Best Ameritas HSA Alternatives for Health Savings Accounts

Choosing the right Health Savings Account (HSA) provider is important for W2 employees with HDHPs, self-employed individuals, and families looking to maximize their tax-advantaged healthcare savings. While Ameritas offers HSA services, many account holders find themselves exploring alternatives due to specific fee structures, limited investment choices, or a desire for a more streamlined user experience. This guide will help you navigate the world of HSA providers, comparing top alternatives to Ameritas, so you can confidently switch to an account that better aligns with your financial goals, investment preferences, and healthcare spending habits, mitigating common pain points like confusion over eligible expenses or missing out on tax deductions.

Why Consider Alternatives

Many individuals choose to switch from Ameritas HSA due to a few common pain points. Users often seek out alternatives offering lower monthly maintenance fees, especially for those with smaller balances. Additionally, Ameritas's investment options, while functional, might not offer the breadth, low expense ratios, or self-directed brokerage flexibility desired by those looking to aggressively grow

How We Evaluated

Fee Structure (monthly maintenance, investment fees, transaction fees)Investment Options (breadth, expense ratios, ease of access)User Experience (online portal, mobile app, ease of managing funds)Customer Support (accessibility, knowledge, responsiveness)Banking Features (debit card, bill pay, direct deposit)Educational Resources (guides, calculators, tax assistance)

Fidelity HSA

A leading brokerage offering a full-featured, low-cost HSA with extensive investment choices.

Best Overall
Best for: Savvy investors and those prioritizing low fees and diverse investment options.No monthly fees; standard trading commissions apply for certain investments.

Standout: Truly self-directed investment platform with zero monthly fees and commission-free trading on many assets.

Pros

  • No monthly maintenance fees, regardless of balance.
  • Access to a wide range of investment options including stocks, ETFs, and mutual funds.
  • Strong research tools and educational resources.
  • Seamless integration with other Fidelity accounts.

Cons

  • Can be overwhelming for beginners due to vast investment choices.
  • No physical branch locations for in-person support.
  • Debit card functionality for direct payments is less prominent than some dedicated HSA banks.

Lively HSA

Modern, user-friendly HSA platform with strong investment integration and intuitive design.

Best for Beginners
Best for: Individuals and employers seeking a modern, user-friendly HSA with integrated investment options.Free for individuals (investment fees apply below $3k); employer plans vary.

Standout: Seamless integration with a leading brokerage for investments, combined with a modern user experience.

Pros

  • Intuitive online portal and mobile app.
  • Fee-free for individuals (with investment fees only for balances under $3,000).
  • Integrates with TD Ameritrade (or Schwab after merger) for strong investment choices.
  • Excellent customer service and educational resources.

Cons

  • Investment fees apply for balances below a certain threshold (e.g., $3,000 for individual accounts).
  • Less suitable for those who prefer an all-in-one platform without third-party investment integration.
  • Can have transfer fees for outgoing funds.

HSA Bank

A traditional HSA provider known for its banking functionalities and widespread adoption by employer

Honorable Mention
Best for: Individuals who prioritize banking features, direct payments, and employer integration.Monthly fees (waived with minimum balance, e.g., $5,000); investment fees apply.

Standout: Strong banking services with an integrated debit card for easy eligible expense payments.

Pros

  • Strong banking features, including debit card for direct payments.
  • Widely adopted by employers, simplifying payroll contributions.
  • Offers both FDIC-insured savings and investment options (via a third-party brokerage).
  • Established and reliable provider with good customer support.

Cons

  • Monthly maintenance fees apply unless a high minimum balance is maintained.
  • Investment options are through a separate brokerage, which can feel less integrated.
  • Investment selection may not be as broad or low-cost as pure brokerage HSAs.
  • User interface can feel less modern than newer competitors.

Optum Bank

A large HSA administrator often integrated with health insurance plans, focusing on convenience.

Honorable Mention
Best for: Individuals whose employers offer Optum Bank, or those seeking an integrated health and wealth solutMonthly fees may apply; investment fees vary by fund.

Standout: Deep integration with health insurance plans, simplifying healthcare financial management.

Pros

  • Often seamlessly integrated with Optum-managed health plans.
  • User-friendly portal for managing health and wealth.
  • Offers a range of investment options, including diversified mutual funds.
  • Strong customer support for healthcare-related questions.

Cons

  • Monthly maintenance fees can apply, especially for individuals.
  • Investment options might be more limited compared to brokerage-focused HSAs.
  • Fees for certain transactions like paper statements or check requests.
  • Less competitive investment expense ratios than some alternatives.

HealthEquity

A leading HSA administrator emphasizing member services and a holistic health experience.

Honorable Mention
Best for: Individuals seeking complete support, educational resources, and a focus on wellness integratioMonthly fees (often employer-subsidized); investment fees vary.

Standout: Extensive educational resources and dedicated support to help members maximize their HSA benefits.

Pros

  • Strong focus on member education and customer support.
  • Offers a wide array of investment options through various fund families.
  • User-friendly platform with tools to track eligible expenses.
  • Often chosen by large employers for their complete service.

Cons

  • Monthly administrative fees are common unless waived by an employer plan.
  • Investment fees can be higher than some pure brokerage alternatives.
  • The investment platform may not be as intuitive or flexible for highly active investors.
  • Some users report a less modern interface compared to newer providers.

Pro Tips

Always compare the specific investment expense ratios offered by different HSA providers, not just the administrative fees. High expense ratios can silently erode your long-term growth more than a small monthly fee.

Consider a 'split HSA' strategy: keep enough cash in one HSA for immediate medical needs and transfer the rest to a separate, investment-focused HSA with superior brokerage options to maximize growth.

Don't underestimate the power of the 'triple tax advantage.' Max out your contributions annually if possible; it's one of the most powerful tax shelters available for healthcare costs.

Keep meticulous records of all out-of-pocket eligible medical expenses. You can reimburse yourself tax-free years or even decades later, allowing your HSA funds to grow longer.

If your employer contributes to your HSA, ensure you understand their contribution schedule and any requirements. Sometimes, employer contributions count towards your annual IRS limit.

Frequently Asked Questions

Can I transfer my existing Ameritas HSA funds to a new provider?

Yes, you can initiate a trustee-to-trustee transfer or a rollover of your Ameritas HSA funds to a new HSA provider. A direct trustee-to-trustee transfer is generally recommended to avoid any potential tax implications or penalties. Be sure to check with your new provider about their specific transfer process and any associated fees to ensure a smooth transition without missing tax deductions.

What are the common fees to watch out for when comparing HSA providers?

When evaluating HSA providers, key fees to scrutinize include monthly maintenance fees (which some providers waive with a minimum balance), investment fees (like expense ratios on mutual funds or trading commissions), and transfer fees (for moving funds in or out). High fees can significantly erode your HSA's growth, especially if you're primarily using it as a long-term investment vehicle for retirement healthcare costs.

How do investment options differ between various HSA providers?

HSA investment options vary widely. Some providers offer a limited selection of pre-selected mutual funds, while others provide access to a full brokerage platform with ETFs, individual stocks, and a broader range of mutual funds. If you plan to invest your HSA funds for long-term growth, prioritize providers with diverse, low-cost investment choices and transparent expense ratios to avoid missing out on potential returns.

Is an HSA always tied to my employer or can I open one independently?

While many employers offer HSAs as part of their benefits package, you are not tied to your employer's chosen provider. If you have an eligible High-Deductible Health Plan (HDHP), you can open an HSA independently with any qualified provider. This flexibility allows self-employed individuals and those dissatisfied with their employer's HSA to choose an account that best suits their needs for fees, investments, and features.

What happens to my HSA funds if I change jobs or health plans?

Your HSA funds are always yours, regardless of job changes or switching health plans. Unlike an FSA, HSA funds roll over year-to-year and are portable. If you no longer have an HDHP, you can't contribute new funds, but you can continue to use your existing HSA balance for eligible medical expenses, invest it, and benefit from its tax-free growth until retirement.

How do I ensure I'm contributing the maximum allowed to my HSA?

To ensure you're contributing the maximum, regularly check the IRS annual contribution limits for individuals and families. These limits often include an additional catch-up contribution for those aged 55 and over. Many HSA providers offer tools to track your contributions, and setting up automated transfers can help you consistently hit your targets without over-contributing and facing potential penalties.

Related Resources

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