Can You Contribute to an HSA and FSA? - Understanding Health Savings Accounts and Flexible Spending Accounts

Healthcare costs can be a significant financial burden, but Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are valuable tools that can help you save money on medical expenses. One common question that many people have is - can you contribute to an HSA and FSA at the same time?

Before we delve into whether you can contribute to both accounts, let's first understand the key differences between HSAs and FSAs:

  • Health Savings Account (HSA):
    • Available to individuals who are enrolled in a High Deductible Health Plan (HDHP)
    • Contributions are tax-deductible and grow tax-free
    • Funds can be carried over from year to year
    • Can only be used for qualified medical expenses
  • Flexible Spending Account (FSA):
    • Available through employer-sponsored plans
    • Contributions are pre-tax, reducing your taxable income
    • Use-it-or-lose-it rule applies, meaning funds generally do not carry over from year to year
    • Can be used for qualified medical expenses and dependent care expenses

Now, back to the question - can you contribute to both an HSA and FSA?

The short answer is - it depends:

  • If you have an HSA, you are not eligible to participate in a general-purpose FSA, but you can have a limited-purpose FSA for dental and vision expenses.
  • If you have an FSA, you can also have an HSA, but with certain restrictions.

It's essential to check with your employer or benefits administrator to understand the specific rules and limitations regarding contributing to both accounts simultaneously.

Combining an HSA and FSA can be a strategic way to maximize your healthcare savings and take advantage of tax benefits. By understanding how these accounts work and the rules governing their contributions, you can make informed decisions to manage your healthcare expenses effectively.


Healthcare costs can weigh heavily on your finances, but by understanding the essential features of Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs), you can find opportunities to cut down on out-of-pocket medical expenses. A frequently asked question is whether you can contribute to both an HSA and an FSA simultaneously, and the answer may surprise you.

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