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

If you’ve heard about Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs), you might be wondering if you can have both. The short answer is yes, but with some limitations and considerations. Let’s dive into the details to understand how HRAs and HSAs work together.

HRAs and HSAs are both tools that help you save money on healthcare costs, but they have different structures and rules. Here’s a breakdown of each:

  • HRA (Health Reimbursement Arrangement):
    • Funded solely by your employer.
    • Employer determines the contribution amount.
    • Can only be used for qualified medical expenses.
  • HSA (Health Savings Account):
    • Individual or employer-funded.
    • You control the contributions.
    • Can be used for qualified medical expenses and saved for future use.

Now, can you have both a HRA and HSA? The answer is yes, but there are some caveats. Here are some key points to consider:

  • You can have a HRA and HSA at the same time, but there are some restrictions depending on the type of HRA you have.
  • If you have a Limited-Purpose HRA or Post-Deductible HRA, you can contribute to an HSA.
  • If you have a General-Purpose HRA, you cannot contribute to an HSA.
  • Having both accounts can provide additional tax benefits and flexibility in covering healthcare expenses.

When deciding whether to have both a HRA and HSA, it’s essential to consider your specific healthcare needs, tax implications, and employer offerings. Consulting with a financial advisor can help you make an informed decision based on your individual circumstances.


If you’re navigating the world of healthcare benefits, understanding the relationship between Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs) is essential. You can indeed have both, but it’s important to be aware of how they interact. Let’s break it down further.

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