REPORTState of HSA 2026

The Triple Tax Advantage, Decoded.

Your independent source for Health Savings Account intelligence. We track fees, features, and investment options across 45+ top providers.

45+
Providers Tracked
1.2M
Data Points
Free
Consumer Access
HSA Growth Simulator
ESTIMATE ONLY

Projected Value (20 Years)

$201,103

+122%
Annual Contribution$4,400
Initial Balance$2,500
Rate of Return7.0%
$7K
Yr 1
$30K
Yr 5
$68K
Yr 10
$123K
Yr 15
$201K
Yr 20

Top Rated HSA Providers

View Full Directory →
#1 RATED
F
Fidelity Investments
  • #1 Morningstar HSA 7 years running
  • Zero account fees
Read Review
L
Lively
  • Fastest-growing top-10 HSA provider
  • Zero fees for individuals
Read Review
S
Saturna Capital
  • Morningstar Above Average
  • First-dollar investing
Read Review
H
HealthEquity
  • Largest non-bank HSA custodian
  • $33B+ in assets
Read Review
F
First American Bank
  • Morningstar Above Average spending
  • No maintenance fees
Read Review

The Core Tools

Everything you need to master your HSA

Provider Comparison

Compare fees, features, and investment options across 45+ HSA providers side by side.

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Eligibility Verification

Instantly check whether you qualify for an HSA based on your insurance plan details.

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Contribution Calculator

Calculate your max contributions, employer match, and catch-up limits for the current tax year.

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Expense Checker

Verify if a medical expense qualifies for tax-free HSA payment with our comprehensive database.

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Tax Growth Simulator

Model your HSA's long-term growth potential with our interactive compound interest tool.

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Compliance Guard

Stay compliant with IRS rules on contributions, withdrawals, and qualified expenses.

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HDHP vs PPO

Compare the true annual cost of an HDHP with HSA versus a PPO after factoring in tax savings.

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Data that drives decisions.

Unbiased Analysis

Our research methodology is rigorous and independent. We don't accept payment for higher ratings.

Fee Calculators

Input your balance and activity to see exactly what each provider will cost you over 20 years.

Historical Tracking

We maintain a database of fee changes and policy updates going back 5 years.

20-Yr Fee Impact

$5,660

Avg savings with low-fee provider

Providers Tracked

45+

Fees & policies updated quarterly

Annual All-In Cost

On $20K invested
Fidelity
$3
Lively
$24
HSA Bank
$40
Optum
$105
HealthEquity
$141

Includes maintenance + investment admin fees. Source: Morningstar 2025 HSA Landscape.

HSA investors hold 9x more

$22,635 avg balance vs $2,469 for non-investors

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