Can You Contribute to a HSA and a Medical FSA at the Same Time?

Many individuals often wonder whether they can contribute to both a Health Savings Account (HSA) and a Medical Flexible Spending Account (FSA) simultaneously. The short answer is no, you cannot typically contribute to both accounts at the same time.

Here's why:

  • An HSA and an FSA both offer tax advantages for qualified medical expenses, but they have different eligibility requirements and contribution limits.
  • While you can have both types of accounts, you cannot contribute to a Medical FSA if you are contributing to an HSA.
  • Contributing to both concurrently may result in tax penalties and disqualification of your HSA.
  • It's important to understand the rules and limitations of each account to make informed decisions about which account best suits your healthcare needs.

However, there are some exceptions and alternatives to consider:

  • Limited Purpose FSA: If you have an HSA, you may be eligible to enroll in a Limited Purpose FSA, which can be used for specific expenses like vision and dental care.
  • Post-deductible FSA: Some employers offer a post-deductible FSA that activates once you have met your HSA's minimum deductible, allowing you to use FSA funds for qualified medical expenses.
  • Dependent Care FSA: You can still contribute to a Dependent Care FSA while having an HSA, as long as the funds are used for eligible dependent care expenses.

Ultimately, it's crucial to consult with your employer or a benefits administrator to understand the specific rules and options regarding HSAs and FSAs in your situation.


Many individuals often find themselves questioning the possibility of contributing to both a Health Savings Account (HSA) and a Medical Flexible Spending Account (FSA) at the same time. Unfortunately, the straightforward response is no; typically, you cannot contribute to both simultaneously.

Here's the breakdown:

  • Both an HSA and an FSA provide tax benefits for qualified medical expenses; however, they operate under distinct eligibility requirements and contribution limits.
  • If you are making contributions to an HSA, you cannot make contributions to a Medical FSA.
  • Attempting to contribute to both may result in tax penalties and could jeopardize your HSA status.
  • It’s essential to familiarize yourself with the regulations and provisions of each account to determine which one aligns best with your health care needs.

That said, there are some exceptions worth noting:

  • Limited Purpose FSA: If you have an HSA, you could qualify for a Limited Purpose FSA. This account can be applied to specific expenses, such as dental and vision care.
  • Post-deductible FSA: Certain employers provide a post-deductible FSA which becomes accessible after you meet your HSA’s minimum deductible, enabling you to utilize FSA funds for qualified medical costs.
  • Dependent Care FSA: While holding an HSA, you can still contribute to a Dependent Care FSA, as long as your funds are directed toward qualifying dependent care expenses.

In conclusion, take the time to consult with either your employer or a benefits administrator to get clarity on the particular rules and options related to HSAs and FSAs relevant to your situation.

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