Can You Have Both an HRA and HSA Account?

Are you wondering if you can have both a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA) at the same time? The short answer is yes, you can have both types of accounts, but there are some restrictions and considerations to keep in mind.

Let's break it down:

  • What is an HRA?
    An HRA is an employer-funded account that reimburses employees for qualified medical expenses. It is owned and funded by the employer, and employees do not contribute to it.
  • What is an HSA?
    An HSA is a personal savings account for medical expenses. It is owned by the individual, and both the individual and their employer can contribute to it.

Having both an HRA and HSA can offer you more flexibility and options for covering your healthcare costs. Here are some key points to consider:

  • You can have an HSA and be covered by an HRA as long as the HRA is a limited-purpose HRA or a post-deductible HRA.
  • If you have an HRA, you may not be eligible to contribute to an HSA unless the HRA is structured appropriately. Check with your employer or benefits administrator to understand your specific situation.
  • Having both types of accounts can provide a tax-efficient way to save for and pay for medical expenses not covered by your health insurance.

It's essential to consult with a financial advisor or tax professional to ensure you understand the rules and implications of having both an HRA and HSA.


Yes, you absolutely can hold both a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA) simultaneously. However, there are a few conditions to take into account regarding their interaction.

To clarify:

  • Defining an HRA:
    HRAs are accounts that your employer funds to reimburse you for eligible medical expenditures, hence they do not require employee contributions, making them a wholly employer-funded benefit.
  • Understanding an HSA:
    Contrary to HRAs, HSAs allow you to save money for medical costs. Both your employer and you can contribute funds into this account, providing more personal management of your healthcare budget.

Combining an HRA and HSA can enhance your financial flexibility regarding healthcare payments, but remember:

  • While you can possess both, your HRA must be categorized as either a limited-purpose or a post-deductible HRA for you to maintain HSA contribution eligibility.
  • If your HRA isn’t structured in the right way, it may potentially hinder your ability to contribute to an HSA, so make sure to verify details with your employer.
  • Utilizing both accounts could lead to efficient tax savings while you tackle medical expenses that aren’t entirely covered by your health insurance.

This dual account setup requires careful consideration, and consulting with a financial advisor or tax professional can ensure you’re leveraging these accounts correctly for your situation.

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