Can You Contribute to a Medical Spending Account and HSA?

When it comes to managing healthcare expenses, two popular options that many individuals consider are a Medical Spending Account and a Health Savings Account (HSA). Both accounts offer tax advantages and help individuals save money on medical costs, but there are key differences between the two.

A Medical Spending Account, also known as a Flexible Spending Account (FSA), is offered by employers and allows employees to set aside a portion of their pre-tax salary to pay for eligible medical expenses. On the other hand, an HSA is available to individuals with a high-deductible health insurance plan and allows them to contribute pre-tax money that can be used for qualified medical expenses.

So, can you contribute to both a Medical Spending Account and an HSA? The short answer is yes! However, there are some important things to keep in mind when considering contributing to both accounts:

  • Eligibility Requirements: To contribute to an HSA, you must be enrolled in a high-deductible health plan and not be covered by any other health insurance that is not an HDHP. There are no such eligibility requirements for a Medical Spending Account.
  • Contribution Limits: Both accounts have contribution limits set by the IRS. For 2021, the annual contribution limit for an individual HSA is $3,600, whereas the maximum contribution limit for an individual FSA is $2,750.
  • Roll-over Rules: One key difference between the two accounts is that funds in an HSA roll over from year to year, while funds in an FSA generally do not. However, some employers may offer a grace period or a limited carryover option for FSAs.

By contributing to both a Medical Spending Account and an HSA, individuals can maximize their tax savings and have more flexibility in covering their medical expenses. It's essential to understand the rules and limitations of each account to make the most informed decision based on your healthcare needs.


Understanding the intricate functions of a Medical Spending Account and a Health Savings Account (HSA) is essential for anyone looking to navigate healthcare expenses effectively. Both offer substantial tax benefits, but knowing how to use them together can unlock even greater savings.

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