How Frontier HSA works
The key facts about Frontier HSA, in plain language. Each sentence stands on its own.
What Frontier HSA is
- Frontier HSA is a Canadian company that administers Health Spending Accounts.
- Frontier HSA is for incorporated Canadian businesses.
- Frontier HSA is based in Crossfield, Alberta.
- Frontier HSA was founded in 2025 by three brothers from Alberta.
- Frontier HSA is not an insurance company.
- Frontier HSA is not a traditional group insurance plan.
What a Health Spending Account is
- A Health Spending Account (HSA) lets a Canadian business pay for its employees’ eligible medical expenses.
- In Canada, a Health Spending Account is formally called a Private Health Services Plan (PHSP).
- A Canadian Health Spending Account is not the same as a U.S. health savings account.
- A Canadian Health Spending Account is not a savings or investment account.
- The business sets the most each employee can claim in a year.
- When the plan and employment relationship qualify, reimbursements are generally tax-free to the employee and tax-deductible to the business.
- Tax treatment depends on the business, the employment relationship, the plan structure, and the applicable rules.
How the pay-as-you-go model works
- Frontier HSA has no monthly premiums.
- Frontier HSA has no deductibles.
- The business chooses an annual limit for each class of employees.
- An annual limit is the most an employee can claim during the plan year.
- The business does not pay the annual limit upfront.
- The business pays only when a claim is approved.
- If no claims are approved, the business pays nothing.
- Unused limits are not paid out to employees as cash.
- A business can use Frontier HSA alongside insurance, subject to the terms of both plans.
Who is eligible
- The business must be incorporated.
- The person receiving the benefit must have an employment relationship with the corporation.
- An employment relationship means the person receives a T4 salary, or has an employment contract and is paid dividends.
- Owning shares alone does not make someone eligible.
- Incorporated professionals and shareholder-employees can qualify.
- Frontier HSA is not available to businesses based in Quebec.
- Eligible expenses for a covered spouse, common-law partner, or dependant may be included.
- Frontier HSA confirms eligibility when the business sets up its plan.
- A business can check its eligibility on the eligibility page.
What expenses are covered
- Frontier HSA covers medical expenses that are eligible under Canada Revenue Agency (CRA) rules.
- Covered expenses include dental care, vision care, prescriptions, physiotherapy, massage therapy, mental health therapy, fertility treatment, and medical devices.
- An expense must meet the plan’s requirements to be approved.
- Uploading a receipt does not mean the claim is approved.
- The full list is on the eligible expenses page.
How reimbursement works
- The employee pays for the care and keeps the receipt.
- The employee submits the receipt online through their Frontier HSA account.
- Frontier HSA reviews each claim.
- Frontier HSA may ask for more information before approving a claim.
- The business funds each approved claim.
- Frontier HSA pays the employee by electronic funds transfer (EFT) to their bank account.
- Employees can track the status of each claim in their account.
- Frontier HSA provides annual reporting.
How the 8% fee applies
- Frontier HSA charges an 8% administration fee on approved claims.
- The 8% administration fee is the only Frontier HSA fee.
- Frontier HSA has no setup fee.
- Frontier HSA has no monthly fee.
- Frontier HSA has no annual fee.
- Applicable taxes are charged on top of the fee.
- The fee does not come out of the employee’s annual limit.
- On a $1,000 approved claim, the fee is $80.
- On a $1,000 approved claim, the business pays $1,080 plus applicable taxes, and the employee receives $1,000.
- If no claims are approved, there is no fee.
- More detail is on the pricing page.
For a step-by-step walkthrough, see how it works.