing these barriers with a client or prospect? Our Advisor Support team is here. t


Infographic on HSA barriers for employers, with blocks for lack of awareness, traditional benefits, and cost constraints.

Ease of use is a key consideration for many clients. They want a platform that's simple to understand, easy to manage, and straightforward for employees to use.


Infographic on HSA provider choice: ease of use leads, with platform ease, claims speed, pricing, support, reporting, and CRA compliance.

Conversations about weight loss, fertility support, and financial wellness are being had more and more, but the majority of clients continue to need your direction on the foundational aspects of benefits.



If a client expresses belief in one of these myths, that's actually an opening. You can truly shine here by opening your clients’ eyes to what's possible, and we’re here to help. myHSA's website has years of educational blog content, and our Advisor Support team is here to brainstorm positioning with you, help you prepare for client conversations, and arm you with materials you can put directly in front of your clients.


Infographic on HSAs showing five employer misconceptions and percentages on a teal background with icons and a white headline.

 
 
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