Are You Allowed a HSA and a FSA? Understanding the Differences and rules

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both popular options for managing healthcare expenses, but many people wonder if they can have both at the same time. The short answer is yes, you can have both a HSA and a FSA, but there are some important considerations to keep in mind.

HSAs and FSAs have different rules and eligibility requirements, so it's essential to understand how they work separately and together.

What is a Health Savings Account (HSA)?

An HSA is a tax-advantaged savings account that you can use to pay for qualified medical expenses. It is only available to individuals who are enrolled in a High Deductible Health Plan (HDHP).

What is a Flexible Spending Account (FSA)?

An FSA is another type of tax-advantaged savings account that can be used to pay for qualifying medical expenses. Unlike HSAs, FSAs are available through employer-sponsored benefit plans and do not require enrollment in an HDHP.

Can You Have Both a HSA and FSA?

Yes, you can have both a HSA and a FSA, but there are some limitations:

  • If you have a HSA, you can also have a Limited Purpose FSA or a Post-Deductible FSA, but not a General Purpose FSA.
  • If you have a General Purpose FSA, you are not eligible to contribute to a HSA, but you can still use your HSA funds for qualified medical expenses.
  • You cannot use funds from your HSA to pay for expenses that are covered by your FSA until you have met your HDHP deductible.

It's essential to align your contributions and use of both accounts carefully to maximize their benefits while ensuring compliance with IRS regulations.


When managing healthcare expenses, understanding the roles of a Health Savings Account (HSA) and a Flexible Spending Account (FSA) can empower you to make wiser financial decisions regarding your health. Although you can hold both accounts, it’s crucial to recognize their specific functions and benefits.

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