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

Many people often wonder whether they can have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) at the same time. The answer is yes, but with some restrictions and considerations.

FSAs and HSAs are both useful tools for saving money on medical expenses, but they have different rules and benefits. Here's a breakdown of each:

Flexible Spending Account (FSA)

An FSA is an employer-sponsored benefit that allows you to set aside pre-tax money to pay for eligible medical expenses. Some key points about FSAs include:

  • Use-it-or-lose-it rule: You must spend all the funds in your FSA by the end of the plan year, or you may lose the money.
  • Contributions limits: The maximum contribution limit for an FSA is set by the employer, and it can vary each year.
  • Eligible expenses: You can use FSA funds for a wide range of medical expenses, including copayments, deductibles, and prescriptions.

Health Savings Account (HSA)

An HSA is a personal savings account that allows you to save for medical expenses tax-free. Here are some key points about HSAs:

  • Roll-over funds: Unlike FSAs, HSA funds roll over from year to year, so you never lose the money you contribute.
  • Contribution limits: HSA contribution limits are set by the IRS and are adjusted annually.
  • Investment options: Some HSAs offer the option to invest your funds, allowing them to grow over time.

Now, back to the original question: Can you have both an FSA and an HSA? The short answer is yes, but there's a catch. If you have an HSA, you can still have a Limited-Purpose FSA or a Post-Deductible FSA, which can be used for specific expenses like dental and vision care after you meet your health plan's deductible.

Combining an FSA and an HSA can be a smart strategy to maximize your savings on medical expenses. However, it's essential to understand the rules and limitations of each account to avoid any pitfalls.

Remember, both FSAs and HSAs can help you save money on medical costs, but each has its unique features and restrictions. By knowing how to leverage both accounts effectively, you can make the most of your healthcare dollars.


The possibility of having both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) has intrigued many individuals, opening the door to smarter ways to manage healthcare costs.

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