Are HSA and FSA Eligible Expenses the Same?

Health Savings Account (HSA) and Flexible Spending Account (FSA) are both popular options for saving money on medical expenses, but they have some key differences, especially when it comes to eligible expenses.

While both HSA and FSA offer tax advantages for healthcare costs, the eligible expenses may vary between the two accounts. Here's a breakdown of whether HSA and FSA eligible expenses are the same:

HSA Eligible Expenses:

  • Doctor's visits
  • Prescription medications
  • Dental care
  • Vision care
  • Medical equipment

FSA Eligible Expenses:

  • Doctor's visits
  • Prescription medications
  • Dental care
  • Orthodontia
  • Laser eye surgery

While there is some overlap in eligible expenses between HSA and FSA, there are also differences that individuals need to be aware of when deciding which account is right for them.

It's important to note that eligible expenses for both HSA and FSA are determined by the IRS, and certain items may require a doctor's prescription for reimbursement.


Understanding the differences between Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can empower you to make better financial choices for your health expenses. While both accounts help you save on healthcare costs, it is essential to recognize that not all eligible expenses align perfectly between the two.

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