Can I Open an HSA Even If I Have an FSA? - Understanding Your Options

When it comes to managing your healthcare expenses, it's important to understand the differences between Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). One common question that arises is whether you can open an HSA if you already have an FSA.

The short answer is yes, you can have both an HSA and an FSA at the same time. However, there are some restrictions and considerations to keep in mind when doing so.

Here are a few key points to help you understand how HSAs and FSAs can work together:

  • HSAs and FSAs have different eligibility requirements and contribution limits.
  • If you have an FSA, you can still open and contribute to an HSA if you have a high-deductible health plan (HDHP).
  • Having both accounts can provide you with additional tax advantages and more flexibility in covering your medical expenses.
  • It's important to be aware of the rules regarding using funds from both accounts, as there are restrictions on double-dipping.

Ultimately, having both an HSA and an FSA can offer you a well-rounded approach to managing your healthcare costs. By understanding how these accounts work together, you can make the most of your healthcare benefits and save money in the long run.


Many people are curious about how Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can coexist, especially when it comes to managing healthcare costs effectively. Rest assured, you can indeed open an HSA, even if you already have an FSA.

However, it's essential to know the specific rules surrounding these accounts to maximize your savings.

  • While both accounts can help with your medical expenses, they have distinct eligibility criteria, contribution limits, and tax benefits.
  • To take advantage of an HSA, your primary health insurance must be a high-deductible health plan (HDHP), allowing you to build savings for future medical costs while simultaneously utilizing your FSA funds for immediate needs.
  • The combination of these accounts gives you the potential for greater tax savings, as HSA contributions lower your taxable income, and FSA funds can reduce your taxable earnings when used for qualified expenses.
  • Just remember, it’s crucial to monitor your account balances and be aware of the spending rules to avoid using both for the same expense, as this is known as ‘double-dipping’ and is not permitted.

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