2022 Devenir & HSA Council Demographic Survey

The majority of this report was derived from the 2022 Devenir & HSA Council Demographic Survey. Survey responses primarily consisted of the top 20 providers in the health savings account market, with all data having been collected for the period ending on December 31st, 2022.

Key Findings

  • Nearly 72 million covered by an HSA. Devenir estimates that as of December 31st, 2022, there were 35.5 million HSAs, covering almost 72 million people, up from 67 million in 2021.
  • Millennials continue to embrace HSAs. Health savings accounts continue to be embraced by younger consumers. About 1 in 5 Americans in their 30s had a health savings account at the end of 2022.
  • Significant HSA savings accumulated by older Americans. Accountholders over the age of 50 had amassed over $56 billion in their accounts at the end of 2022 (a 7% increase from the previous year), with an average balance of $4,642.
  • HSAs broadly used across the income spectrum. 75% of health savings accountholders live in a zip code with a median household income of less than $100,000.


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