Can I Have a Health Care HSA and a Dependent Care FSA in the Same Year?

If you're wondering whether you can have a Health Savings Account (HSA) for healthcare and a Dependent Care Flexible Spending Account (FSA) in the same year, the answer is both yes and no. Let's break it down for you.

An HSA is used for qualifying medical expenses for yourself, your spouse, and your dependents, while a Dependent Care FSA is used for childcare expenses for dependent children or elders while you work or look for work.

According to IRS rules:

  • You cannot have both a Health Care FSA and an HSA in the same year. However, you can have an HSA and a Limited Purpose FSA which covers dental and vision expenses only.
  • You can have a Dependent Care FSA along with an HSA in the same year as they serve different purposes and are not considered double-dipping.

It's important to plan your benefit elections wisely, considering your family's healthcare and dependent care needs.


Many individuals wonder if they can utilize both a Health Savings Account (HSA) for medical expenses and a Dependent Care Flexible Spending Account (FSA) to help manage costs associated with childcare in the same year. The short answer is, it depends on the specific accounts you choose to open. Let's clarify this for you.

First, understand that an HSA provides funds for qualifying medical expenses for not just yourself, but also your spouse and dependents. In contrast, a Dependent Care FSA is tailored for expenses related to the care of dependent children or older relatives while you work or search for employment.

Per IRS guidelines:

  • It is not permissible to have both a general Health Care FSA and an HSA in the same calendar year. However, you can successfully maintain an HSA alongside a Limited Purpose FSA that only covers dental and vision expenses.
  • Good news! You are entirely allowed to hold a Dependent Care FSA while having an HSA at the same time. They cater to different eligible expenses and are therefore not seen as conflicting benefits.

It's crucial to review and plan your benefits selections carefully, keeping both your family’s healthcare needs and dependent care responsibilities in mind.

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