Can You Have a FSA and a HSA? Understanding the Differences and Benefits

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both valuable tools that can help you save money on medical expenses. However, many people wonder whether they can have both an FSA and an HSA at the same time.

While it is not common to have both a Health Savings Account and a Flexible Spending Account simultaneously, there are certain circumstances under which it is possible. Here are some key points to consider:

Understanding the Differences:

  • FSA: FSAs are offered by employers, and funds must be used within the plan year or grace period or else they are forfeited. The contribution limit for FSAs is set by the employer.
  • HSA: HSAs are available to individuals with a High Deductible Health Plan (HDHP). The funds in an HSA roll over from year to year, and the account holder owns the funds.

Can You Have Both?

While generally, individuals cannot have both an FSA and an HSA simultaneously, there are exceptions when you can:

  • If you have a Limited-Purpose FSA that only covers dental and vision expenses, you can also have an HSA.
  • If you have a Post-Deductible FSA that only covers expenses after you meet your HDHP deductible, you can have an HSA.
  • If you have a Dependent Care FSA, it does not affect your HSA eligibility.

Benefits of Having Both:

  • Maximize your tax savings by utilizing both accounts.
  • More flexibility in covering a wider range of medical expenses.
  • Can save for future healthcare needs with an HSA while using the FSA for current expenses.

In conclusion, while it is not common to have both a Health Savings Account and a Flexible Spending Account at the same time, there are certain situations where it is allowed. Understanding the differences and benefits of each account can help you make the best decision for your healthcare needs and financial planning.


Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both effective financial tools designed to help you manage healthcare expenses more efficiently. If you're on a tight budget, you might wonder whether you can benefit from both an FSA and an HSA at the same time.

While not common, there exist specific scenarios where having both accounts is permitted, which can be incredibly advantageous for your healthcare budget planning. Here’s a deeper look into both accounts:

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter