8 Best HSA Providers of 2026

Fidelity ranks first because it removes the two costs that eat into small HSAs: account fees and investment minimums. Its HSA page states zero account fees and zero account minimums for Fidelity HSAs opened through Fidelity.com, for individuals and employers. Inside the account you can buy stocks, including fractional shares, ETFs and mutual funds, and Fidelity does not require a minimum to start investing. If you would rather not choose, Fidelity Go picks and rebalances a portfolio, lets you invest with as little as $10, and charges a $0 advisory fee on balances under $25K, then 0.35% a year. Uninvested cash goes into the Fidelity Government Cash Reserves money market fund by default, and Fidelity's own footnote points out that money market funds lack the FDIC protection of bank sweep accounts. You pay qualified expenses with an HSA debit card or reimburse yourself. The trade-off is that payroll contributions only flow here if your employer uses Fidelity, so many people keep a work HSA and transfer to Fidelity periodically.

Lively takes second place with the clearest fee table on this list. Its pricing page lists $0 for monthly maintenance, account opening, account closing, transfers in or out, excess contributions, reimbursements and up to 3 debit cards, and says the HSA is free for individuals and families. Cash sits at partner financial institutions that are FDIC or NCUA insured, so your balance may be eligible for pass-through deposit insurance, and it earns interest. Investing is optional and is where fees appear: access to a Schwab Health Savings Brokerage Account costs $24 a year, or nothing if you keep a $3,000 minimum cash balance, and the HSA Guided Portfolio charges 0.50% a year. That makes Lively a strong pick for families who want separate cards and a simple app, and for people who will hold a cash cushion anyway. Investors starting with a small balance pay less at Fidelity, where there is no investing access fee and the managed option is free under $25K.

HSA Bank ranks third as a dedicated HSA provider that now publishes no monthly fees for members. Its member page says no initial contribution is needed to open an account and there are no monthly fees, and it links to a separate fee and interest rate schedule for the details. The company describes itself as one of the largest and longest-tenured HSA providers in the United States. You can open an account online in under 10 minutes if you have an HSA-qualified health plan, a valid email address, a Social Security number and a primary residence in the US. The app and online account let you track expenses, scan products to check eligibility, upload receipts, reimburse yourself, pay providers directly and monitor investments. Your cash balance is FDIC protected, and the investment menu offers multiple low-cost, self-directed options. Support is live 24/7. HSA Bank scores below Fidelity on investing because it does not list a free managed option, and below Lively on fee clarity because investment costs sit in a separate schedule.

HealthEquity is the HSA many people get through work, and it says it is the largest HSA provider, with 9.9 million+ HSA members and 50,000+ organizations. For investors it offers 33 low-cost Vanguard mutual funds, automatic investing of new contributions, rebalancing, and personalized guidance from HealthEquity Advisors. Support is available by call or chat at any hour. The weak spot for individual savers is pricing. HealthEquity's help center says it may charge a monthly administration fee that varies by plan, that the fee may be waived if you keep a cash balance over $2,500, and that it can change if you leave your employer or switch health plans. That is why its value score trails the providers with published $0 fees. If your employer pays the fee and sends payroll contributions here, HealthEquity is a solid home for the money. If you leave that job, compare the fee on your statement with a move to Fidelity or Lively.

Saturna fits a narrower group: savers who want Saturna Capital's Amana or Saturna funds in a tax-advantaged health account. Its HSA brochure lists a $0.00 monthly fee, no enrollment fee and no trading fees on affiliated funds, and says investments in Saturna managed funds carry no asset-based fee. Funds outside that family cost 0.30% a year. Contributions and withdrawals run through an FDIC insured UMB Bank spending account with a Saturna HSA VISA Debit Card, online bill pay, online reimbursement and ReceiptVault for storing receipts. The account page says you can start investing once the balance reaches $500, from a fund menu Saturna selects on performance, manager tenure and expense ratio. The costs show up at the edges: a $25 account closure and transfer fee, $3.00 a quarter for paper statements and a $15 bank wire fee. The fee table we checked sits in a brochure stored under a 2020 folder on Saturna's site, so confirm it in your account agreement before opening.

Optum Bank is the HSA attached to many employer health plans, and it covers both spenders and investors. Its site offers a self-directed HSA mutual fund lineup, Schwab Health Savings Brokerage Accounts for people who want to trade, and discretionary advisory services from Betterment for people who want a managed portfolio. Investing starts once your HSA reaches a designated balance, and uninvested money may earn interest. The Optum Bank app tracks balances, helps you contribute the maximum, reimburses you or pays bills, and cancels the payment card if it is lost or stolen; the card can also be added to a phone or watch wallet. Optum also explains how to consolidate multiple HSAs into one account. What it does not do on its public HSA pages is publish an individual monthly fee: it says fees may reduce earnings and refers you to your account agreement. Its fee pages also did not load for our checker, so its value score is conservative and the price is marked pending.

DCU HSA Checking is the plainest account on this list, and that is its appeal for people who spend their HSA each year. Digital Federal Credit Union lists no monthly maintenance fees, a $0.00 minimum to open and a $0.00 minimum to earn dividends. Dividends are paid on the entire daily balance, compounded daily and paid monthly, at 0.10% APY across every tier from under $1,000 to $100,000 or more. You pay medical bills with a DCU Visa Debit Card, issued upon approval, or by unlimited check writing, and digital banking is free. The account needs DCU membership, and DCU says it has merged with First Technology Federal Credit Union into one credit union named First Tech, so details may change as the two combine. There is no investment option on this page, so long-term savers who want growth should pair it with, or move to, Fidelity or Lively. For a fee-free place to park this year's deductible, it does the job.

UMB is the bank behind many HSAs you may not see branded as UMB: it is the custodian for Saturna's HSA, for example, and runs its own HSA through UMB Healthcare Services. UMB says it holds nearly 1.5 million health savings accounts with more than $3.75 billion in assets and deposits. Individuals can open a new HSA online and use an HSA debit card, online bill pay and online reimbursement, and can invest through UMB HSA Saver. The site adds how-to guides, forms, calculators and investing information. Support runs Monday to Friday from 7 a.m. to 7:30 p.m. CT and Saturday from 8 a.m. to 5 p.m. CT, so there is no overnight help like HSA Bank or HealthEquity. UMB's individual HSA page does not publish a monthly fee, so its price is marked pending and its value score is conservative. It is a reasonable choice when your employer or benefits administrator already uses UMB; individuals shopping on their own have clearer, cheaper options above it.