# HealthEquity alternatives: what AI models name instead, October 2026

HR AI Recommendation Index, October 2026 Edition. 151 of the 252 answers in the 1 category where HealthEquity 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/healthequity/alternatives/

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

- Lively: 24
- Fidelity HSA: 15
- WEX Benefits: 8
- Gusto: 6
- Hammock: 4
- Alegeus: 3

## HSA and FSA administrators

**Small business**: 59 of 84 answers did not name HealthEquity (HealthEquity is #3 of 9 at 8%).

- Lively: first choice in 16 of those 59
- Fidelity HSA: first choice in 5 of those 59
- Gusto: first choice in 5 of those 59
- Hammock: first choice in 4 of those 59
- WEX Benefits: first choice in 3 of those 59
- Rippling: first choice in 2 of those 59
- Alegeus: first choice in 1 of those 59
- Alerus: first choice in 1 of those 59

**Mid-market**: 53 of 84 answers did not name HealthEquity (HealthEquity is #1 of 12 at 29%).

- Fidelity HSA: first choice in 8 of those 53
- Lively: first choice in 4 of those 53
- Avidia Health: first choice in 2 of those 53
- Forma: first choice in 2 of those 53
- Alegeus: first choice in 1 of those 53
- Benepass: first choice in 1 of those 53
- Everside: first choice in 1 of those 53
- Gusto: first choice in 1 of those 53

**Enterprise**: 39 of 84 answers did not name HealthEquity (HealthEquity is #1 of 12 at 39%).

- WEX Benefits: first choice in 5 of those 39
- Lively: first choice in 4 of those 39
- Fidelity HSA: first choice in 2 of those 39
- Alegeus: first choice in 1 of those 39
- Benefitfocus: first choice in 1 of those 39
- Benepass: first choice in 1 of those 39
- Businessolver: first choice in 1 of those 39
- HSA Bank: first choice in 1 of those 39

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