Can You Have an FSA and an HSA? Your Guide to Health Savings Options

When it comes to managing your healthcare expenses, understanding the difference between an FSA (Flexible Spending Account) and an HSA (Health Savings Account) can make a big difference in how you plan and pay for your medical costs.

So, can you have both an FSA and an HSA? The simple answer is yes, but with some important stipulations to keep in mind.

An FSA and an HSA are both types of accounts that allow you to save money for qualified medical expenses on a tax-advantaged basis, but there are key differences between the two:

  • FSA: An FSA is usually offered by your employer, and funds must be used by the end of the plan year or you may lose them. There is also a limit on the amount you can contribute each year, which is set by the IRS.
  • HSA: An HSA, on the other hand, is available to individuals with a high-deductible health plan (HDHP). Contributions to an HSA roll over from year to year and belong to the account holder, even if you change jobs or health plans.

Given these differences, it is possible to have both an FSA and an HSA at the same time, but there are some things to consider:

  • You cannot contribute to both accounts in the same year – if you have an FSA and switch to an HSA mid-year, you will need to prorate your contributions to each account accordingly.
  • If you have an FSA that allows carryover or a grace period into the next year, you may need to coordinate with your HSA to avoid any potential issues.

Ultimately, having both an FSA and an HSA can provide you with added flexibility and tax advantages when it comes to managing your healthcare costs. Be sure to review your plan documents carefully and consult with a financial advisor if you have any questions about which option is best for your situation.


When navigating the waters of healthcare expenses, it’s crucial to understand how both an FSA (Flexible Spending Account) and an HSA (Health Savings Account) function. Each has its unique perks that can significantly impact your budgeting for medical costs.

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