# HealthEquity vs Fidelity HSA: which do AI models recommend for HSA & FSA admin, October 2026

HR AI Recommendation Index, October 2026 Edition, HSA and FSA administrators. Six of fourteen models named HealthEquity first on the direct prompt; zero named Fidelity HSA. Page: https://hr-ai-index.com/rewards/hsa-and-fsa-administration/healthequity-vs-fidelity-hsa/

| | First-choice share | Rank | Negative rate | Labels | Models naming it |
|---|---|---|---|---|---|
| HealthEquity | 29% | #1 of 12 | 20% | 59 | 14 of 14 |
| Fidelity HSA | 10% | #3 of 12 | 3% | 37 | 13 of 14 |

## The direct prompt, model by model

- Claude Haiku 4.5: healthequity first (first choices: HealthEquity) (alternatives: Ameriflex, Sentinel Benefits & Financial Group, WEX Benefits)
- Perplexity Sonar: healthequity first (first choices: HealthEquity) (alternatives: Associated Benefits Connection / Associated Bank, Benepass, WEX Benefits)
- Grok 4.1 Fast: healthequity first (first choices: HealthEquity, Lively) (alternatives: Fidelity HSA)
- DeepSeek V4 Flash: healthequity first (first choices: HealthEquity, WEX Health) (alternatives: Fidelity HSA, Lively, Navia Benefit Solutions)
- MiniMax M2.5: healthequity first (first choices: HealthEquity) (alternatives: Businessolver, Further, WEX Health)
- Muse Glimmer 30B: healthequity first (first choices: HealthEquity) (alternatives: Allegiance, Lively, WEX Health)
- Gemini 3.5 Flash: neither first, one named (first choices: Benepass, Forma) (alternatives: Fidelity HSA, Lively, Navia Benefit Solutions, Sentinel Benefits)
- Qwen 3.7 Flash: neither first, one named (first choices: Lively) (alternatives: Fidelity HSA, Further Health, HSA Bank, HealthEquity, Navia Benefit Solutions)
- Kimi K2: neither first, one named (first choices: Flores Financial Services) (alternatives: Businessolver, HealthEquity, WEX Health)
- GLM 4.7 FlashX: neither first, one named (first choices: Businessolver) (alternatives: Alegeus, Fidelity HSA, Flores, HSA Bank, HealthEquity, Lively, WEX Health)
- GPT-6 Luna: neither first, one named (first choices: WEX Benefits) (alternatives: HealthEquity)
- GPT-5.4 mini: neither named (first choices: Forma) (alternatives: Lively, WEX Benefits)
- Mistral Small: neither named
- Llama 4 Maverick: neither named

## What the models said about HealthEquity

- "HealthEquity has a very low rating (1.2/5) on Trustpilot, with many users reporting issues with customer service, account access, and problems with payments and refunds." (Mistral Small, negative prompt, hard negative)
- "High volume of complaints (900+ on BBB in 3 years); claim denials, poor customer service, long hold times, app glitches, refund delays" (Grok 4.1 Fast, negative prompt, hard negative)
- "Rates HealthEquity as Fair (2.5/5) with a strong emphasis on negative reviews and a recommendation against using the service." (GLM 4.7 FlashX, negative prompt, hard negative)
- "Largest independent HSA custodian in the U.S. ... Best For: Large employers wanting a single vendor for all consumer-directed benefits" (Kimi K2, comparative prompt, first choice)
- "Recognized as America's top HSA administrator, with a significant market share and millions of accounts under management." (Mistral Small, comparative prompt, first choice)
- "HealthEquity stands out as a scalable HSA platform with strong integration capabilities and robust reporting tools." (Muse Glimmer 30B, direct prompt, first choice)

## What the models said about Fidelity HSA

- "though they are less focused on "voluntary benefits" enrollment compared to specialized TPAs" (Qwen 3.7 Flash, comparative prompt, soft negative)
- "If you are an individual opening an HSA: Choose Fidelity. It is entirely free, pays the highest interest on cash, and gives you the absolute best investment options." (Gemini 3.5 Flash, comparative prompt, first choice)
- "Fidelity Investments is the only HSA firm out of 11 reviewed that received an assessment of being "high" quality" (Claude Haiku 4.5, negative prompt, first choice)
- "You can open a fee-free, $0-minimum HSA with a highly-rated provider (such as Fidelity or Lively)" (Gemini 3.5 Flash, negative prompt, first choice)

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. Comparisons are drawn for the top eight products in each category. Published under CC BY 4.0; the output is the models' output, and nothing here is a recommendation by the index.