State Street Health Care Select Sector SPDR Premium Income ETF (XLVI) belongs to the Derivative Income category. Below you'll find alternative ETFs from the same category, ranked by key criteria, plus funds that investors commonly compare with XLVI. Use the tables to find lower-cost options, better risk-adjusted returns, or a closer substitute for your current allocation.
Cheapest Alternatives to XLVI
XLVI charges 0.35% annually. There are 11 ETFs in the Derivative Income category with lower expense ratios, going as low as 0.10%.
| Symbol | Name | Expense Ratio | AUM | Inception | |
|---|---|---|---|---|---|
| Parametric Equity Plus ETF | 0.10% | 27.28M | Nov 2024 | XLVI vs PEPS | |
| State Street US Equity Premium Income ETF | 0.25% | 46.44M | Sep 2024 | XLVI vs SPIN | |
| iShares S&P 500 BuyWrite ETF | 0.25% | 292.36M | Mar 2024 | XLVI vs IVVW | |
| Fidelity Yield Enhanced Equity ETF | 0.28% | 166.08M | Apr 2024 | XLVI vs FYEE | |
| Invesco S&P 500 BuyWrite ETF | 0.29% | 344.74M | Dec 2007 | XLVI vs PBP |
Best Risk-Adjusted Alternatives to XLVI
Among 142 ETFs in the Derivative Income category with risk / return rank data, the top risk-adjusted alternatives shown here go as high as 97.
| Symbol | Name | Risk / Return Rank | AUM | Inception | |
|---|---|---|---|---|---|
| YieldMax Semiconductor Portfolio Option Income ETF | 97 | 1.02B | Apr 2025 | XLVI vs CHPY | |
| SoFi Enhanced Yield ETF | 92 | 34.73M | Nov 2023 | XLVI vs THTA | |
| YieldMax GOOGL Option Income Strategy ETF | 92 | 298.09M | Jul 2023 | XLVI vs GOOY | |
| Global X NASDAQ 100 Covered Call ETF | 88 | 8.41B | Dec 2013 | XLVI vs QYLD | |
| YieldMax TSM Option Income Strategy ETF | 88 | 117.86M | Aug 2024 | XLVI vs TSMY |
Top Performing XLVI Alternatives (YTD)
XLVI is at -0.67% YTD. There are 153 ETFs in the Derivative Income category with higher YTD returns, going as high as 363.23%.
| Symbol | Name | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|
| Roundhill ARM WeeklyPay ETF | 363.23% | 14.71M | Oct 2025 | XLVI vs ARMW | |
| Roundhill AMD WeeklyPay ETF | 192.40% | 90.88M | Jul 2025 | XLVI vs AMDW | |
| YieldMax Semiconductor Portfolio Option Income ETF | 85.77% | 1.02B | Apr 2025 | XLVI vs CHPY | |
| Defiance Oil Enhanced Options Income ETF | 62.18% | 62.15M | May 2024 | XLVI vs USOY | |
| YieldMax MRNA Option Income Strategy ETF | 51.59% | 82.87M | Oct 2023 | XLVI vs MRNY |
Lowest Volatility Alternatives to XLVI
XLVI has 10.94% 1-year volatility. There are 62 ETFs in the Derivative Income category with lower 1-year volatility, going as low as 0.00%.
| Symbol | Name | Volatility 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Dividend Performers ETF | 0.00% | 20.88M | Dec 2018 | XLVI vs IPDP | |
| Simplify Treasury Option Income ETF | 3.14% | 438.06M | Oct 2022 | XLVI vs BUCK | |
| FT Vest High Yield & Target Income ETF | 3.83% | 90.68M | Feb 2025 | XLVI vs HYTI | |
| Main Buywrite ETF | 4.85% | 1.21B | Dec 2015 | XLVI vs BUYW | |
| FT Vest Investment Grade & Target Income ETF | 5.10% | 287.53M | Feb 2025 | XLVI vs LQTI |
Lowest Drawdown Alternatives to XLVI
Among 142 ETFs in the Derivative Income category with 1-year drawdown data, the lowest-drawdown alternatives shown here go as shallow as -1.31%.
| Symbol | Name | Max Drawdown 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Simplify Treasury Option Income ETF | -1.31% | 438.06M | Oct 2022 | XLVI vs BUCK | |
| FT Vest High Yield & Target Income ETF | -2.38% | 90.68M | Feb 2025 | XLVI vs HYTI | |
| Main Buywrite ETF | -2.59% | 1.21B | Dec 2015 | XLVI vs BUYW | |
| SoFi Enhanced Yield ETF | -2.64% | 34.73M | Nov 2023 | XLVI vs THTA | |
| VistaShares Target 15™ Berkshire Select Income ETF | -3.00% | 774.36M | Mar 2025 | XLVI vs OMAH |
Other ETFs from State Street
The 10 most viewed State Street ETFs shown here include SPY, GLD, XLK and span 10 categories. AUM among these funds goes as high as $781B.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|---|---|
| State Street SPDR S&P 500 ETF | S&P 500 | 70 | 10.91% | 781.00B | Jan 1993 | XLVI vs SPY | |
| SPDR Gold Shares | Gold, Precious Metals | 32 | 2.92% | 150.37B | Nov 2004 | XLVI vs GLD | |
| State Street Technology Select Sector SPDR ETF | Technology Equities | 83 | 36.47% | 121.66B | Dec 1998 | XLVI vs XLK | |
| State Street SPDR Portfolio S&P 500 Growth ETF | S&P 500, Large Cap Growth Equities | 57 | 13.75% | 53.61B | Sep 2000 | XLVI vs SPYG | |
| State Street SPDR Portfolio S&P 500 High Dividend ... | S&P 500, Dividend | 41 | 10.34% | 7.30B | Oct 2015 | XLVI vs SPYD | |
| State Street Energy Select Sector SPDR ETF | Energy Equities | 63 | 32.17% | 38.95B | Dec 1998 | XLVI vs XLE | |
| SPDR Gold MiniShares Trust | Gold, Precious Metals | 32 | 3.00% | 30.87B | Jun 2018 | XLVI vs GLDM | |
| State Street SPDR Portfolio S&P 500 ETF | S&P 500 | 70 | 10.98% | 146.68B | Nov 2005 | XLVI vs SPYM | |
| State Street Utilities Select Sector SPDR ETF | Utilities Equities | 19 | 3.11% | 22.40B | Dec 1998 | XLVI vs XLU | |
| SPDR Bloomberg 1-3 Month T-Bill ETF | Government Bonds, Ultrashort Bond | 100 | 1.49% | 45.99B | May 2007 | XLVI vs BIL |
Often Compared With XLVI
Investors most often compare XLVI with TMED, XLV, VHT. These 20 comparison targets span 8 categories, based on PortfoliosLab usage data.
Compare XLVI with Any Fund or Stock
Compare XLVI with any ETF, mutual fund, or stock using PortfoliosLab's comparison tool.
Pair XLVI with funds that move differently
State Street Health Care Select Sector SPDR Premium Income ETF alternatives help with substitution. Diversifiers are the next step when you want funds with lower historical correlation to XLVI.
Explore XLVI Diversifiers