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.