Are HRA and HSA the Same? - Understanding the Difference

Health Reimbursement Arrangements (HRA) and Health Savings Accounts (HSA) are both popular healthcare options, but they are not the same. Let's break down the differences between the two to help you understand which option may be right for you.

HRAs are employer-funded accounts that can be used for qualified medical expenses. On the other hand, HSAs are individual accounts that you can contribute to with pre-tax dollars to pay for medical expenses.

Here are some key differences between HRA and HSA:

  • Employer vs. Individual Funding
  • Employer Control vs. Individual Control
  • Employment Status Requirements
  • Roll-Over Rules
  • Portability

Understanding these differences can help you make an informed decision about which option is best suited to your healthcare needs and financial goals.


While both Health Reimbursement Arrangements (HRA) and Health Savings Accounts (HSA) provide ways to manage healthcare costs, they cater to different financial needs and scenarios. HRAs are solely funded by employers, which means you don’t have to contribute your own money, making them an attractive option for employees looking to reduce out-of-pocket expenses.

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