Are products covered under FSA also covered under HSA regulations?

When it comes to navigating Healthcare Savings Accounts (HSA) and Flexible Spending Accounts (FSA), understanding what products are covered under each can be confusing. One common question that arises is whether products covered under FSA are also covered under HSA regulations.

While both FSA and HSA allow for pre-tax contributions to pay for qualified medical expenses, there are key differences between the two accounts:

  • FSAs are employer-established benefit plans, while HSAs are owned by the individual.
  • FSA funds are use-it-or-lose-it annually, while HSA funds roll over year after year.
  • Products that are eligible expenses under FSA may not always be covered under HSA.

Here are some points to consider when comparing the coverage of products under FSA and HSA regulations:

  • Prescription medications: Both FSA and HSA typically cover prescription medications with a doctor's prescription.
  • Over-the-counter medications: FSA funds can be used for over-the-counter medications without a prescription, but HSA funds require a prescription for reimbursement.
  • Medical supplies: Items such as bandages, crutches, and contact lens solution are generally covered under both FSA and HSA.
  • Alternative therapies: While some alternative therapies like acupuncture or chiropractic care may be eligible expenses under both accounts, the criteria for coverage can vary.
  • Dental and vision expenses: Both FSA and HSA can cover dental and vision expenses, but certain treatments or procedures may have specific requirements for reimbursement.

It's important to note that the Internal Revenue Service (IRS) sets guidelines for eligible expenses under both FSA and HSA, but individual plan providers may have their own specific rules and restrictions.

Ultimately, while there is overlap in the types of products that can be covered under FSA and HSA, it's essential to consult your plan documents or speak with a benefits administrator to understand what expenses are eligible for reimbursement under each account.


When considering whether products covered under an FSA are also available under HSA guidance, it’s crucial to remember that understanding medical expense reimbursements can be a bit tricky. However, having this knowledge can save you money and ensure you're using your benefits wisely.

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