Can I Contribute to HSA and FSA? Understanding the Differences

One common question many people have about healthcare savings accounts is whether they can contribute to both a Health Savings Account (HSA) and a Flexible Spending Account (FSA). The short answer is, it depends on certain factors.

An HSA and FSA have some similarities but also key differences that impact your ability to contribute to both. Here’s what you need to know:

Health Savings Account (HSA)

  • Requires a high-deductible health plan (HDHP)
  • Contributions are tax-deductible
  • Contributions roll over year to year
  • Can be used for qualified medical expenses

Flexible Spending Account (FSA)

  • Does not require an HDHP
  • Contributions are pre-tax
  • Use-it-or-lose-it rule (with some exceptions)
  • Can be used for qualified medical expenses

Now, can you contribute to both? The answer is:

  • If you have an HSA, you cannot contribute to a general-purpose FSA, but you can have a Limited Purpose FSA for dental and vision expenses.
  • If you have an FSA, you can still contribute to an HSA, but with some limitations.

It’s important to understand these accounts and their rules to make the most of your healthcare savings options. Consider factors like your health plan, current FSA balance, and future medical needs when deciding how to allocate your contributions.

Ultimately, both HSA and FSA can offer tax advantages and help you save on healthcare costs, so exploring your options and understanding the rules can benefit your financial health.


When considering whether to contribute to a Health Savings Account (HSA) and a Flexible Spending Account (FSA), it's essential to recognize the distinct characteristics of both accounts. An HSA, paired with a high-deductible health plan (HDHP), allows you to enjoy tax-deductible contributions that roll over each year, offering more flexibility. On the other hand, an FSA does not necessitate an HDHP but follows the use-it-or-lose-it rule, which can impact your funds if not managed properly.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter