Can HRA be Used for HSA? Understanding How Health Reimbursement Arrangements Work

When it comes to managing healthcare costs, it’s important to understand the ins and outs of various account types like Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs). Both accounts offer tax advantages and can help you save money on medical expenses, but they work in slightly different ways.

One common question that people have is: can an HRA be used for an HSA? The short answer is yes, but there are some important considerations to keep in mind.

An HRA is an employer-funded account that reimburses employees for qualified medical expenses. On the other hand, an HSA is an individual account that you can contribute to and use for qualified medical expenses.

Here’s how you can use an HRA for an HSA:

  • Some employers may offer a “limited-purpose” HRA that can only be used for certain expenses, like dental and vision care. In this case, you can still contribute to an HSA and use the HRA for specific costs.
  • If you have an HRA that covers expenses before you meet your insurance deductible, you can use it in conjunction with an HSA to further offset your out-of-pocket costs.
  • Once you turn 65 or enroll in Medicare, you can no longer contribute to an HSA, but you can still use existing funds for qualified medical expenses, including those covered by an HRA.

It’s important to note that you cannot contribute to an HRA and an HSA at the same time. However, you can use funds from both accounts to pay for eligible medical expenses.

Understanding the nuances of HRAs and HSAs can help you make informed decisions about your healthcare finances and maximize your savings. By leveraging both accounts effectively, you can take control of your healthcare costs and plan for the future.


Understanding the complexities of healthcare financing can sometimes feel overwhelming, especially when distinguishing between Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs). Both types of accounts have their own perks and can lead to significant savings on healthcare costs, so it’s crucial to know how they operate.

So, can an HRA complement an HSA? Absolutely! However, there are several essentials to consider to maximize their benefits.

An HRA is designed for employer funding, meaning your employer puts money into the account to reimburse you for a range of qualified medical expenses. In contrast, an HSA is solely yours to manage, allowing you to contribute and withdraw funds as needed for medical costs.

Here are some scenarios for using an HRA alongside an HSA:

  • Employers might provide a “limited-purpose” HRA specifically for certain treatments like vision and dental care, allowing you to keep on contributing to an HSA while utilizing the HRA for those targeted expenses.
  • If your HRA covers costs that arise prior to reaching your insurance deductible, you can strategically use both accounts to ease your out-of-pocket burden.
  • Upon reaching the age of 65 or enrolling in Medicare, contributions to your HSA cease; however, you can continue using your existing HSA funds—including those expenses which can also be covered by your HRA.

It’s essential to remember that while you can’t actively contribute to both an HRA and an HSA concurrently, you have the flexibility to utilize funds from both for qualified medical costs.

Grasping the distinctions and synergies between HRAs and HSAs empowers you to make smarter choices regarding your healthcare expenditures and optimize your savings strategies. By understanding how these accounts can work in unison, you can effectively navigate your healthcare expenses and lay a strong foundation for future healthcare needs.

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