
1. FIDELITY.
As spending accounts: Overall assessment: Positive (4 points, ranked 1 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Positive (1 point) │ Additional fees: Positive
As investing accounts: Overall assessment: Positive (11 points, ranked 1 out of 10) │ Menu design: Neutral (2 points) │ Quality of investments: Positive (3 points) │ Price: Positive (6 points │ Performance: Positive │ Investment threshold: Positive

Morningstar ranked 11 of the largest Health Savings Account (HSA) providers in 2 categories:
- HSAs as a spending account to cover current medical costs.
- HSAs as an investment account to save for future medical expenses.

11. HEALTH SAVINGS ADMINISTRATORS
As spending accounts: Overall assessment: Negative (1 point, ranked 11 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (Upgraded since last year)
As investing accounts: Overall assessment: Neutral (8 points, ranked 5 out of 10) │ Menu design: Negative (1 point) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Neutral (4 points) │ Performance: Positive │ Investment threshold: Positive

10. FURTHER.
As spending accounts: Overall assessment: Negative (1 point, ranked 10 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
As investing accounts: Overall assessment: Neutral (8 points, ranked 4 out of 10, downgraded since last year) │ Menu design: Neutral (2 points, downgraded since last year) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Neutral (4 points, downgraded since last year) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

9. BANK OF AMERICA.
As spending accounts: Overall assessment: Negative (1 point, ranked 9 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
As investing accounts: Overall assessment: Positive (10 points, ranked 3 out of 10) │ Menu design: Neutral (2 points, downgraded since last year) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Positive (6 points) │ Performance: Positive │ Investment threshold: Neutral (-1 point)
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8. FIFTH THIRD.
As spending accounts: Overall assessment: Neutral (2 points, ranked 8 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points; downgraded since last year) │ Additional fees: Neutral (upgraded since last year)
As investing accounts: Overall assessment: Negative (6 points, ranked 8 out of 10; downgraded since last year) │ Menu design: Positive (3 points) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)

7. UMB BANK.
As spending accounts: Overall assessment: Neutral (2 points, ranked 7 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (upgraded since last year)
As investing accounts: Overall assessment: Negative (7 points, ranked 7 out of 10; downgraded since last year) │ Menu design: Positive (3 points) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

6. OPTUM.
As spending accounts: Overall assessment: Neutral (2 points, ranked 6 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (downgraded since last year)
As investing accounts: Overall assessment: Negative (5 points, ranked 10 out of 10; downgraded since last year) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)

5. HSA BANK.
As spending accounts: Overall assessment: Neutral (2 points, ranked 5 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral
As investing accounts: Overall assessment: Negative (6 points, ranked 9 out of 10) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

4. HealthEquity.
As spending accounts: Overall assessment: Neutral (2 points, ranked 4 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral
As investing accounts: Overall assessment: Neutral (7 points, ranked 6 out of 10; upgraded since last year) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Neutral (4 points; upgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)
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3. THE HSA AUTHORITY.
As spending accounts: Overall assessment: Positive (3 points, ranked 3 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Neutral (0 points) │ Additional fees: Negative
As investing accounts: Overall assessment: Positive (10 points, ranked 2 out of 10) │ Menu design: Negative (1 point; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Positive (6 points │ Performance: Positive │ Investment threshold: Neutral (-1 point)

2. LIVELY.
As spending accounts: Overall assessment: Positive (3 points, ranked 2 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
Not ranked as investment accounts

1. FIDELITY.
As spending accounts: Overall assessment: Positive (4 points, ranked 1 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Positive (1 point) │ Additional fees: Positive
As investing accounts: Overall assessment: Positive (11 points, ranked 1 out of 10) │ Menu design: Neutral (2 points) │ Quality of investments: Positive (3 points) │ Price: Positive (6 points │ Performance: Positive │ Investment threshold: Positive

Morningstar ranked 11 of the largest Health Savings Account (HSA) providers in 2 categories:
- HSAs as a spending account to cover current medical costs.
- HSAs as an investment account to save for future medical expenses.

11. HEALTH SAVINGS ADMINISTRATORS
As spending accounts: Overall assessment: Negative (1 point, ranked 11 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (Upgraded since last year)
As investing accounts: Overall assessment: Neutral (8 points, ranked 5 out of 10) │ Menu design: Negative (1 point) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Neutral (4 points) │ Performance: Positive │ Investment threshold: Positive

10. FURTHER.
As spending accounts: Overall assessment: Negative (1 point, ranked 10 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
As investing accounts: Overall assessment: Neutral (8 points, ranked 4 out of 10, downgraded since last year) │ Menu design: Neutral (2 points, downgraded since last year) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Neutral (4 points, downgraded since last year) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

9. BANK OF AMERICA.
As spending accounts: Overall assessment: Negative (1 point, ranked 9 out of 11) │ Maintenance fees: Negative (1 point) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
As investing accounts: Overall assessment: Positive (10 points, ranked 3 out of 10) │ Menu design: Neutral (2 points, downgraded since last year) │ Quality of investments: Positive (3 points, upgraded since last year) │ Price: Positive (6 points) │ Performance: Positive │ Investment threshold: Neutral (-1 point)
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8. FIFTH THIRD.
As spending accounts: Overall assessment: Neutral (2 points, ranked 8 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points; downgraded since last year) │ Additional fees: Neutral (upgraded since last year)
As investing accounts: Overall assessment: Negative (6 points, ranked 8 out of 10; downgraded since last year) │ Menu design: Positive (3 points) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)

7. UMB BANK.
As spending accounts: Overall assessment: Neutral (2 points, ranked 7 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (upgraded since last year)
As investing accounts: Overall assessment: Negative (7 points, ranked 7 out of 10; downgraded since last year) │ Menu design: Positive (3 points) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

6. OPTUM.
As spending accounts: Overall assessment: Neutral (2 points, ranked 6 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral (downgraded since last year)
As investing accounts: Overall assessment: Negative (5 points, ranked 10 out of 10; downgraded since last year) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points; downgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)

5. HSA BANK.
As spending accounts: Overall assessment: Neutral (2 points, ranked 5 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral
As investing accounts: Overall assessment: Negative (6 points, ranked 9 out of 10) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Negative (2 points) │ Performance: Positive │ Investment threshold: Neutral (-1 point)

4. HealthEquity.
As spending accounts: Overall assessment: Neutral (2 points, ranked 4 out of 11) │ Maintenance fees: Neutral (2 points) │ Interest rates: Neutral (0 points) │ Additional fees: Neutral
As investing accounts: Overall assessment: Neutral (7 points, ranked 6 out of 10; upgraded since last year) │ Menu design: Neutral (2 points; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Neutral (4 points; upgraded since last year) │ Performance: Positive │ Investment threshold: Negative (-2 points)
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3. THE HSA AUTHORITY.
As spending accounts: Overall assessment: Positive (3 points, ranked 3 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Neutral (0 points) │ Additional fees: Negative
As investing accounts: Overall assessment: Positive (10 points, ranked 2 out of 10) │ Menu design: Negative (1 point; downgraded since last year) │ Quality of investments: Positive (3 points) │ Price: Positive (6 points │ Performance: Positive │ Investment threshold: Neutral (-1 point)

2. LIVELY.
As spending accounts: Overall assessment: Positive (3 points, ranked 2 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Neutral (0 points) │ Additional fees: Positive
Not ranked as investment accounts

1. FIDELITY.
As spending accounts: Overall assessment: Positive (4 points, ranked 1 out of 11) │ Maintenance fees: Positive (3 points) │ Interest rates: Positive (1 point) │ Additional fees: Positive
As investing accounts: Overall assessment: Positive (11 points, ranked 1 out of 10) │ Menu design: Neutral (2 points) │ Quality of investments: Positive (3 points) │ Price: Positive (6 points │ Performance: Positive │ Investment threshold: Positive
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Marlene Satter
Marlene Y. Satter has worked in and written about the financial industry for decades.