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

HR AI Recommendation Index, October 2026 Edition. 218 of the 252 answers in the 1 category where HSA Bank 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/hsa-bank/alternatives/

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

- HealthEquity: 49
- Lively: 41
- Fidelity HSA: 20
- WEX Benefits: 17
- Gusto: 7
- WEX Health: 5

## HSA and FSA administrators

**Small business**: 73 of 84 answers did not name HSA Bank (HSA Bank is #9 of 9 at 0%).

- Lively: first choice in 28 of those 73
- Fidelity HSA: first choice in 7 of those 73
- Gusto: first choice in 7 of those 73
- HealthEquity: first choice in 6 of those 73
- WEX Benefits: first choice in 4 of those 73
- Ameriflex: first choice in 2 of those 73
- EmployerFlex: first choice in 2 of those 73
- Hammock: first choice in 2 of those 73

**Mid-market**: 76 of 84 answers did not name HSA Bank (HSA Bank is #9 of 12 at 2%).

- HealthEquity: first choice in 18 of those 76
- Fidelity HSA: first choice in 10 of those 76
- Lively: first choice in 7 of those 76
- Forma: first choice in 3 of those 76
- WEX Benefits: first choice in 3 of those 76
- WEX Health: first choice in 3 of those 76
- Avidia Health: first choice in 2 of those 76
- Navia Benefit Solutions: first choice in 2 of those 76

**Enterprise**: 69 of 84 answers did not name HSA Bank (HSA Bank is #10 of 12 at 0%).

- HealthEquity: first choice in 25 of those 69
- WEX Benefits: first choice in 10 of those 69
- Lively: first choice in 6 of those 69
- Alegeus: first choice in 3 of those 69
- Benepass: first choice in 3 of those 69
- Fidelity HSA: first choice in 3 of those 69
- Optum Bank: first choice in 2 of those 69
- WEX Health: first choice in 2 of those 69

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