Vanguard does not offer an HSA directly. Your link above is to the Vanguard recommendation of health savings administrators, who do offer health savings accounts which only carry Vanguard funds. That's the one I'm considering for my investment portion of my HSA, not the regular use portion. For use, I have to keep some money in the account with the company chosen by my employer, anyway, so I'll just use that. It doesn't look like there's a good option for debit card use with health savings administrators. That doesn't bother me, but I'm not yet sure that the $45 annual fee is the best I can do. There are still fund fees attached, just low ones.