# Optum Financial alternatives: what AI models name instead, November 2026

Gane Index, November 2026 Edition. 229 of the 252 answers in the 1 category where Optum Financial 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/optum-financial/alternatives

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

- Lively: 52
- HealthEquity: 48
- Fidelity HSA: 22
- WEX Benefits: 16
- Forma: 13
- WEX Health: 7

## HSA and FSA administrators

**Small business**: 80 of 84 answers did not name Optum Financial.

- Lively: first choice in 38 of those 80
- Fidelity HSA: first choice in 8 of those 80
- Forma: first choice in 4 of those 80
- Gusto: first choice in 4 of those 80
- Hammock: first choice in 2 of those 80
- HealthEquity: first choice in 2 of those 80
- Navia Benefit Solutions: first choice in 2 of those 80
- WEX Benefits: first choice in 2 of those 80

**Mid-market**: 77 of 84 answers did not name Optum Financial (Optum Financial is #14 of 14 at 0%).

- HealthEquity: first choice in 14 of those 77
- Lively: first choice in 14 of those 77
- Fidelity HSA: first choice in 12 of those 77
- WEX Benefits: first choice in 5 of those 77
- WEX Health: first choice in 5 of those 77
- Forma: first choice in 4 of those 77
- Businessolver: first choice in 2 of those 77
- HSA Bank: first choice in 2 of those 77

**Enterprise**: 72 of 84 answers did not name Optum Financial (Optum Financial is #12 of 13 at 0%).

- HealthEquity: first choice in 32 of those 72
- WEX Benefits: first choice in 9 of those 72
- Forma: first choice in 5 of those 72
- Fidelity HSA: first choice in 2 of those 72
- WEX Health: first choice in 2 of those 72
- Benepass: first choice in 1 of those 72
- Businessolver: first choice in 1 of those 72
- Inspira Financial: first choice in 1 of those 72

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