Can I Have an FSA and HSA at the Same Time?

It's a common question among those who want to maximize their healthcare savings: can I have a flexible spending account (FSA) and a health savings account (HSA) at the same time? The simple answer is yes, but with some restrictions.

FSAs and HSAs are both tax-advantaged accounts that allow you to save money for medical expenses. Here's a breakdown of the key differences between the two:

  • Flexible Spending Account (FSA):
  • Must be sponsored by your employer
  • Maximum annual contribution limit set by the IRS
  • Funds must be used by the end of the plan year or you risk losing them
  • Health Savings Account (HSA):
  • Can be opened by individuals or employers
  • Contributions are tax-deductible
  • Unused funds roll over from year to year
  • You must have a high-deductible health plan (HDHP) to qualify

Now, can you have both at the same time? The answer is yes, but with some restrictions:

  • You cannot contribute to both an FSA and an HSA in the same year
  • If you have an FSA, you can still open an HSA, but you must be careful not to double dip and use funds from both accounts for the same expenses
  • If you have an HSA, you can have a limited-purpose FSA or a post-deductible FSA for specific expenses like dental and vision care

It's important to understand the rules and limitations of FSAs and HSAs to make the most of your healthcare savings. Consult with your benefits administrator or a financial advisor to determine the best strategy for your situation.


Wondering if you can have both a flexible spending account (FSA) and a health savings account (HSA) at the same time? The answer is yes, but keep in mind that it's essential to navigate the rules carefully to optimize your healthcare savings.

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