Can a Family Have an HSA and FSA? Understanding Health Savings and Flexible Spending Accounts

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both valuable tools for managing healthcare expenses, but can a family have both? Let's delve into this question to shed some light on the possibilities.

HSAs and FSAs have some similarities, but there are key differences that impact whether a family can have both accounts:

  • An HSA is available to individuals who have a high-deductible health plan (HDHP), while an FSA does not have this requirement.
  • Both the employee and the employer can contribute to an HSA, while only the employee can contribute to an FSA.
  • HSAs have a yearly contribution limit that typically increases each year, while FSAs have a contribution limit set by the employer.

Based on these factors, a family can have both an HSA and an FSA, but there are some considerations to keep in mind:

  • One family member cannot have both an HSA and a general-purpose FSA simultaneously.
  • If one family member has an HSA, other family members can have an FSA, but with limitations.

Combining an HSA and an FSA can provide added flexibility and tax advantages for families managing healthcare expenses. It's essential to understand the rules and limitations of each account to maximize their benefits.


Absolutely! Many families can effectively utilize both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) simultaneously. It largely depends on your specific healthcare plan and employer offerings.

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