Can I Have a Flex Spending Account and an HSA? - All You Need to Know

Many people often ask, 'Can I have a flex spending account and an HSA?' The short answer is yes, you can have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) at the same time, but with certain limitations and considerations.

Both FSAs and HSAs are tax-advantaged accounts that allow you to save money for healthcare expenses, but they have different rules and features. Here is what you need to know:

  • Both FSA and HSA allow you to use pre-tax money to pay for eligible medical expenses.
  • You can use your FSA funds for eligible medical expenses even if you do not have a high-deductible health plan (HDHP).
  • HSAs are only available to individuals enrolled in a HDHP.
  • You cannot contribute to both an FSA and an HSA in the same year, with some exceptions such as limited purpose FSAs or post-deductible FSAs.
  • If you have both FSA and HSA, you need to be aware of the coordination rules to avoid any conflicts and maximize your tax savings.

Having both a flex spending account and an HSA can offer you more flexibility and options when it comes to managing your healthcare expenses. It is essential to understand the rules and limitations to make the most of these tax-advantaged accounts.


Many individuals wonder if it's possible to have a Flexible Spending Account (FSA) and a Health Savings Account (HSA) simultaneously. The answer is yes, although there are specific restrictions and details you must be aware of.

Both FSAs and HSAs are designed to help you save for medical expenses with tax benefits, but they serve different purposes. Understand the key differences here:

  • Both accounts let you use pre-tax dollars to tackle medical expenses, helping you save money where it counts.
  • Unlike HSAs, FSAs do not require you to have a high-deductible health plan (HDHP); anyone can enroll in an FSA.
  • To qualify for an HSA, you must be enrolled in an HDHP, which is crucial for determining your eligibility.
  • Although contributing to both accounts in the same year is generally restricted, exceptions exist in the form of limited purpose FSAs or post-deductible FSAs.
  • If you maintain both accounts, it’s important to familiarize yourself with the coordination rules to maximize your tax benefits and avoid confusion.

Utilizing both a Flex Spending Account and an HSA can provide you with enhanced flexibility in managing healthcare costs, ensuring you have options when facing unexpected medical expenses. Understanding their rules is vital to fully benefit from these tax-advantaged accounts.

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