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Can You Have an HSA and FSA in the Same Year IRS: Important Facts to Know

Published December 4, 2022

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Short answer: You generally can’t have an HSA and a traditional Health Care FSA in the same year, but you can pair an HSA with a Limited-Purpose FSA or a Post-Deductible FSA under IRS rules.

Question about having HSA and FSA

Many people often wonder if they can have both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) in the same year as per IRS rules. The answer to this question is a bit complex and requires understanding the rules and regulations set by the IRS regarding these accounts.

You're not alone in wondering if you can juggle both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) in one year. Let's dive into the IRS regulations surrounding these accounts to clarify.

IRS rules and permitted FSA exceptions

It's important to know the key points regarding having both an HSA and FSA in the same year:

  • HSAs and FSAs are both types of accounts that offer tax advantages for medical expenses.
  • Employers may offer one or both account options to their employees.
  • While it's generally not allowed to have both an HSA and a traditional Health Care FSA in the same year, there are exceptions.
  • If you have an HSA, you can have a Limited-Purpose FSA or a Post-Deductible FSA but not a traditional Health Care FSA.
  • With a Limited-Purpose FSA, you can use the funds for qualified dental and vision expenses only.
  • A Post-Deductible FSA kicks in after you've met your HSA plan's deductible, allowing you to use funds for general medical expenses.
  • It's crucial to consult with your HR department or benefits administrator to understand the specific rules and options available to you.

Use details to make compliant decisions

By being aware of these details and exceptions, you can make informed decisions about how to best utilize both your HSA and FSA in the same year while staying compliant with IRS regulations.

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