Can I Have a FSA and HSA? Understanding the Differences and Benefits

Are you confused about whether you can have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA)? Let's break it down for you!

Both FSAs and HSAs are popular healthcare saving options that offer tax benefits. Here's a simple comparison to help you understand the differences:

  • Flexible Spending Account (FSA):
    • Requires an employer-sponsored plan
    • Use-it-or-lose-it rule (limited carryover or grace period)
    • Pre-tax contributions
    • Can be used for qualified medical expenses
  • Health Savings Account (HSA):
    • Available with high-deductible health plans
    • Rolls over year after year (no use-it-or-lose-it rule)
    • Pre-tax or tax-deductible contributions
    • Can be used for qualified medical expenses

    Now, back to the question - Can you have both an FSA and an HSA? The short answer is yes, but there are some limitations:

    • If you have an HSA, you can also have a Limited-Purpose FSA or a Post-Deductible FSA.
    • You cannot have a General-Purpose FSA if you are contributing to an HSA.
    • If your employer offers both an FSA and an HSA, it's essential to understand the rules and choose the best option for your healthcare needs.

    Having both an FSA and an HSA can provide additional flexibility and tax advantages for your healthcare expenses. Make sure to consult with your employer or tax advisor to make an informed decision.


    Are you feeling puzzled about the possibility of having both a Flexible Spending Account (FSA) and a Health Savings Account (HSA)? You're not alone! Many people find themselves in a similar situation. Let's clarify the essentials for you!

    Both FSAs and HSAs are valuable tools for saving money on healthcare expenditures, complete with their own unique tax benefits. Here’s a simple breakdown to help you grasp the differences:

    • Flexible Spending Account (FSA):
      • Usually tied to an employer's benefits package
      • Features the use-it-or-lose-it rule, which means funds may expire if not used within a specific timeframe
      • Funding is pre-tax, reducing your taxable income
      • Can be utilized for a range of qualified medical expenses
    • Health Savings Account (HSA):
      • Designed to be used with high-deductible health plans
      • Funds roll over annually, eliminating the use-it-or-lose-it dilemma
      • Contributions can be pre-tax or tax-deductible
      • Can be used for a wide variety of qualified medical expenses

      So, can you have both an FSA and an HSA? Interestingly, the answer is yes, but there are some important guidelines:

      • If you maintain an HSA, you may also consider a Limited-Purpose FSA or a Post-Deductible FSA.
      • A General-Purpose FSA cannot coexist with contributions to an HSA.
      • It's crucial to review your employer’s benefits offerings if both accounts are available to ascertain which suits your healthcare expenditures best.

      Utilizing both an FSA and an HSA could provide enhanced flexibility and additional tax savings for managing your medical costs. Don't hesitate to reach out to your employer or financial advisor to ensure you're making the most effective choices.

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