Can You Have FSA and HSA in the Same Tax Year?

Many individuals may wonder whether it's possible to have a Flexible Spending Account (FSA) and a Health Savings Account (HSA) in the same tax year. The short answer is yes, you can have both types of accounts in the same year, but with some limitations and considerations.

FSAs and HSAs are both types of accounts that allow you to save money on medical expenses while providing tax benefits. While they serve similar purposes, they have some key differences:

  • FSA: An FSA is set up by your employer, and you can contribute a certain amount of pre-tax dollars to use for qualified medical expenses within the plan year. Any unused funds at the end of the year may be forfeited, although some plans offer a carryover or grace period.
  • HSA: An HSA, on the other hand, is a personal account tied to a high-deductible health plan (HDHP). You can contribute pre-tax dollars to the HSA, and the funds roll over from year to year, even if you change jobs or health plans.

Here are some key points to consider when having both FSA and HSA in the same tax year:

  • You cannot contribute to both an FSA and an HSA in the same year unless the FSA is limited purpose or a post-deductible FSA.
  • If you have an FSA and HSA in the same year, the FSA may only cover dental and vision expenses or eligible medical expenses after meeting the HDHP deductible.
  • If you are transitioning from an FSA to an HSA mid-year due to a change in employment or health plan, you may be eligible for a special enrollment period.
  • Be mindful of the contribution limits for both accounts to avoid any tax penalties.

Having both an FSA and an HSA can provide additional flexibility and coverage for your medical expenses, but it's essential to understand the rules and limitations to maximize the benefits of both accounts.


Many individuals are curious about the possibility of having both a Flexible Spending Account (FSA) and a Health Savings Account (HSA) within the same tax year. The answer is yes, you can have both, but it comes with certain limitations based on the type of FSA you have.

Both FSAs and HSAs offer unique tax advantages that can help you manage your healthcare expenses effectively. Here’s a deeper look at the two:

  • FSA: An FSA is employer-established and allows you to set aside pre-tax dollars for eligible medical expenses throughout the plan year. However, it's crucial to note that any unspent funds may vanish at the end of the year, although some plans allow a carryover option.
  • HSA: In contrast, an HSA is your individual account linked to a high-deductible health plan (HDHP), offering the flexibility of rolling over funds indefinitely, which is a major advantage.

Things to bear in mind when juggling an FSA and HSA include:

  • You can only contribute to both accounts simultaneously if your FSA is classified as a limited purpose or a post-deductible FSA.
  • An FSA with an HSA can only be used for vision or dental expenses, or for medical costs incurred after the HDHP deductible is met.
  • If you find yourself transitioning between these accounts mid-year due to employment or health plan changes, you might qualify for a special enrollment period that can benefit you.
  • Always keep a close eye on the contribution limits of both accounts to prevent any potential tax penalties.

The combination of an FSA and an HSA can lead to greater control and coverage over your medical expenses, but understanding the specific rules is key to maximizing the benefits of both.

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