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% | 29.28M | Nov 2024 | XLVI vs PEPS | |
| State Street US Equity Premium Income ETF | 0.25% | 45.73M | Sep 2024 | XLVI vs SPIN | |
| iShares S&P 500 BuyWrite ETF | 0.25% | 324.77M | Mar 2024 | XLVI vs IVVW | |
| Fidelity Yield Enhanced Equity ETF | 0.28% | 198.84M | Apr 2024 | XLVI vs FYEE | |
| Invesco S&P 500 BuyWrite ETF | 0.29% | 352.13M | Dec 2007 | XLVI vs PBP |
Best Risk-Adjusted Alternatives to XLVI
Among 170 ETFs in the Derivative Income category with risk / return rank data, the top risk-adjusted alternatives shown here go as high as 96.
| Symbol | Name | Risk / Return Rank | AUM | Inception | |
|---|---|---|---|---|---|
| Simplify Treasury Option Income ETF | 96 | 474.96M | Oct 2022 | XLVI vs BUCK | |
| SoFi Enhanced Yield ETF | 95 | 34.73M | Nov 2023 | XLVI vs THTA | |
| YieldMax GOOGL Option Income Strategy ETF | 92 | 246.95M | Jul 2023 | XLVI vs GOOY | |
| YieldMax Semiconductor Portfolio Option Income ETF | 91 | 1.16B | Apr 2025 | XLVI vs CHPY | |
| First Trust Nasdaq BuyWrite Income ETF | 91 | 938.31M | Jan 2014 | XLVI vs FTQI |
Top Performing XLVI Alternatives (YTD)
XLVI is at 6.29% YTD. There are 117 ETFs in the Derivative Income category with higher YTD returns, going as high as 163.57%.
| Symbol | Name | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|
| Roundhill AMD WeeklyPay ETF | 163.57% | 116.76M | Jul 2025 | XLVI vs AMDW | |
| Roundhill ARM WeeklyPay ETF | 161.70% | 27.86M | Oct 2025 | XLVI vs ARMW | |
| YieldMax AMD Option Income Strategy ETF | 97.19% | 443.39M | Sep 2023 | XLVI vs AMDY | |
| YieldMax MRNA Option Income Strategy ETF | 80.55% | 127.56M | Oct 2023 | XLVI vs MRNY | |
| YieldMax Semiconductor Portfolio Option Income ETF | 63.11% | 1.16B | Apr 2025 | XLVI vs CHPY |
Lowest Volatility Alternatives to XLVI
XLVI has 11.06% 1-year volatility. There are 60 ETFs in the Derivative Income category with lower 1-year volatility, going as low as 2.74%.
| Symbol | Name | Volatility 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Simplify Treasury Option Income ETF | 2.74% | 474.96M | Oct 2022 | XLVI vs BUCK | |
| FT Vest Laddered Autocallable Barrier & Resilient ... | 3.38% | 206.17M | Apr 2026 | XLVI vs ACYS | |
| FT Vest High Yield & Target Income ETF | 3.87% | 88.48M | Feb 2025 | XLVI vs HYTI | |
| Main Buywrite ETF | 4.84% | 1.26B | Dec 2015 | XLVI vs BUYW | |
| GraniteShares YieldBOOST 20Y+ Treasuries ETF | 4.95% | 726.94K | May 2026 | XLVI vs FIYY |
Lowest Drawdown Alternatives to XLVI
Among 170 ETFs in the Derivative Income category with 1-year drawdown data, the lowest-drawdown alternatives shown here go as shallow as -0.84%.
| Symbol | Name | Max Drawdown 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Simplify Treasury Option Income ETF | -0.84% | 474.96M | Oct 2022 | XLVI vs BUCK | |
| FT Vest High Yield & Target Income ETF | -2.38% | 88.48M | Feb 2025 | XLVI vs HYTI | |
| Main Buywrite ETF | -2.59% | 1.26B | 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 $783B.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|---|---|
| State Street SPDR S&P 500 ETF | S&P 500 | 65 | 10.67% | 783.21B | Jan 1993 | XLVI vs SPY | |
| SPDR Gold Shares | Gold, Precious Metals | 21 | -7.91% | 132.10B | Nov 2004 | XLVI vs GLD | |
| State Street Technology Select Sector SPDR ETF | Technology Equities | 54 | 23.60% | 120.59B | Dec 1998 | XLVI vs XLK | |
| State Street SPDR Portfolio S&P 500 Growth ETF | S&P 500, Large Cap Growth Equities | 44 | 10.85% | 52.75B | Sep 2000 | XLVI vs SPYG | |
| State Street SPDR Portfolio S&P 500 High Dividend ... | S&P 500, Dividend | 65 | 17.05% | 7.40B | Oct 2015 | XLVI vs SPYD | |
| State Street Energy Select Sector SPDR ETF | Energy Equities | 59 | 29.29% | 36.33B | Dec 1998 | XLVI vs XLE | |
| State Street SPDR Portfolio S&P 500 ETF | S&P 500 | 66 | 10.74% | 158.31B | Nov 2005 | XLVI vs SPYM | |
| SPDR Gold MiniShares Trust | Gold, Precious Metals | 22 | -7.79% | 27.70B | Jun 2018 | XLVI vs GLDM | |
| State Street Utilities Select Sector SPDR ETF | Utilities Equities | 31 | 7.94% | 23.51B | Dec 1998 | XLVI vs XLU | |
| SPDR Bloomberg 1-3 Month T-Bill ETF | Government Bonds, Ultrashort Bond | 100 | 1.92% | 46.75B | May 2007 | XLVI vs BIL |
Often Compared With XLVI
Investors most often compare XLVI with TMED, VHT, XLV. These 20 comparison targets span 9 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