Can You Have an HSA and FSA? Understanding Health Savings and Flexible Spending Accounts

Many individuals often wonder whether it's possible to have both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) at the same time. The short answer is yes, but with a few restrictions. Let's delve deeper into the details of having both types of accounts simultaneously.

Health Savings Account (HSA)

An HSA is a tax-advantaged savings account that allows individuals with a high-deductible health plan to save money for medical expenses. Contributions to an HSA are tax-deductible, and funds in the account can be used to pay for qualified medical expenses.

Flexible Spending Account (FSA)

An FSA is another type of account that allows employees to set aside pre-tax funds to cover eligible medical expenses not covered by insurance. The key difference between an FSA and an HSA is that FSA funds must be used by the end of the plan year, although there is a grace period or carryover option for unused funds.

HSA and FSA Together

It is possible to have both an HSA and an FSA, but there are limitations on the types of FSAs that can be used in conjunction with an HSA:

  • Limited Purpose FSA: This type of FSA covers only dental and vision expenses, making it compatible with an HSA.
  • Post-Deductible FSA: This FSA can be used for medical expenses after the HSA-qualified health plan deductible has been met.

Advantages of Having Both Accounts

Having both an HSA and FSA can offer additional flexibility and coverage for medical expenses. It allows individuals to save for future medical needs while also accessing funds for current expenses that may not be covered by insurance.

Considerations Before Enrolling

Before enrolling in both an HSA and FSA, individuals should consider the following factors:

  • Coordination of benefits and eligible expenses
  • Plan rules on contributions, withdrawals, and rollovers
  • Tax implications and contribution limits

By understanding the rules and benefits of both accounts, individuals can make informed decisions on how to maximize their healthcare savings.


Many individuals often find themselves asking if it's feasible to hold both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) simultaneously. The answer is a resounding yes, but it does come with certain stipulations to keep in mind. Let's explore these accounts and their unique features.

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