Can HSA have a General Purpose FSA?

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both popular ways to save money on healthcare expenses. HSAs are typically used in conjunction with high deductible health plans, while FSAs are usually offered as part of traditional health insurance plans. But can you have a general-purpose FSA along with an HSA?

The short answer is no.

Here's why:

  • HSAs are designed to work alongside high deductible health plans, which means you cannot have a general-purpose FSA along with an HSA.
  • FSAs are not compatible with HSA eligibility requirements. Since FSAs can be used for general healthcare expenses without restrictions, having one along with an HSA would violate the HSA regulations.
  • You can, however, have a Limited-Purpose FSA or a Dependent Care FSA along with an HSA. These types of FSAs have more specific purposes and are allowed to be used in conjunction with an HSA.
  • It's essential to understand the rules and restrictions of both HSAs and FSAs to avoid any potential IRS penalties or disqualification of your HSA.

While you cannot have a general-purpose FSA along with an HSA, there are still ways to maximize your healthcare savings using these accounts separately. By knowing the differences between the two and how they can complement each other, you can make informed decisions about your healthcare finances.


Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) serve as valuable tools for managing healthcare costs, but it’s crucial to understand their compatibility. Since HSAs are linked to high deductible health plans, having a general-purpose FSA is not permitted.

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