Health Equity vs Optum Bank HSA: Which One Is Better?

Ever wondered who should manage your health savings account money? Health Equity and Optum Bank are two popular HSA providers – but they’re pretty different animals.
Having an HSA is like having a secret financial superpower for healthcare expenses, but choosing the right administrator can make a big difference in your experience.
Let’s break down what makes each of these companies tick, how they compare, and which one might be the better fit for your healthcare dollars.
Health Equity vs Optum Bank: Which HSA Provider Is Right For You?
What Is Health Equity?

Health Equity is a non-bank HSA custodian founded in 2002 that’s laser-focused on workplace benefits and employer solutions.
Think of Health Equity as the company that wants to be your employer’s best friend. They manage not just HSAs but also FSAs, HRAs, and other alphabet soup benefits that come with your job.
What makes employers choose Health Equity?
- They offer a complete package of consumer-directed health benefits that play nice with your health insurance
- They provide investment options through Vanguard (hello, low-cost index funds!)
- They boast 24/7 customer support for when you inevitably have questions at midnight
Health Equity’s whole vibe is “we’re your company’s benefits partner” – they’re designed to support large groups of employees with tools to better manage healthcare costs and savings.
What Is Optum Bank?
Optum Bank is basically United Healthcare’s banking arm, also founded in 2002.
If Health Equity is the company that wants to be your employer’s best friend, Optum Bank wants to be your health insurance’s bestie. They live at the intersection of healthcare, finance, and technology.
What makes Optum Bank different?
- Seamless integration with United Healthcare insurance and Optum health services
- A diverse menu of investment options including mutual funds and brokerage accounts
- Access to Optum Now – a network offering discounts on healthcare products and services
Optum Bank makes the most sense if you’re already in the United Healthcare ecosystem. They’re all about that integrated experience where your insurance, healthcare, and savings all talk to each other.
The Awesome Benefits Both HSAs Share

Before we get into the differences, let’s talk about why HSAs in general are financial ninjas. Whether you go with Health Equity or Optum Bank, you get:
- Triple tax advantages: Contributions are pre-tax, growth is tax-free, and qualified withdrawals are tax-free (seriously, it’s the unicorn of tax benefits)
- No “use it or lose it” rule like with FSAs – your money rolls over year after year
- The ability to use funds for a wide range of health expenses including prescriptions, eyeglasses, dental work, and more
- Investment options once you reach a minimum balance threshold
- Coverage for your entire tax family, even if your insurance only covers you
How They Stack Up Against Each Other
Feature | Health Equity | Optum Bank |
---|---|---|
Parent Company | Independent, employer-focused | United Healthcare subsidiary |
Integration | Focused on employer benefits | Deep integration with United Healthcare |
Investment Options | Vanguard low-cost index funds | Broader mutual fund and brokerage options |
Customer Support | 24/7, employer-focused | Extensive support with educational resources |
Extra Perks | Multi-benefit administration | Optum Now discount network |
Best For | Companies wanting comprehensive benefit packages | United Healthcare members |
How To Choose Between Health Equity and Optum Bank

When deciding between these two HSA providers, consider:
- Do you have United Healthcare insurance? If yes, Optum Bank probably offers a more streamlined experience since everything’s under one roof.
- Does your employer already offer Health Equity? If so, you’ll benefit from their employer-focused approach and comprehensive account management.
- Are investment options important to you? Health Equity’s Vanguard partnership means access to those beloved low-cost index funds, while Optum Bank offers a wider variety of investment choices.
- Do you regularly purchase healthcare products? Optum Bank’s Optum Now network might save you some cash on regular purchases.
HSAs: Not Just for Today’s Medical Bills
One thing both providers emphasize is that HSAs aren’t just for covering your strep throat visit next week. They’re increasingly important for long-term financial planning.
Smart HSA strategy looks like:
- Using some funds for current medical expenses
- Investing the rest for growth
- Building a tax-free healthcare nest egg for retirement
Both Health Equity and Optum Bank support this dual approach, offering ways to spend for today while investing for tomorrow.
The Bottom Line

Both Health Equity and Optum Bank are solid HSA providers, but they shine in different ways:
Health Equity excels at employer-driven benefit administration and Vanguard investment options. They’re the choice for companies and employees focused on comprehensive benefits and financial wellness.
Optum Bank wins at healthcare integration, connecting your HSA directly with your United Healthcare insurance and offering additional savings through their Optum Now network.
Your best choice depends on your specific situation – your employer, your insurance coverage, and how you plan to use your HSA funds.
But regardless of which you choose, getting an HSA is almost always a smart move if you’re eligible. It’s like finding a tax loophole that the government actually wants you to use.