Best Health Savings Accounts (HSAs)
A health savings account (HSA) is the only triple-tax-advantaged account in US finance — contributions, growth, and qualified medical withdrawals are all tax-free. The best HSAs charge no account fees, let you invest the balance, and pay a competitive yield on the cash you keep liquid. You need a qualifying high-deductible health plan to contribute.
The best health savings accounts (hsas) in 2026 is the Fidelity HSA, which tops our ranking with a Money 8020 score of 97/100. We track 6 health savings accounts (hsas), 6 with rates checked against the provider and a regulator. All 6 are ranked and compared below.
Which HSA charges no account fees and lets you invest with a competitive cash yield?
Top 3 in this category.
Fidelity HSA
A no-fee health savings account you can invest with $0 commissions and a 3.37% cash yield.
Lively HSA
A no-fee individual HSA with Schwab self-directed investing.
HealthEquity HSA
A large employer-focused HSA custodian with strong service.
All 6, ranked.
Compare the numbers.
Click a column header to sort.
| Product | Rating | Annual fee | Score | Tier | |
|---|---|---|---|---|---|
| Fidelity HSA Fidelity Investments | 4.8 | $0 | 97 | Essential | View |
| Lively HSA Lively | 4.7 | — | 96 | Essential | View |
| HealthEquity HSA HealthEquity | 4.2 | — | 81 | Strong | View |
| HSA Bank HSA Bank (a Webster Bank brand) | 4.1 | — | 79 | Strong | View |
| Optum Bank HSA Optum Bank | 4.2 | — | 77 | Strong | View |
| Bank of America HSA Bank of America | 4.1 | — | 75 | Strong | View |
How to choose the best health savings accounts (hsas)
To pick the best high-yield savings account, compare the APY, whether the rate is tiered or requires a minimum balance, any monthly fee, and the opening minimum — then confirm the bank is FDIC-insured.
- The APY, and whether you must hit a balance tier or activity requirement to earn it
- Monthly maintenance fees and how to avoid them
- The minimum deposit to open
- FDIC insurance on the holding bank
- How fast you can transfer money in and out
Frequently asked questions about health savings accounts (hsas)
What makes an HSA "triple tax-advantaged"?
Contributions are tax-deductible, the money grows tax-free, and withdrawals for qualified medical expenses are tax-free. No other account offers all three. After age 65, non-medical withdrawals are taxed like a traditional IRA, so an HSA can double as a retirement account.
Can I invest the money in my HSA?
Yes, with the right provider. The best HSAs let you invest your balance in funds or stocks once you hit a threshold (sometimes $0), while keeping a cash portion liquid for near-term medical costs. Look for no account fees and low-cost investment options.