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Can I Have FSA and HSA in the Same Year?

Published June 1, 2022

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Short answer: Yes—you can have both an FSA and an HSA in the same year, but only if the FSA is limited-purpose or HSA-compatible in the case of a general FSA.

FSA and HSA in one year

One common question that often arises is whether an individual can have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) in the same year.

Can You Have Both?

Yes, you can have both an FSA and an HSA in the same year, but there are some conditions to be aware of:

  • You can have both if the FSA is a Limited-Purpose FSA that only covers specific medical expenses like dental and vision care.
  • If you have a general FSA, you may still be able to open an HSA, but it would need to be a special HSA-compatible FSA.

Key differences and eligibility basics

Understanding the Differences:

  • FSAs are offered by employers, can carry over up to $550 each year, and require a high-deductible health plan.
  • HSAs are individual accounts, have higher contribution limits, and require a high-deductible health plan.

Many people wonder if they can hold both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) during the same calendar year. This might seem complicated, but let’s break it down!

Understanding the Basics:

  • FSAs are employer-sponsored accounts that allow employees to set aside pre-tax dollars for eligible medical expenses, with up to $550 carrying over to the next year.
  • HSAs, on the other hand, are individual accounts that offer higher annual contribution limits and also require a high-deductible health plan to qualify.

Can You Combine Both Accounts?

Conditions for using both accounts

Having both accounts can provide more ways to save on medical expenses and maximize tax benefits. Make sure to review your plan details and consult with a financial advisor to decide the best option for your situation.

Absolutely! You can maintain both an FSA and an HSA concurrently, but only under specific conditions. For instance:

  • It's permissible to have both if your FSA is a Limited-Purpose FSA, which restricts funds to expenditures such as dental and vision care only.
  • If you hold a general FSA, you can still open an HSA, but it must qualify under unique HSA-compatible FSA rules.

The strategic use of both accounts can pave the way for enhanced savings on medical expenses while optimizing your tax benefits. Be sure to analyze your plan provisions and seek help from a financial advisor to make the most informed choice.

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