Best HSA Accounts Compared
HSChange Editorial Team
Health Policy Research Team, Consumer Health Guidance
Reviewed by Dr. Sarah Mitchell, MD, MPH, Board-Certified Internal Medicine
Last updated: April 4, 2026
Not all HSA accounts are the same. Some charge monthly fees. Some limit your investment options. Some don't offer investments at all. Since HSA money rolls over indefinitely and has a triple tax advantage, picking the right provider matters, especially if you plan to use the account for long-term savings.
Fidelity HSA
No monthly maintenance fees. No minimum opening deposit. Commission-free trading on stocks, bonds, ETFs, and mutual funds. The Fidelity Go managed HSA charges 0.35% annually only on balances above $25,000. Fidelity stands out because there's no cash balance requirement before you can invest. Every dollar can go straight into investments from day one.
Lively HSA
No monthly fees. No transfer fees. Self-directed brokerage through Charles Schwab charges $24/year if your cash balance is below $3,000 (waived at $3,000+). A guided portfolio option by Devenir costs 0.5% annually with no cash minimum. Lively is a good choice if you want a separate brokerage account alongside your HSA cash balance.
HealthEquity
The largest HSA provider by accounts. Often provided through employers. HealthEquity charges a monthly fee ($1.50 to $5.50 depending on account type and employer arrangement), but many employers cover it. Investment options include a curated list of mutual funds and a self-directed brokerage through Schwab. Morningstar gave HealthEquity high marks for its investment lineup.
What to Look For
Monthly fees (ideally $0). Investment options and their expense ratios. Minimum cash balance required before investing. Interest rate on the cash balance. Ease of paying medical expenses directly from the account. Whether you can transfer in balances from another HSA. Remember that the 2026 contribution limits are $4,400 for individuals and $8,750 for families, plus $1,000 catch-up if you're 55 or older.