Can a Family Have Both HSA and FSA Accounts? - Exploring the Options

Many families wonder if they can have both Health Savings Account (HSA) and Flexible Spending Account (FSA) accounts simultaneously. The short answer is yes, but there are some limitations and considerations to keep in mind.

An HSA is a tax-advantaged account that can be used to pay for qualified medical expenses, while an FSA is another type of account that also allows you to set aside pre-tax money for eligible healthcare expenses.

Here are some key points to understand:

  • A family can have both HSA and FSA accounts, but there are some restrictions:
  • If one family member is enrolled in a High Deductible Health Plan (HDHP) and has an HSA, other family members can still participate in an FSA.
  • If the whole family is covered under an HDHP, only those family members not covered by the HDHP can use a general-purpose FSA.
  • Some employers may offer a Limited-Purpose FSA, which can be used in conjunction with an HSA for dental and vision expenses only.

It's essential to carefully review your plan details and consult with your benefits administrator to understand the specific rules and options available to your family.


Many families often find themselves asking whether they can enjoy the benefits of both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) at the same time. The good news is that, yes, it's possible!

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