HealthEquity offers health savings accounts (HSAs) and other consumer-directed benefits for managing healthcare costs.
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Best Fidelity HSA Alternatives ranked by AI · updated Aug 2026
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Fidelity HSA is a Health Savings Account for individuals and employees seeking tax-advantaged healthcare spending and investing. It stands out for broad investment access, no account fees for standard HSAs, and integration with Fidelity's financial ecosystem.
Developer: Fidelity Investments
Price: Free; investment fees vary by fund
🎯 fidelity.com/go/hsa/overview
Top 6 Fidelity HSA alternatives
Lively provides Health Savings Accounts for individuals, employers, and benefits platforms. Its account combines tax-advantaged healthcare spending with investment access and digital...
Pros
- No monthly fee for many individual accounts
- Supports investing HSA funds through an integrated brokerage option
- Modern web and mobile tools for receipts, reimbursements, and contributions
Cons
- Investment choices and terms can be less flexible than Fidelity's HSA
- Employer plan features and fees vary by implementation
- Less widely accepted as an integrated benefits platform than HealthEquity or Optum
Free for individuals; employer pricing varies
Further provides HSAs and other consumer-directed benefits accounts for employers and individuals. Its platform combines account administration, healthcare payments, decision-support tools, and...
Pros
- Combines HSA administration with broader consumer-directed benefits
- Offers employer tools for contributions, compliance, communications, and reporting
- Supports digital payments, reimbursements, and receipt management
Cons
- Less recognizable to individual consumers than Fidelity or HealthEquity
- Plan-specific fees and investment options require employer confirmation
- Retail investing experience is not as broad as Fidelity's
Employer pricing varies; participant fees depend on plan
4
HSA Bank
HSA Bank
HSA Bank provides Health Savings Accounts and related consumer-directed healthcare accounts for employers and individuals. Its platform focuses on HSA spending, contribution...
Pros
- Established HSA administrator with broad employer and bank integrations
- Supports debit cards, reimbursements, contribution tracking, and investing
- Offers plan configurations for both small employers and larger organizations
Cons
- Monthly maintenance fees may apply depending on the account or employer plan
- Investment availability and thresholds vary by account configuration
- Interface is generally less polished than Lively or Fidelity
Employer pricing varies; participant fees depend on plan
5
Optum Financial
Optum, Inc.
Optum Financial offers HSAs and other consumer-directed benefits accounts through employers, health plans, and financial institutions. Its platform combines healthcare payments, account...
Pros
- Strong integration with employers, health plans, and healthcare payment workflows
- Supports HSA spending, contribution management, reimbursements, and investing
- Broad suite of complementary FSA, HRA, and commuter benefits
Cons
- Fees and investment options vary by employer-sponsored plan
- Broader benefits features can make the experience feel less focused than Lively
- Retail users have fewer direct-plan choices than with Fidelity
Employer pricing varies; participant fees depend on plan
6
WEX HSA
WEX Inc.
WEX HSA provides employer-sponsored Health Savings Accounts and consumer-directed benefits administration. It offers payment cards, contributions, reimbursements, compliance support, and configurable benefits...
Pros
- Strong employer administration and payroll integration capabilities
- Supports HSA, FSA, HRA, commuter, and lifestyle benefit programs
- Configurable reporting and compliance tools for benefits teams
Cons
- Primarily employer-focused rather than a standalone individual HSA
- Participant fees and investment features vary by employer plan
- Less compelling than Fidelity for self-directed HSA investing
Employer pricing varies; participant fees depend on plan
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