M*: Report on Health Savings Account Landscape

bee

I invest directly with Bruce Funds (BRUFX) for my HSA. My only fees are the funds ER (0.71%) and a $15/yr account maintenance fee. Returns have average 6% since I started. Other HSA providers offer a host of investment choices. If your employer's HSA plan has limited investment choices or high fees you can complete a once a year rollover or a trustee to trustee transfer to another HSA providers (of your choosing).
how-to-rollover-an-hsa-on-your-own-and-avoid-trustee-transfer-fee

Here's a M* report:

Health savings accounts are a very under-researched corner of the market. Investors have few resources available to help them navigate the hundreds of plan providers that exist. Health savings accounts have recently grown in popularity, but the lack of resources has likely contributed to their under utilization as a savings vehicle despite their valuable tax benefits. To provide a comprehensive resource for investors and employers selecting a plan, we assessed 10 of the largest HSA plan providers in this report. We evaluated the plans through two separate lenses: using them as a spending vehicle to cover current medical costs, and using them as an investment vehicle to save for future medical expenses.

Link for full Report:
2017_Health_Savings_Account_Landscape

msf

Here's M*'s latest story on HSAs: How to Escape a Lousy Health Savings Account It talks not only about a once a year rollover, but about more frequent periodic direct (custodian to custodian) transfers which may unfortunately be subject to fees.

And @bee 's blast from the past: Best HSA Provider for Investing HSA Money
https://mutualfundobserver.com/discuss/discussion/36141/best-hsa-provider-for-investing-hsa-money

M* hasn't updated its report from 2017. It still omits Saturna and Lively, two inexpensive alternatives.