Can You Have an HSA and HRA at the Same Time? - Understanding the Difference and Benefits

Are you someone who is looking to maximize your healthcare savings and benefits? You might be wondering, can you have a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA) at the same time? Let's dive into the details to understand the differences and benefits of having both accounts simultaneously.

An HSA and an HRA are both powerful tools that can help you save money on medical expenses, but they have distinct differences:

  • HSA (Health Savings Account):
    • Funded by you or your employer
    • Portable and owned by you
    • Contributions are tax-deductible
    • Can be used for qualified medical expenses tax-free
  • HRA (Health Reimbursement Arrangement):
    • Funded solely by the employer
    • Employer owns the account
    • Reimbursements are tax-free for qualified medical expenses

So, can you have both at the same time? The short answer is yes, you can have an HSA and an HRA simultaneously, but there are some restrictions and considerations:

  • Having both accounts can provide you with more options for covering medical expenses and potentially maximizing your savings.
  • If you have an HRA, you can still qualify for an HSA, but there are specific rules to follow:
    • You cannot be enrolled in any other health coverage that is not HSA-eligible, such as a general purpose Flexible Spending Account (FSA) or Medicare.
    • Your HRA must be a limited-purpose HRA that only covers certain types of expenses, like dental and vision care.
    • Your employer must set up the HRA to be compatible with an HSA.

Overall, having an HSA and an HRA at the same time can be a great way to maximize your healthcare savings and benefits if you meet the eligibility criteria. Be sure to consult with a healthcare benefits expert or financial advisor to determine the best strategy for your individual needs.


Absolutely! You can have both an HSA and an HRA at the same time, which can give you an edge in managing your healthcare expenses efficiently.

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