HSA and FSA administrators · October 2026 Edition
HealthEquity vs WEX Health
Six of fourteen models named HealthEquity first on the direct prompt; one named WEX Health. HealthEquity was named by fourteen of the fourteen models and WEX Health by ten and HealthEquity carries 59 labels and WEX Health 17, so the shares are not directly comparable.
Named in two categories this edition.
Named in one category this edition.
First-choice share29%6%Of first choices across the direct, paraphrase, budget and scale prompts, 0 to 100.
Negative rate20%12%Negative labels as a share of the product's labels, 0 to 100.
Rank in category#1#5A position in a field of 12; printed, not drawn.
Labels5917A 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.HealthEquity vs Lively · HealthEquity 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 modelsWEX Health
Direct611 against HealthEquity
Paraphrase621 against HealthEquity
Comparative70
Budget-constrained201 against HealthEquity
Scale-constrained00
Negative009 against HealthEquity · 2 against WEX Health
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 October 2026 Edition, HealthEquity and WEX Health were named in the same answer thirty-seven times, of the 164 answers naming HealthEquity and the 42 naming WEX Health. In those answers WEX Health took the first choice one time and HealthEquity ten.
Every model, every framing
The eighty-four answers behind the chart above, one cell each: where HealthEquity and WEX Health stood in it.
| Model | Direct | Paraphrase | Comparative | Budget-constrained | Scale-constrained | Negative |
|---|---|---|---|---|---|---|
| Claude Haiku 4.5 | | | ||||
| GPT-5.4 mini | ||||||
| Gemini 3.5 Flash | | | | | ||
| Perplexity Sonar | | | ||||
| Grok 4.1 Fast | | | | | | |
| 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 WEX Health first choice named as an alternative argued againstblank: not namedEach cell is one answer, HealthEquity on the left and WEX Health on the right.The direct prompt
The plain question, one answer per model, grouped by where HealthEquity and WEX Health stood in it.
Both were the first choice
1 of 14 modelsThe answer named them together, and the judge labeled each a first choice.DeepSeek V4 FlashHealthEquity, WEX Health alternatives: Fidelity HSA, Lively, Navia Benefit Solutions
HealthEquity first, WEX Health an alternative
5 of 14 modelsWEX Health was named in the answer but not as the choice, or not at all.Claude Haiku 4.5HealthEquity alternatives: Ameriflex, Sentinel Benefits & Financial Group, WEX Benefits
Perplexity SonarHealthEquity alternatives: Associated Benefits Connection / Associated Bank, Benepass, WEX Benefits
Grok 4.1 FastHealthEquity, Lively alternatives: Fidelity HSA
MiniMax M2.5HealthEquity alternatives: Businessolver, Further, WEX Health
Muse Glimmer 30BHealthEquity alternatives: Allegiance, Lively, WEX Health
Neither was the first choice, one was named
4 of 14 modelsThe answer put something else first and named one of the two as an alternative.Qwen 3.7 FlashLively alternatives: Fidelity HSA, Further Health, HSA Bank, HealthEquity, Navia Benefit Solutions
Kimi K2Flores Financial Services alternatives: Businessolver, HealthEquity, WEX Health
GLM 4.7 FlashXBusinessolver alternatives: Alegeus, Fidelity HSA, Flores, HSA Bank, HealthEquity, Lively, WEX Health
GPT-6 LunaWEX Benefits alternatives: HealthEquity
Neither was named
4 of 14 modelsThe answer made no first choice from these two in this category.GPT-5.4 miniForma alternatives: Lively, WEX Benefits
Gemini 3.5 FlashBenepass, Forma alternatives: Fidelity HSA, Lively, Navia Benefit Solutions, Sentinel Benefits
Mistral Smallno 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
HealthEquity leads by seven points.
HealthEquity8%#3 of 9WEX Health2%#8 of 9Mid-marketThe figures above
HealthEquity leads by twenty-three points.
HealthEquity29%#1 of 12WEX Health6%#5 of 12Enterprise
HealthEquity leads by thirty-five points.
HealthEquity39%#1 of 12WEX Health4%#7 of 12What 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.
“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 WEX Health
Every negative label with a quote, up to three, then the highest-weighted positives, up to three. Five of six in this category shown.
“Why to Avoid: Users frequently cite their website and app as being confusing, cluttered, and slow.” Qwen 3.7 Flash · negative prompt · hard negative
“BBB: 292 complaints in 3 years ... Claims denied months later despite valid use” DeepSeek V4 Flash · negative prompt · hard negative
“WEX's specialized focus on account-based benefits and payment infrastructure makes it particularly valuable for organizations prioritizing healthcare cost containment strategies” Claude Haiku 4.5 · paraphrase prompt · first choice
“I'd suggest starting with HealthEquity or WEX Health as they're most established in the mid-market space” MiniMax M2.5 · paraphrase prompt · first choice
“If you want one platform that does everything ... with strong integrations: WEX Health” DeepSeek V4 Flash · direct prompt · first choice
Also compared
HealthEquity vs LivelyHealthEquity vs Fidelity HSAHealthEquity vs WEX BenefitsHealthEquity vs BusinessolverHealthEquity vs Navia Benefit SolutionsHealthEquity vs BenepassLively vs WEX HealthFidelity HSA vs WEX HealthWEX Benefits vs WEX HealthWEX Health vs BusinessolverWEX Health vs Navia Benefit SolutionsWEX Health vs BenepassAll twenty-eight head-to-head pages and the full HSA & FSA admin standing
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.