# HealthEquity alternatives: what AI models name instead, November 2026

Gane Index, November 2026 Edition. 140 of the 252 answers in the 1 category where HealthEquity holds a standing named it neither first nor as an alternative; these are the first choices those answers made. Page: https://www.gane.ai/index/hr/vendors/healthequity/alternatives

## Named instead, most often (every category and segment added)

- Lively: 29
- Fidelity HSA: 13
- WEX Benefits: 12
- Forma: 5
- Gusto: 3
- HSA Bank: 2

## HSA and FSA administrators

**Small business**: 57 of 84 answers did not name HealthEquity (HealthEquity is #7 of 10 at 4%).

- Lively: first choice in 22 of those 57
- Fidelity HSA: first choice in 7 of those 57
- WEX Benefits: first choice in 4 of those 57
- Gusto: first choice in 3 of those 57
- Forma: first choice in 2 of those 57
- Navia Benefit Solutions: first choice in 2 of those 57
- HSA Bank: first choice in 1 of those 57
- Rippling: first choice in 1 of those 57

**Mid-market**: 48 of 84 answers did not name HealthEquity (HealthEquity is #2 of 14 at 22%).

- Lively: first choice in 7 of those 48
- Fidelity HSA: first choice in 5 of those 48
- WEX Benefits: first choice in 4 of those 48
- Ameriflex: first choice in 1 of those 48
- Fidelity HSA for small business: first choice in 1 of those 48
- Forma: first choice in 1 of those 48
- HSA Bank: first choice in 1 of those 48
- HealthEquity Standard HSA: first choice in 1 of those 48

**Enterprise**: 35 of 84 answers did not name HealthEquity (HealthEquity is #1 of 13 at 68%).

- WEX Benefits: first choice in 4 of those 35
- Forma: first choice in 2 of those 35
- Fidelity HSA: first choice in 1 of those 35
- Inspira Financial: first choice in 1 of those 35

Published under CC BY 4.0. The output is the models' output; nothing here is a recommendation by the index.