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HSA and FSA administrators · November 2026 Edition

HealthEquity vs Fidelity HSA

Eight of fourteen models named HealthEquity first on the direct prompt; two named Fidelity HSA. Both were named by all fourteen models and HealthEquity carries 60 labels and Fidelity HSA 53, so the shares are not directly comparable.

HealthEquity

accepted challenger

Named in two categories this edition.

Fidelity HSA

accepted challenger

Named in one category this edition.

First-choice share22%7%Of first choices across the direct, paraphrase, budget and scale prompts, 0 to 100.
Negative rate18%4%Negative labels as a share of the product's labels, 0 to 100.
Rank in category#2#5A position in a field of 14; printed, not drawn.
Labels6053A count; the two differ.
The two percentage rows are drawn on one 0 to 100 track, HealthEquity reading right to left. Rank and label count are printed, not drawn.Lively vs HealthEquity · Lively vs Fidelity HSA · HealthEquity vs WEX Benefits

Share is the count of first choices across the direct, paraphrase, budget and scale prompts over all fourteen models, for a mid-market B2B company; rank is within the category; every quote names the model and the prompt it came from. Both figures come from the HSA and FSA administrators page.

By framing

How many of the fourteen models made each the first choice, per way of asking, and how many argued against it.
HealthEquityFirst choices, of fourteen modelsFidelity HSA
Direct821 against Fidelity HSA
Paraphrase30
Comparative661 against Fidelity HSA
Budget-constrained022 against HealthEquity
Scale-constrained10
Negative039 against HealthEquity
Bars are first choices, 0 to 14 each sideModels that argued againstA model can name both, so the two sides of a row do not sum to fourteen.

Across every category in the November 2026 Edition, HealthEquity and Fidelity HSA were named in the same answer 126 times, of the 186 answers naming HealthEquity and the 137 naming Fidelity HSA. In those answers Fidelity HSA took the first choice seventeen times and HealthEquity forty-two.

Every model, every framing

The eighty-four answers behind the chart above, one cell each: where HealthEquity and Fidelity HSA stood in it.
ModelDirectParaphraseComparativeBudget-constrainedScale-constrainedNegative
Claude Haiku 4.5
GPT-5.4 mini
Gemini 3.5 Flash
Perplexity Sonar
Grok 4.20
Mistral Small
DeepSeek V4 Flash
Llama 4 Maverick
Qwen 3.7 Flash
Kimi K2
GLM 4.7 FlashX
MiniMax M2.5
GPT-6 Luna
Muse Glimmer 30B
HealthEquity Fidelity HSA first choice named as an alternative argued againstblank: not namedEach cell is one answer, HealthEquity on the left and Fidelity HSA on the right.

The direct prompt

The plain question, one answer per model, grouped by where HealthEquity and Fidelity HSA stood in it.

Both were the first choice

1 of 14 modelsThe answer named them together, and the judge labeled each a first choice.
GLM 4.7 FlashXFidelity HSA, HealthEquity alternatives: Forma, HSA Bank, WEX Health

HealthEquity first, Fidelity HSA an alternative

7 of 14 modelsFidelity HSA was named in the answer but not as the choice, or not at all.
Perplexity SonarHealthEquity alternatives: Businessolver, WEX Benefits
Grok 4.20HealthEquity alternatives: Businessolver, Navia Benefit Solutions, WEX Health
Mistral SmallForma, HealthEquity, WEX Health
DeepSeek V4 FlashForma, HealthEquity alternatives: Businessolver, Fidelity HSA, HSA Bank, Navia Benefit Solutions, WEX Benefits
Qwen 3.7 FlashHealthEquity alternatives: Fidelity HSA, Navia Benefit Solutions
MiniMax M2.5Businessolver, HealthEquity, WEX Health alternatives: Fidelity HSA, HSA Bank
Muse Glimmer 30BForma, HealthEquity alternatives: Businessolver, Fidelity HSA, WEX Health

Fidelity HSA first, HealthEquity not the choice

1 of 14 modelsHealthEquity was named in the answer but not as the choice, or not at all.
GPT-5.4 miniFidelity HSA alternatives: Paychex, WEX Benefits

Neither was the first choice, one was named

3 of 14 modelsThe answer put something else first and named one of the two as an alternative.
Gemini 3.5 FlashLively alternatives: Fidelity HSA, HealthEquity, WEX Benefits
Kimi K2Lively alternatives: Fidelity HSA, HealthEquity, Navia Benefit Solutions, WEX Benefits
GPT-6 LunaWEX Benefits alternatives: HealthEquity

Neither was named

2 of 14 modelsThe answer made no first choice from these two in this category.
Claude Haiku 4.5no first choice
Llama 4 Maverickno first choice

Bold names in an answer are the products the judge labeled a first choice; a model naming several gives each of them that label. The full answer text for every row is in the record.

By buyer segment

The same question asked on behalf of a different buyer. Each standing is computed within its segment and they are never added together. The figures above are the mid-market standing, which is the one the category orders by.
Small business
Fidelity HSA leads by six points.
Fidelity HSA10%#2 of 10
HealthEquity4%#7 of 10
The full small business standing →
Mid-marketThe figures above
The order flips: HealthEquity leads at mid-market.
HealthEquity22%#2 of 14
Fidelity HSA7%#5 of 14
The full mid-market standing →
Enterprise
HealthEquity leads by sixty-six points.
HealthEquity68%#1 of 13
Fidelity HSA2%#4 of 13
The full enterprise standing →

What the models said about HealthEquity

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Six of eight in this category shown.

“This is probably the most frequently complained-about administrator in this space... hundreds of BBB complaints” MiniMax M2.5 · negative prompt · hard negative
“Many traditional administrators (like HealthEquity or WEX) charge a $50–$100 monthly minimum platform fee” Gemini 3.5 Flash · budget prompt · hard negative
“By far the most frequent and severe complaints... "scam-like," "worst company," or "antagonistic."” Grok 4.20 · negative prompt · hard negative
“One of the largest dedicated administrators of health accounts in the U.S.. They handle HSAs, FSAs, HRAs, COBRA, and commuter benefits on a single portal.” Gemini 3.5 Flash · comparative prompt · first choice
“I'd recommend getting quotes from at least HealthEquity, WEX Health, and Businessolver, as these are most commonly used in the mid-market segment” MiniMax M2.5 · direct prompt · first choice
“The largest standalone HSA administrator by market share... For All-in-One Solutions (HSA + FSA): Choose HealthEquity or WEX Benefits.” Qwen 3.7 Flash · comparative prompt · first choice

What the models said about Fidelity HSA

Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Five of six in this category shown.

“notes that its ratings don't assess employer-negotiated HSA plans; price and features in your company's contract may differ” GPT-6 Luna · direct prompt · soft negative
“Fidelity's FSA offering is less mature than their HSA product” Claude Haiku 4.5 · comparative prompt · soft negative
“The largest HSA provider with approximately 24% market share, known for its fee-free structure, no investment minimums” MiniMax M2.5 · comparative prompt · first choice
“compare Fidelity for spending costs, HSA Bank for investing, and HealthEquity for a strong middle ground” GPT-6 Luna · comparative prompt · first choice
“Fidelity | High (only one) | Above Average | No account fees, no investment minimum, 3.56% cash rate” DeepSeek V4 Flash · comparative prompt · first choice
Also compared

Comparisons are drawn for the top eight products in each category, each against each. The output is the models' output; nothing here is a recommendation by the index.