Can You Have an LPFSA without an HSA? - Exploring Health Savings Options

Many individuals may wonder if it is possible to have a Limited Purpose Flexible Spending Account (LPFSA) without having a Health Savings Account (HSA). While it is not a common arrangement, it is indeed possible to have an LPFSA without an HSA.

An LPFSA is a type of healthcare spending account that can be used alongside an HSA. It is designed to cover specific medical expenses, such as dental and vision care, that are not covered by an HSA. Here are some key points to consider:

  • An LPFSA can be utilized in conjunction with an HSA to enhance coverage for medical expenses.
  • Employers may offer an LPFSA as part of their benefits package even if they do not offer an HSA.
  • Contributions to an LPFSA are made on a pre-tax basis, similar to an HSA.
  • Unlike an HSA, funds in an LPFSA must be used by the end of the plan year or you may risk losing the money.
  • An LPFSA can provide additional flexibility for covering specific healthcare costs that may not be eligible under an HSA.

While having both an HSA and an LPFSA can provide comprehensive coverage for medical expenses, it is also possible to have an LPFSA without an HSA. Individuals should carefully assess their healthcare needs and consult with a benefits administrator to determine the best combination of accounts for their situation.


Yes, individuals can indeed have a Limited Purpose Flexible Spending Account (LPFSA) without an accompanying Health Savings Account (HSA), but it’s worth examining your healthcare expenses and options thoroughly.

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