Can You Do a FSA and HSA Account at the Same Time?

When it comes to managing your healthcare expenses, having a flexible spending account (FSA) and a health savings account (HSA) can be beneficial. But can you have both types of accounts at the same time? Let's dive into this common question.

FSAs and HSAs are both tax-advantaged accounts that allow you to save money for medical expenses. Each account has its own rules and benefits, and it's essential to understand how they work together.

FSAs are typically offered by your employer, and funds must be used within the plan year or a grace period. On the other hand, HSAs are available to individuals with a high-deductible health plan, and the funds roll over year after year.

So, can you have both an FSA and HSA simultaneously? The short answer is yes, but there are some limitations:

  • You cannot contribute to both an FSA and HSA in the same year.
  • If you have both types of accounts, you cannot use your FSA funds for expenses covered by your HSA.
  • If you enroll in an HSA mid-year, you may need to adjust your FSA contributions to comply with IRS regulations.

It's essential to coordinate your FSA and HSA accounts to maximize your savings and avoid any penalties. Consulting with a financial advisor or tax professional can help you navigate the rules and make the most of these accounts.


Managing healthcare expenses can lead to some tricky decisions, especially when considering whether to utilize a flexible spending account (FSA) and a health savings account (HSA) simultaneously. Can you really have both? Let's explore this nuanced topic.

Both FSAs and HSAs provide you with tax benefits, allowing you to save money specifically for medical expenses. Understanding their distinct characteristics can help you make an informed decision.

While FSAs are commonly linked to your employer's benefits, meaning that any unused funds may disappear at the end of the year (or a designated grace period), HSAs offer more flexibility by allowing you to roll over funds indefinitely as long as you maintain a high-deductible health plan.

Having both accounts is possible, but it's important to be aware of the internal guidelines:

  • Contributions to both accounts in the same year are not permitted.
  • Using funds from your FSA for costs eligible for your HSA is not allowed.
  • If you switch to an HSA partway through the year, a careful review of your FSA contributions is required to remain compliant with IRS guidelines.

To ensure you're getting the most out of your FSA and HSA, it's wise to strategize how you'll use these accounts. Engaging a financial advisor can equip you with the knowledge to optimize your healthcare savings while adhering to all regulations.

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