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Index › Compensation and total rewards › HSA & FSA admin › Fidelity HSA vs WEX Health
HSA and FSA administrators · October 2026 Edition

Fidelity HSA vs WEX Health

Zero of fourteen models named Fidelity HSA first on the direct prompt; one named WEX Health. Fidelity HSA was named by thirteen of the fourteen models and WEX Health by ten and Fidelity HSA carries 37 labels and WEX Health 17, so the shares are not directly comparable.

Fidelity HSA

accepted challenger

Named in one category this edition.

WEX Health

accepted challenger

Named in one category this edition.

First-choice share10%6%Of first choices across the direct, paraphrase, budget and scale prompts, 0 to 100.
Negative rate3%12%Negative labels as a share of the product's labels, 0 to 100.
Rank in category#3#5A position in a field of 12; printed, not drawn.
Labels3717A count; the two differ.
The two percentage rows are drawn on one 0 to 100 track, Fidelity HSA reading right to left. Rank and label count are printed, not drawn.HealthEquity was named alongside these two in ten of the fourteen direct answers. HealthEquity vs Fidelity HSA · HealthEquity vs WEX Health · Lively vs Fidelity HSA

Share is the count of first choices across the direct, paraphrase, budget and scale prompts over all fourteen models, for a mid-market B2B company; rank is within the category; every quote names the model and the prompt it came from. Both figures come from the HSA and FSA administrators page.

By framing

How many of the fourteen models made each the first choice, per way of asking, and how many argued against it.
Fidelity HSAFirst choices, of fourteen modelsWEX Health
Direct01
Paraphrase02
Comparative201 against Fidelity HSA
Budget-constrained50
Scale-constrained00
Negative402 against WEX Health
Bars are first choices, 0 to 14 each sideModels that argued againstA model can name both, so the two sides of a row do not sum to fourteen.

Across every category in the October 2026 Edition, Fidelity HSA and WEX Health were named in the same answer twenty-two times, of the 98 answers naming Fidelity HSA and the 42 naming WEX Health. In those answers WEX Health took the first choice two times and Fidelity HSA four.

Every model, every framing

The eighty-four answers behind the chart above, one cell each: where Fidelity HSA and WEX Health stood in it.
ModelDirectParaphraseComparativeBudget-constrainedScale-constrainedNegative
Claude Haiku 4.5
GPT-5.4 mini
Gemini 3.5 Flash
Perplexity Sonar
Grok 4.1 Fast
Mistral Small
DeepSeek V4 Flash
Llama 4 Maverick
Qwen 3.7 Flash
Kimi K2
GLM 4.7 FlashX
MiniMax M2.5
GPT-6 Luna
Muse Glimmer 30B
Fidelity HSA WEX Health first choice named as an alternative argued againstblank: not namedEach cell is one answer, Fidelity HSA on the left and WEX Health on the right.

The direct prompt

The plain question, one answer per model, grouped by where Fidelity HSA and WEX Health stood in it.

WEX Health first, Fidelity HSA an alternative

1 of 14 modelsFidelity HSA was named in the answer but not as the choice, or not at all.
DeepSeek V4 FlashHealthEquity, WEX Health alternatives: Fidelity HSA, Lively, Navia Benefit Solutions

Neither was the first choice, one was named

7 of 14 modelsThe answer put something else first and named one of the two as an alternative.
Gemini 3.5 FlashBenepass, Forma alternatives: Fidelity HSA, Lively, Navia Benefit Solutions, Sentinel Benefits
Grok 4.1 FastHealthEquity, Lively alternatives: Fidelity HSA
Qwen 3.7 FlashLively alternatives: Fidelity HSA, Further Health, HSA Bank, HealthEquity, Navia Benefit Solutions
Kimi K2Flores Financial Services alternatives: Businessolver, HealthEquity, WEX Health
GLM 4.7 FlashXBusinessolver alternatives: Alegeus, Fidelity HSA, Flores, HSA Bank, HealthEquity, Lively, WEX Health
MiniMax M2.5HealthEquity alternatives: Businessolver, Further, WEX Health
Muse Glimmer 30BHealthEquity alternatives: Allegiance, Lively, WEX Health

Neither was named

6 of 14 modelsThe answer made no first choice from these two in this category.
Claude Haiku 4.5HealthEquity alternatives: Ameriflex, Sentinel Benefits & Financial Group, WEX Benefits
GPT-5.4 miniForma alternatives: Lively, WEX Benefits
Perplexity SonarHealthEquity alternatives: Associated Benefits Connection / Associated Bank, Benepass, WEX Benefits
Mistral Smallno first choice
Llama 4 Maverickno first choice
GPT-6 LunaWEX Benefits alternatives: HealthEquity

Bold names in an answer are the products the judge labeled a first choice; a model naming several gives each of them that label. The full answer text for every row is in the record.

By buyer segment

The same question asked on behalf of a different buyer. Each standing is computed within its segment and they are never added together. The figures above are the mid-market standing, which is the one the category orders by.
Small business
Fidelity HSA leads by five points.
Fidelity HSA7%#4 of 9
WEX Health2%#8 of 9
The full small business standing →
Mid-marketThe figures above
Fidelity HSA leads by four points.
Fidelity HSA10%#3 of 12
WEX Health6%#5 of 12
The full mid-market standing →
Enterprise
Level: the same share of first choices.
Fidelity HSA4%#6 of 12
WEX Health4%#7 of 12
The full enterprise standing →

What the models said about Fidelity HSA

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Four of five in this category shown.

“though they are less focused on "voluntary benefits" enrollment compared to specialized TPAs” Qwen 3.7 Flash · comparative prompt · soft negative
“If you are an individual opening an HSA: Choose Fidelity. It is entirely free, pays the highest interest on cash, and gives you the absolute best investment options.” Gemini 3.5 Flash · comparative prompt · first choice
“Fidelity Investments is the only HSA firm out of 11 reviewed that received an assessment of being "high" quality” Claude Haiku 4.5 · negative prompt · first choice
“You can open a fee-free, $0-minimum HSA with a highly-rated provider (such as Fidelity or Lively)” Gemini 3.5 Flash · negative prompt · first choice

What the models said about WEX Health

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Five of six in this category shown.

“Why to Avoid: Users frequently cite their website and app as being confusing, cluttered, and slow.” Qwen 3.7 Flash · negative prompt · hard negative
“BBB: 292 complaints in 3 years ... Claims denied months later despite valid use” DeepSeek V4 Flash · negative prompt · hard negative
“WEX's specialized focus on account-based benefits and payment infrastructure makes it particularly valuable for organizations prioritizing healthcare cost containment strategies” Claude Haiku 4.5 · paraphrase prompt · first choice
“I'd suggest starting with HealthEquity or WEX Health as they're most established in the mid-market space” MiniMax M2.5 · paraphrase prompt · first choice
“If you want one platform that does everything ... with strong integrations: WEX Health” DeepSeek V4 Flash · direct prompt · first choice
Also compared

Comparisons are drawn for the top eight products in each category, each against each. The output is the models' output; nothing here is a recommendation by the index.