Can You Hold a HSA and a HRA at the Same Time?

Many individuals are often curious about holding both a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA) simultaneously. The answer to this question is not a simple yes or no, as it depends on specific circumstances and the type of HRA in question.

Firstly, let's understand what an HSA and an HRA are:

  • HSA (Health Savings Account): An HSA is a tax-advantaged savings account that individuals can use to pay for qualified medical expenses. It is typically paired with a high-deductible health plan (HDHP) and offers triple tax benefits - contributions are tax-deductible, earnings grow tax-free, and withdrawals for qualified medical expenses are tax-free.
  • HRA (Health Reimbursement Arrangement): An HRA is an employer-funded account that reimburses employees for out-of-pocket medical expenses. The funds in an HRA are provided by the employer and are not portable if the employee changes jobs.

Here are some key points to consider when it comes to holding both a HSA and a HRA:

  • Types of HRAs: There are different types of HRAs, and the rules for combining them with an HSA can vary. The most common HRAs include:
    • Integrated HRA
    • Limited-Purpose HRA
    • Post-Deductible HRA
  • Health Savings Account Coordination: The IRS has guidelines on how individuals can coordinate their HSA with an HRA without violating HSA eligibility rules. It's crucial to understand these guidelines to avoid any penalties.
  • Employer's Policy: Employers have the discretion to offer both a HSA and a HRA to their employees. It's essential to check with your employer about their policies regarding dual enrollment in both accounts.

In conclusion, while it is possible to have a HSA and a HRA at the same time, it's essential to understand the rules and regulations governing the coordination of these accounts to ensure compliance and maximize the financial benefits they offer.


Many individuals often wonder if it's possible to hold both a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA) at the same time, and while it's possible, there are specific rules that can affect eligibility and usage.

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