# WEX Health alternatives: what AI models name instead, October 2026

HR AI Recommendation Index, October 2026 Edition. 225 of the 252 answers in the 1 category where WEX Health 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/wex-health/alternatives/

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

- HealthEquity: 51
- Lively: 42
- Fidelity HSA: 24
- WEX Benefits: 19
- Gusto: 7
- Benepass: 3

## HSA and FSA administrators

**Small business**: 75 of 84 answers did not name WEX Health (WEX Health is #8 of 9 at 2%).

- Lively: first choice in 26 of those 75
- Fidelity HSA: first choice in 9 of those 75
- Gusto: first choice in 7 of those 75
- HealthEquity: first choice in 6 of those 75
- WEX Benefits: first choice in 4 of those 75
- Hammock: first choice in 3 of those 75
- EmployerFlex: first choice in 2 of those 75
- Rippling: first choice in 2 of those 75

**Mid-market**: 77 of 84 answers did not name WEX Health (WEX Health is #5 of 12 at 6%).

- HealthEquity: first choice in 17 of those 77
- Fidelity HSA: first choice in 11 of those 77
- Lively: first choice in 9 of those 77
- Forma: first choice in 3 of those 77
- WEX Benefits: first choice in 3 of those 77
- Avidia Health: first choice in 2 of those 77
- Navia Benefit Solutions: first choice in 2 of those 77
- ADP Workforce Now: first choice in 1 of those 77

**Enterprise**: 73 of 84 answers did not name WEX Health (WEX Health is #7 of 12 at 4%).

- HealthEquity: first choice in 28 of those 73
- WEX Benefits: first choice in 12 of those 73
- Lively: first choice in 7 of those 73
- Fidelity HSA: first choice in 4 of those 73
- Benepass: first choice in 3 of those 73
- HSA Bank: first choice in 2 of those 73
- Optum Bank: first choice in 2 of those 73
- Alegeus: first choice in 1 of those 73

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