Compare HSA Providers (2026)
9 providers compared. 2 charge no fees. 7 are FDIC insured. Find the best fit for your needs.
Popular Comparisons
All HSA Providers
Fidelity HSA
No fees
Fidelity offers one of the best HSAs for investors with zero account fees, zero trading fees, and full access to their brokerage platform. Consistently rated the top HSA by Morningstar for both spending and investing use cases.
Lively
No fees
Lively is a fintech HSA provider with a clean, modern interface and no monthly fees. They offer both self-directed investing through Schwab and guided portfolios through Devenir.
HealthEquity
$0/mo
HealthEquity is the largest non-bank HSA custodian with over 8 million accounts. They offer a curated lineup of low-cost Vanguard funds and strong employer integrations.
Optum Bank
$2.50/mo
Optum Bank is owned by UnitedHealth Group and is one of the largest HSA administrators. They offer multiple investment paths including mutual funds, a Schwab brokerage account, and Betterment robo-advisor.
HSA Bank
$2.50/mo
HSA Bank is a division of Webster Bank and one of the largest HSA administrators. They're known for their TD Ameritrade (now Schwab) brokerage integration, giving investors access to stocks, ETFs, and thousands of mutual funds.
Further (formerly SelectAccount)
Varies by employer plan/mo
Further (formerly SelectAccount) was acquired by HealthEquity in 2021. They offer a straightforward HSA with mutual fund investing and Schwab brokerage access at higher balances.
First American Bank
$0/mo
First American Bank offers a fee-free HSA for individuals with access to Vanguard mutual funds and a Schwab brokerage option. They've been recognized by Investor's Business Daily as one of the best HSA providers.
The HSA Authority (UMB)
$3/month/mo
The HSA Authority (formerly Old National Bank HSA) was acquired by UMB Healthcare Services in 2025. They offer a straightforward HSA with Devenir mutual fund investing and solid banking features.
Saturna Capital
$0/mo
Saturna Capital offers a unique HSA with no fees for investing in their own mutual funds, including socially responsible and Islamic-compliant (Shifa) options. Their Pershing brokerage account provides full access to stocks, ETFs, and other investments.
Quick Comparison
| Provider | Monthly Fee | Invest Min | Type | FDIC | App | Card |
|---|---|---|---|---|---|---|
| Fidelity HSA | $0 | $0 | brokerage | |||
| Lively | $0 | $0 (with $24/year fee) or $3,000 (no fee) | fintech | |||
| HealthEquity | $0 (maintenance fee eliminated) | $500 | fintech | |||
| Optum Bank | $2.50 (waived at $3,000+ balance) | $2,000 | bank | |||
| HSA Bank | $2.50 (waived at $5,000+ balance) | $1,000 | bank | |||
| Further (formerly SelectAccount) | Varies by employer plan | $1,000 | fintech | |||
| First American Bank | $0 (individual accounts) | $1,000 | bank | |||
| The HSA Authority (UMB) | $3/month ($36/year) | $1,000 | bank | |||
| Saturna Capital | $0 (for Saturna funds) | $500 | brokerage |
HSA vs Cash: Pay Now or Reimburse Later?
See the math on paying for medical procedures with your HSA debit card vs. paying cash and letting your HSA grow tax-free.
All Comparisons
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Frequently Asked Questions
What's the main difference between an HSA and an FSA?
HSAs are owned by you, roll over year-to-year, and can be invested. FSAs are employer-owned, typically use-it-or-lose-it, and cannot be invested for growth.
Can I have multiple HSA accounts at once?
Yes, you can have multiple HSA accounts, but your total contributions across all accounts cannot exceed the annual IRS limit for your coverage type (individual or family).
Which HSA providers have the lowest fees for investing?
Fees vary, but look for providers with no monthly maintenance fees and low-cost investment options. Fidelity and Lively are often cited for competitive fee structures and diverse investment choices.
What are the best investment options for an HSA?
The best options depend on your risk tolerance and timeline. Many providers offer mutual funds, ETFs, and even individual stocks. Low-cost index funds are popular for long-term growth.
Are there eligibility requirements to open an HSA?
Yes, you must be covered by a High Deductible Health Plan (HDHP) and not enrolled in Medicare or another non-HDHP health plan. You cannot be claimed as a dependent either.
HSA provider information is updated regularly but may change. Always verify current fees and features directly with the provider before opening an account.
Track expenses with any HSA provider
HSA Trackr works with any HSA. Upload receipts, track expenses, and know exactly what you can reimburse tax-free.
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