# Fidelity HSA alternatives: what AI models name instead, October 2026

HR AI Recommendation Index, October 2026 Edition. 180 of the 252 answers in the 1 category where Fidelity HSA holds a standing named it neither first nor as an alternative; these are the first choices those answers made. Page: https://hr-ai-index.com/vendors/fidelity-hsa/alternatives/

## Named instead, most often (every category and segment added)

- HealthEquity: 46
- Lively: 22
- WEX Benefits: 12
- Alegeus: 7
- Gusto: 5
- WEX Health: 4

## HSA and FSA administrators

**Small business**: 55 of 84 answers did not name Fidelity HSA (Fidelity HSA is #4 of 9 at 7%).

- Lively: first choice in 16 of those 55
- Gusto: first choice in 5 of those 55
- HealthEquity: first choice in 5 of those 55
- Alegeus: first choice in 2 of those 55
- Hammock: first choice in 2 of those 55
- Navia Benefit Solutions: first choice in 2 of those 55
- Ameriflex: first choice in 1 of those 55
- Avidia Bank: first choice in 1 of those 55

**Mid-market**: 60 of 84 answers did not name Fidelity HSA (Fidelity HSA is #3 of 12 at 10%).

- HealthEquity: first choice in 16 of those 60
- WEX Benefits: first choice in 3 of those 60
- Forma: first choice in 2 of those 60
- Lively: first choice in 2 of those 60
- WEX Health: first choice in 2 of those 60
- ADP Workforce Now: first choice in 1 of those 60
- Alegeus: first choice in 1 of those 60
- Avidia Health: first choice in 1 of those 60

**Enterprise**: 65 of 84 answers did not name Fidelity HSA (Fidelity HSA is #6 of 12 at 4%).

- HealthEquity: first choice in 25 of those 65
- WEX Benefits: first choice in 9 of those 65
- Alegeus: first choice in 4 of those 65
- Lively: first choice in 4 of those 65
- Benepass: first choice in 3 of those 65
- Optum Bank: first choice in 2 of those 65
- WEX Health: first choice in 2 of those 65
- Inspira Financial: first choice in 1 of those 65

Published under CC BY 4.0. The output is the models' output; nothing here is a recommendation by the index.