Health Savings Accounts (HSAs) remain one of the most powerful, tax-advantaged tools for individuals and families managing rising healthcare costs while planning for the future. Lively has emerged as a standout option thanks to its zero-fee structure, modern technology, and flexible investment options.
This Lively HSA review focuses on how a Lively HSA account works in 2025, including its investment account options, fee-free structure, and overall usability. As a modern health savings account provider, Lively positions itself as one of the best HSA providers for individuals and families looking to manage healthcare expenses while investing HSA dollars efficiently.
But is it the right choice for you? In this Lively review, we break down how the platform works, what it offers, and how it compares to other HSA providers like Fidelity, HealthEquity, and HSA Bank.
What Is Lively?
Lively is a San Francisco–based fintech company founded in 2016 to modernize the health savings account experience. It offers individuals, employers, and the self-employed a fee-free HSA account with an intuitive, user-friendly interface and strong customer support.
Lively partners with TD Ameritrade and Devenir to deliver both self-directed and guided investment options. In 2025, Lively remains one of the few HSA providers offering a zero annual fee, an FDIC-insured savings account, and low-cost investing tools accessible from both desktop and mobile devices.
Tax Benefits of an HSA
One of the biggest advantages of using a health savings account is its triple tax advantage. Contributions reduce your taxable income, growth is tax-deferred, and tax-free withdrawals are allowed when funds are used for qualified medical expenses.
These tax benefits make HSAs useful for both near-term medical costs and long-term retirement planning, helping account holders lower how much they pay taxes over time.
How Does a Lively HSA Work?
A Lively HSA works like any standard HSA account and is available to individuals enrolled in a high-deductible health plan (HDHP) that meets IRS requirements.
Each Lively account includes a linked bank account for spending and saving, plus an optional HSA investment account for long-term growth. This setup allows users to keep cash balances available for short-term medical expenses while investing HSA funds for future healthcare costs.
Users can:
- Spend HSA money with a Lively debit card
- Track and upload receipts for reimbursement
- Set up recurring contributions
- Transfer funds from an existing HSA or current HSA
Pro Tip:
Ready to make your HSA work harder? Open a Lively HSA today and start investing with zero fees.
Investment Options and Account Structure
Lively offers flexible investment options that support both conservative savers and long-term investors.
HSA Savings Account
Every user starts with an interest-bearing account that has no monthly fees, no monthly maintenance fees, and no minimum balance requirement. This savings account is ideal for short-term health expenses and predictable medical costs.
HSA Investment Account
Once funds are available, users can transfer money into an HSA investment account.
Through a self-directed brokerage account, Lively allows users to manage their own investments using TD Ameritrade. This self-directed setup supports:
- Mutual funds
- Index funds
- Low-cost index funds
- Individual stocks
The platform makes it easy to dollar cost average, support first dollar investing, and align investments with long-term financial goals. Users can manage their own investments without a required cash minimum.
TD Ameritrade acts as Lively’s brokerage partner and allows seamless transfers from an existing HSA while preserving tax advantages.
Pro Tip:
Need to transfer your current HSA? Lively makes it easy with rollover support and no transfer fees.
Fees and Costs
One of Lively’s biggest differentiators is its transparent fee-free model. There are no monthly maintenance fees, no minimum balance requirement, no opening or closing fees, and no hidden charges for using the debit card or submitting reimbursement requests.
The only potential costs are tied to investments. If you choose to invest your HSA funds, you may encounter transaction fees or expense ratios depending on the investments selected. Otherwise, users who keep their HSA funds in the default savings account can use Lively entirely fee-free.
Who Should Use Lively?
Whether you’re just starting to explore health savings accounts or looking to upgrade from a provider that charges unnecessary fees, Lively offers a streamlined solution. Before diving into who benefits most, let’s look at the types of users who tend to get the most value from its platform.
Ideal Users
- Individuals managing healthcare expenses
- Families planning for long-term medical costs
- Freelancers and self-employed workers
- Employers offering modern benefits
- Investors who want a self-directed HSA investment experience
Pro Tip:
Feel like an ideal Lively user? Start your tax advantaged account today for 2025!
Considerations
While Lively offers robust features, it may not be ideal for everyone. For a more traditional banking experience or in-person services, users might consider a provider like HealthEquity. If you’re looking for in-person banking services or want an integrated checking account tied to your HSA, you might prefer a more traditional provider like HealthEquity. Additionally, investment tools, while flexible, do require creating a separate login with TD Ameritrade or Devenir.
Pros and Cons of Lively
Like any financial tool, Lively has its advantages and a few potential drawbacks depending on your preferences and goals. Here’s a breakdown to help you decide whether it’s the right HSA provider for your situation.
Pros
Lively offers a truly fee-free HSA account for both spending and saving. Its broad range of investment options includes individual stocks, ETFs, and mutual funds, giving users control over how their HSA dollars grow. By partnering with TD Ameritrade and Devenir, Lively ensures a flexible investment experience. The platform is anchored by an FDIC-insured cash savings account and features an intuitive dashboard accessible via both desktop and mobile. Customer support is consistently rated well, and the company maintains a transparent, trustworthy reputation.
Cons
Investments through Lively require a separate account with TD Ameritrade or Devenir, which may be an extra step for some users. There are no physical branches or in-person support options. Lastly, users unfamiliar with brokerage accounts may find the investment setup slightly overwhelming at first.
HSA Portability
One of the lesser-discussed strengths of Lively is how easy it makes it to transfer or roll over your current HSA. If you’re switching from another provider, Lively supports both trustee-to-trustee transfers and rollovers, ensuring your funds maintain their tax-advantaged status. There are no transfer fees, and the dashboard guides users step-by-step through the process, making it accessible for even first-time HSA owners.
Employer Integration
Lively isn’t just built for individuals—it’s also designed with employers in mind. The platform offers modern tools that make it easy for businesses of all sizes to set up and manage HSA contributions for their employees. From automated payroll deduction syncing to centralized reporting and employee onboarding resources, Lively helps streamline what is often a complex process. It’s an ideal choice for small to mid-size companies seeking a low-friction way to offer competitive health benefits.
HSA Mobile App Experience
Lively’s mobile app is designed to match the expectations of users accustomed to modern financial tools. It allows you to view your HSA balance, track past transactions, upload receipts for reimbursement, and initiate investment transfers—all from your smartphone. With biometric login, responsive customer chat support, and a real-time dashboard, the app enables users to stay connected to their health savings account whether they’re at the doctor’s office or planning for tax season. For individuals and families who want on-the-go access to their HSA funds and investments, the Lively mobile app is an invaluable companion.
Lively vs. Traditional Banks
Traditional banks typically treat HSAs as an add-on to their core services, with limited tools and clunky interfaces. Lively flips that model by focusing solely on HSAs—and it shows. Unlike bank-based HSA providers that often impose minimum balance requirements or account maintenance fees, Lively prioritizes simplicity and cost efficiency. Its all-digital experience, zero-fee structure, and built-in investment access provide significant advantages for users who want more control and transparency.
Health Insurance Compatibility
To open a Lively HSA, you must be enrolled in a high-deductible health plan (HDHP) that qualifies under current IRS guidelines. Lively works seamlessly with most health insurance providers, including those offered through private plans, employer-sponsored benefits, or health insurance marketplaces. Its enrollment process allows users to link their coverage details and manage documents directly through the dashboard, making it easy to maintain compliance and eligibility.
How Lively Supports Financial Planning
Beyond healthcare spending, a well-managed HSA can support your broader financial goals. Lively helps users plan for expected and unexpected medical expenses while reducing taxable income. By offering tax-deferred investing and tax-free withdrawals for qualified expenses, Lively plays a vital role in retirement planning, especially for those anticipating higher healthcare costs later in life. Users can use Lively in combination with personal finance tools to track their net worth, optimize savings, and ensure they’re leveraging every available tax advantage.
How Does Lively Compare to Other HSA Providers?
Compared to banks and other HSA fintech providers, Lively distinguishes itself with its fee-free model and streamlined digital experience. You can find it listed in our roundup of the best HSA accounts. While Fidelity and HSA Bank are strong alternatives, Lively excels at combining simplicity with customization. Its investment options are competitive, and the user interface is one of the cleanest in the space.
Overall Value
Lively offers a compelling blend of cost transparency, flexibility, and modern user experience that puts it at the top of the HSA space in 2025. Whether you’re looking to save on medical costs today or invest for the long run, its fee-free structure and powerful integration options make it an ideal fit for a wide range of users. It’s not only one of the most affordable options on the market, but one of the most functional—perfect for hands-on savers and hands-off investors alike.
If you want to see our full review and list of top HSA accounts, check out our Best HSA Accounts List.
FAQs
Yes. All uninvested HSA funds are held in an FDIC-insured account.
Yes. You can transfer to a brokerage account or a guided portfolio and invest in commission-free ETFs, individual stocks, and more.
Lively charges no account fees. The only fees you may encounter are from investment transactions or fund expense ratios.
You can use your HSA for any qualified medical expenses, including prescriptions, dental work, vision care, and even some over-the-counter items.
Yes. You can transfer funds from another HSA without losing tax advantages. Lively offers full rollover support.