Can I have FSA and HSA? Understanding the Differences and Similarities

One common question among individuals navigating healthcare options is, 'Can I have an FSA and an HSA?' The answer is, it depends.

Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) are both useful tools for managing healthcare expenses, but they have key differences that impact whether you can have both simultaneously.

FSAs and HSAs are both tax-advantaged accounts that allow you to set aside pre-tax dollars to pay for qualified medical expenses. However, there are some important distinctions:

  • Eligibility: FSAs are typically offered by your employer and have no eligibility requirements, while HSAs require you to be enrolled in a high-deductible health plan.
  • Contribution Limits: FSAs have a maximum contribution limit set by the IRS each year, while HSAs have both individual and family contribution limits.
  • Account Ownership: FSAs are owned by your employer, meaning you may lose funds if you change jobs, whereas HSAs are owned by you and are portable.
  • Rollover: FSAs have a 'use it or lose it' provision at the end of the plan year, while HSAs allow for funds to roll over and accumulate over time.

Now, let’s address the question of whether you can have both an FSA and an HSA:

  • Limited FSA: If you have an HSA, you can still have a Limited Purpose FSA, which can be used for specific expenses like dental and vision care.
  • General Purpose FSA: However, you cannot have a General Purpose FSA if you have an HSA simultaneously.

It’s essential to understand the rules and limitations of each account to make the most informed decision for your healthcare needs.


One common question among individuals navigating healthcare options is, 'Can I have an FSA and an HSA?' The answer is, it depends. Understanding these two accounts can empower you to maximize your healthcare savings.

Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) are both valuable resources for managing healthcare expenses, but they differ significantly in criteria and benefits. These differences can determine if you can have both available to you.

Both FSAs and HSAs offer tax advantages by allowing pre-tax dollar contributions towards eligible medical costs. However, let’s break down their key distinctions:

  • Eligibility: FSAs are offered by employers with no particular requirements, while HSAs come into play only if you are enrolled in a high-deductible health plan.
  • Contribution Limits: The IRS sets annual contribution limits for both accounts, but HSAs offer separate limits for individual and family coverage.
  • Account Ownership: FSAs are employer-owned, which means if you leave your job, you might lose any remaining balance, whereas HSAs are yours to keep, regardless of employment.
  • Rollover: With FSAs, you usually face a 'use it or lose it' rule, but HSAs permit your funds to roll over year after year, building up your savings for future medical needs.

Now, regarding the question of whether you can have both an FSA and an HSA:

  • If you have an HSA, you can opt for a Limited Purpose FSA, which allows you to use funds for specific expenses such as dental and vision care without jeopardizing your HSA status.
  • However, it's important to note that simultaneously holding a General Purpose FSA is not permissible with an HSA.

To make the most informed choices about your healthcare finances, it's crucial to understand these rules and limitations. By clearly differentiating between FSAs and HSAs, you can take control of your healthcare spending and plan effectively for your medical expenses.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter