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

Many individuals often wonder if they can have both a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA) at the same time. The answer is yes, but with some limitations and considerations.

Both the HRA and HSA are powerful tools to help you save on medical expenses, but they work differently and have their own set of rules and benefits.

Here's a closer look at the differences between an HRA and an HSA:

  • HRA:
  • Employer-funded account
  • Reimburses you for qualified medical expenses
  • Unused funds may roll over year to year
  • Not portable if you change jobs
  • HSA:
  • Individual or employer-funded account
  • Contributions are tax-deductible
  • Funds can be invested
  • Portable and stays with you even if you change jobs

Combining an HRA and HSA can offer even greater savings and flexibility in managing your healthcare costs. Here are some key points to consider:

  • You may be eligible to have both an HRA and HSA if your employer offers both options.
  • If you have an HRA, you may need to have a qualified high-deductible health plan to be eligible for an HSA.
  • Coordinate your expenses carefully to maximize the benefits of both accounts.
  • Make sure to stay within the contribution limits set by the IRS for both the HRA and HSA.

By understanding the differences and benefits of an HRA and HSA, you can make informed decisions about your healthcare savings and expenses.


Understanding your healthcare options is essential, and knowing you can have both an HRA and an HSA might just unlock significant savings for you and your family. An HRA, funded by your employer, complements your financial strategy by reimbursing you for medical expenses, while an HSA, where contributions can come from both you and your employer, provides tax advantages and portability.

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