Can You Have an HSA and a Cafeteria Plan?

When it comes to saving for medical expenses, a Health Savings Account (HSA) and a Cafeteria Plan both offer tax advantages. However, many people wonder if they can have both accounts at the same time.

The short answer is yes, you can have an HSA and a Cafeteria Plan concurrently. It's essential to understand how each account works and the specific rules that govern them.

An HSA is a tax-advantaged savings account that allows you to contribute pre-tax dollars to pay for qualified medical expenses. On the other hand, a Cafeteria Plan, also known as a Flexible Spending Account (FSA), is an employer-sponsored benefit that allows you to set aside pre-tax dollars to cover medical expenses not covered by insurance.

Here are some essential points to consider when having both an HSA and a Cafeteria Plan:

  • You can have both accounts, but there are limitations on how much you can contribute to each.
  • Contributions to an HSA can only be made if you have a High Deductible Health Plan (HDHP).
  • Contributions to a Cafeteria Plan are typically set during the open enrollment period and are use-it-or-lose-it funds, unlike an HSA which rolls over year after year.
  • It's essential to track your expenses and ensure you are using the funds from the correct account to avoid any tax implications.

By understanding the rules and nuances of both accounts, you can take full advantage of the tax benefits they offer while effectively managing your medical expenses.


Yes, you can enjoy the benefits of both an HSA and a Cafeteria Plan, allowing you to maximize your tax savings while managing healthcare costs.

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