Can You Have a Section 105 and HSA? A Guide to Understanding Health Savings Accounts (HSA)

Health Savings Accounts (HSAs) are a valuable tool for individuals looking to save money on healthcare expenses. One common question that arises is whether you can have a Section 105 plan along with an HSA. Let's explore this topic in detail.

A Section 105 plan, also known as a Flexible Spending Arrangement (FSA), allows employees to set aside pre-tax dollars to pay for eligible medical expenses. On the other hand, an HSA is a tax-advantaged account that individuals can use to save for current and future medical expenses.

While both Section 105 plans and HSAs offer tax benefits, they have some key differences that individuals need to consider:

  • Section 105 plans are funded by the employer, while HSAs are typically funded by the individual or employer.
  • With a Section 105 plan, funds must be used within the plan year or a grace period afterward. In contrast, HSA funds roll over year after year.
  • Section 105 plans may have restrictions on who can participate, whereas HSAs are available to individuals with a high-deductible health plan.

So, can you have a Section 105 plan and an HSA at the same time? The answer is yes, but there are some important considerations to keep in mind:

  • If you have both a Section 105 plan and an HSA, the Section 105 plan must be a limited-purpose FSA or HRA that only covers dental and vision expenses.
  • Alternatively, you can have a general-purpose Section 105 plan along with an HSA, but you cannot use the Section 105 plan to cover medical expenses that are also eligible for HSA reimbursement.
  • Having both a Section 105 plan and an HSA can provide additional flexibility and tax benefits, but it's essential to understand the rules and limitations of each account.

In conclusion, while you can have a Section 105 plan and an HSA simultaneously, it's crucial to ensure that the Section 105 plan is compatible with HSA rules to maximize the benefits of both accounts. Consulting with a tax advisor or financial planner can help you make informed decisions about your healthcare savings strategies.


Health Savings Accounts (HSAs) empower individuals by providing them with the means to save on healthcare costs. A frequent inquiry is whether you can simultaneously hold a Section 105 plan and an HSA. Let's delve deeper into this issue.

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