Best HSA Accounts 2026: 7 Providers Compared by Fees, Investment Options, and APY

Fidelity charges nothing — no monthly fee, no investment fee, no account minimum, no closing fee — and uninvested cash earns 3.40% (FDRXX 7-day yield, August 4, 2026) instead of the 0.01%–0.05% most providers pay. You get full brokerage access to 10,000+ mutual funds, ETFs, and individual stocks from day one with $0 to invest.

Best for: Almost everyone. Whether you are investing for the long term, saving cash for near-term medical expenses, or self-employed without employer sponsorship. The combination of $0 fees, full brokerage, and a competitive cash rate is unmatched.

Lively charges $0 monthly fee. Investing is done through a linked Charles Schwab account: free once you have more than $3,000 invested, or a $24 annual access fee below that (a managed Guided Portfolio option costs 0.50% of invested assets annually). Lively is popular with individuals and small employers.

Best for: Investors who already use Schwab and want a seamless integration. Also good for small employers who want a no-cost HSA benefit for their team.

HealthEquity is the largest dedicated HSA custodian in the US, managing over $25 billion in HSA assets. Many large employers offer HealthEquity as their default HSA provider. Its published member fee schedule lists a $2.95 monthly administration fee, waived when the HSA cash balance is over $2,000 (assessed on the first of the month). If you change health plans or employers the account can be charged up to $3.95/month directly. Investing starts at a $1,000 minimum.

Best for: Employees whose employer offers HealthEquity and contributes to it. The payroll-deduction pre-tax benefit (saving FICA taxes) can outweigh the monthly fee if the employer match or contribution is meaningful. If your employer does not contribute, consider transferring to Fidelity.

HSA Bank's monthly maintenance fee is set by your employer's plan rather than published as one national figure — check your account agreement. Self-directed investing clears through DriveWealth, with annual asset-based fees of 0.10% (Choice), 0.25% (Select) or 0.35% (Managed), waived for any quarter your average HSA cash balance is $7,500 or more. HSA Bank is a division of Webster Bank (FDIC insured on cash balances).

Best for: People with $5,000+ HSA balances who want the fee waiver and FDIC insurance on their cash. Also useful if your employer offers HSA Bank and you plan to keep most of your HSA in cash rather than investing.

Optum Financial (part of UnitedHealth Group) is the default HSA for many UnitedHealthcare plan holders. Optum does not publish a standard monthly fee — its public HSA page says only that "fees may reduce earnings on account" and refers you to your account agreement, because the fee is set by your employer's plan. Investing starts at a $1,000 minimum, from a limited fund menu.

Best for: Employees on UnitedHealthcare plans who value the auto-pay integration. If you leave UHC coverage, transfer the balance to Fidelity or Lively to eliminate the monthly fee.

Liberty FCU offers a savings-style HSA with competitive tiered APY on cash balances and no monthly fee. This is a cash-only HSA — no investment option — making it best for people who want to maximize interest without the complexity of investing.

Best for: People who want the simplicity of a savings account, plan to use HSA funds for near-term medical expenses, and don't want to deal with investment decisions. NCUA insurance provides peace of mind.

Further is a large employer-sponsored HSA provider with integrated wellness tools and a 20+ mutual fund investment menu. Monthly fee is $2.50 with a $1,000 investment minimum.

Best for: Employees whose employer offers Further as the default HSA. The wellness integration is a nice addition if you use it. For non-employer situations, Fidelity or Lively are better on cost.