Can a Person Have a HRA and an HSA? - Understanding the Differences and Benefits

Health reimbursement arrangements (HRAs) and health savings accounts (HSAs) are both valuable tools for managing healthcare costs, but can you have both at the same time? Let's explore this question to help you understand the differences and benefits of each.

HRAs and HSAs serve different purposes:

  • HRAs are employer-funded accounts that reimburse employees for qualified medical expenses.
  • HSAs are individually-owned accounts that allow individuals to save for healthcare expenses tax-free.

Here are some key points to consider:

  • Having both an HRA and an HSA is possible, but there are restrictions on how they can be used together.
  • If you have an HRA, you must be enrolled in a high-deductible health plan (HDHP) to be eligible for an HSA.
  • Contributions to an HSA can only be made by you or your employer, not both.
  • HSAs offer triple tax benefits (tax-deductible contributions, tax-deferred growth, tax-free withdrawals for qualified medical expenses) that HRAs do not provide.
  • HRAs have rollover restrictions and are not portable if you change jobs, unlike HSAs, which are individually-owned and portable.

In summary, while you can have both a HRA and an HSA, understanding how they work together and the limitations is crucial for maximizing their benefits. Consult with a financial advisor or HR representative to determine the best approach for your healthcare savings strategy.


When navigating your healthcare financing options, understanding both Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs) can open up new possibilities. While HRAs are employer-funded accounts that help cover medical expenses, HSAs are tax-advantaged savings accounts that you own, making them a powerful combination for those eligible.

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