Can an Employee Have Both HSA and FSA?

One common question that often arises when navigating healthcare benefits is whether an employee can have both a Health Savings Account (HSA) and a Flexible Spending Account (FSA). The short answer is: it depends on the type of FSA.

An HSA is a tax-advantaged account that is typically paired with a high-deductible health plan (HDHP), allowing individuals to save for medical expenses on a pre-tax basis. On the other hand, an FSA is another type of tax-advantaged account that allows employees to set aside pre-tax dollars for medical expenses not covered by insurance.

Here are some key points to consider:

  • If the FSA is a Limited Purpose FSA (LPFSA) or a Post-Deductible FSA (PDFSA), it can be used in conjunction with an HSA.
  • If the FSA is a general Health Care FSA, it is not compatible with an HSA.

It's essential to understand the type of FSA you have to determine if you can have both an HSA and an FSA. Additionally, employers may have policies in place regarding the eligibility of having both accounts simultaneously.


One common question that often arises when navigating healthcare benefits is whether an employee can have both a Health Savings Account (HSA) and a Flexible Spending Account (FSA). The short answer? It mainly hinges on the type of FSA you have.

To break it down, an HSA is specifically designed for those enrolled in a high-deductible health plan (HDHP). By using an HSA, you can save money for medical expenses before tax is deducted. Conversely, an FSA allows you to set aside pre-tax funds to cover out-of-pocket costs for medical services and supplies that your insurance may not fully cover.

It’s crucial to understand the kind of FSA you’re dealing with:

  • A Limited Purpose FSA (LPFSA) or a Post-Deductible FSA (PDFSA) can work hand-in-hand with your HSA.
  • However, if your FSA is categorized as a general Health Care FSA, it cannot be used simultaneously with an HSA.

Therefore, knowing the type of FSA you have is vital in making the most out of your healthcare benefits. Additionally, don't forget that some employers might have specific regulations about concurrently holding both accounts.

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