Lively is an HSA custodian — it holds and invests your money, and includes a receipt vault feature. SaveMyHSA holds nothing but the paperwork.
Short answer: These are not competitors. Lively is one of the better places to actually hold an HSA. Keep the money there; keep an independent, exportable copy of the receipts somewhere that is not tied to which custodian you happen to use this decade.
| Feature | SaveMyHSA | Lively |
|---|---|---|
| Purpose-built for HSA receipts | ✅ Yes | ⚠️ Partly |
| Structured fields (provider, patient, service date, amount) | ✅ Yes | ❌ No |
| Tracks reimbursed vs. unreimbursed | ✅ Yes | ⚠️ Card only |
| Works when you never swipe the HSA card | ✅ Yes | ❌ No |
| Survives changing HSA custodians | ✅ Yes | ❌ No |
| Built for 20+ year retention | ✅ Yes | ❌ No |
| Search by patient, year, or category | ✅ Yes | ⚠️ Basic |
| One-click export (files + CSV index) | ✅ Yes | ⚠️ Statements |
| Shows what unreimbursed receipts are worth later | ✅ Yes | ❌ No |
| Holds your HSA money and investments | ❌ No | ✅ Yes |
| If you… | Use |
|---|---|
| Want the best place to hold HSA money | A low-fee custodian like Lively |
| Want records that outlive any one custodian | A dedicated vault |
| Running the shoebox strategy seriously | Both — they do different jobs |
No. It does not hold money, issue cards, or process contributions. It stores and organizes the receipts that justify your withdrawals.
Portability and structure. If you transfer to another custodian for better investment options, the vault does not come with you.
Yes, and that is the intended setup — custodian for the money, dedicated vault for the substantiation.