Can You Have an HSA or HRA Account Exist on the Same Medical Plan?

Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) are both valuable tools that help individuals save money for medical expenses. But can you have them exist on the same medical plan?

While HSA and HRA are both related to healthcare savings, they operate differently and are subject to different rules and regulations. Typically, you cannot have both an HSA and an HRA at the same time on the same medical plan. However, there are a few exceptions:

  • If you have an HRA that only covers dental, vision, or preventive care expenses, you may still be eligible for an HSA.
  • If your HRA has a limited-purpose purpose, such as covering only dental and vision expenses, you may be able to have an HSA as well.
  • If your HRA is a post-deductible HRA, meaning it only provides benefits after you have met a certain deductible amount, you may qualify for an HSA.

It's important to consult with a financial advisor or benefits specialist to understand the specific rules and limitations that apply to your situation.


When it comes to saving for medical expenses, understanding the relationship between a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA) is crucial. While usually you can’t have both on the same plan, exceptions exist that can provide flexibility in managing your healthcare costs.

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