The 2024 HSA Report: Uncovering the Best Investment Providers

How top health savings account providers compare to industry standards

How are HSAs still being used – and what else is competing with them?

We evaluated 10 HSA investment providers on the attractiveness of using their HSA accounts for spending to cover current medical costs as well as investing for the long term. Of the 10 providers we reviewed, only Fidelity earned a High overall assessment for both Investment and Spending accounts, continuing its lead from the previous year.

However, even with declining account fees, HSAs are still not the most competitive choice based on their pricing compared to other investment accounts – and many active HSA participants are leaving certain benefits on the table.

The report offers critical insights into the growth and evolution of HSAs, including a review of investment options, a detailed examination of high-deductible health plans, and an evaluation of HSA providers. Our analysis also includes exploration of potential improvement areas such as transparency, ease of use, and the need for further reduction in fees.

Download and explore our latest analysis on the HSA plans and providers to empower your financial investment decisions.