Can I Have FSA and HSA in 2019? Understanding the Differences and Benefits

In 2019, individuals can have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA), but there are certain limitations and guidelines to consider.

Here's what you need to know:

  • FSAs and HSAs are both tax-advantaged accounts that help you save money on eligible healthcare expenses.
  • An FSA is typically offered by your employer, allowing you to set aside pre-tax dollars for medical expenses not covered by insurance.
  • An HSA, on the other hand, is available to individuals with a high-deductible health plan and allows for tax-free contributions and withdrawals for medical expenses.
  • Both accounts have contribution limits, with FSAs having a use-it-or-lose-it rule at the end of the plan year, while HSAs allow for rollover of funds.
  • One key difference is that you cannot have a general-purpose FSA while also contributing to an HSA, but you can have a Limited-Purpose FSA alongside an HSA for specific expenses like vision and dental care.

It's essential to weigh the pros and cons of both accounts based on your healthcare needs and financial situation to make an informed decision on how to maximize your healthcare savings in 2019.


In 2019, individuals have the unique opportunity to utilize both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) for enhanced financial flexibility; however, it’s vital to familiarize yourself with the specific rules and limitations that come with each account.

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