Can Section 125 Cafeteria Plan Be Used with Payments to HSA?

When it comes to managing healthcare expenses, having a Health Savings Account (HSA) can be a valuable tool. HSAs offer tax advantages and flexibility in using funds for qualified medical expenses. However, many individuals wonder if they can use a Section 125 Cafeteria Plan in conjunction with their HSA contributions.

A Section 125 Cafeteria Plan, also known as a Flexible Spending Account (FSA), allows employees to set aside pre-tax dollars to pay for eligible out-of-pocket medical expenses, such as co-pays, deductibles, and prescription drugs.

So, can a Section 125 Cafeteria Plan be used to make payments to an HSA? The short answer is no. The IRS prohibits individuals from using a Section 125 plan to make contributions to an HSA.

However, there are some important points to consider:

  • Employees can use an FSA for eligible medical expenses not covered by an HSA, such as vision and dental expenses.
  • Employers may offer a Limited-Purpose FSA, which can only be used for certain medical expenses, like dental and vision care, making it compatible with an HSA.
  • Some employers offer a Post-Deductible FSA, which allows employees to use FSA funds only after they have met their HSA deductible.

It's essential for employees to understand the rules and limitations of both their HSA and FSA plans to maximize the benefits and avoid any tax implications. While you cannot use a Section 125 Cafeteria Plan to make contributions to an HSA, there are still ways to leverage both accounts effectively to cover a wide range of medical expenses.


Are you confused about the relationship between Section 125 Cafeteria Plans and HSAs? You're not alone. Many people are wondering how these two beneficial financial tools can work together for healthcare expenses.

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