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 reflect account status as of December 31, 2024.
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.
- 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.
- 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.
- HSAs exhibit broad socioeconomic adoption. 64% of health savings accountholders live in zip codes with median household incomes below $100,000.
