Can You Use FSA and HSA Together? Understanding the Benefits of Combining Health Savings Accounts and Flexible Spending Accounts

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both valuable tools that can help you save money on eligible healthcare expenses. But can you use them together? The short answer is yes, you can use an FSA and HSA together under certain circumstances. Let's delve deeper into how these accounts can work together to maximize your healthcare savings.

FSAs and HSAs serve different purposes, but when used together, they can complement each other well.

FSAs are offered through your employer and allow you to set aside pre-tax dollars to pay for qualified medical expenses. On the other hand, HSAs are available to individuals with high-deductible health plans and offer a triple tax advantage - contributions are tax-deductible, grow tax-free, and withdrawals for qualified medical expenses are tax-free.

Here are the key points to consider when using FSA and HSA together:

  • You can have both an FSA and HSA, but there are restrictions based on the type of FSA you have.
  • You cannot have a traditional FSA and an HSA at the same time, but you can have a Limited-Purpose FSA that only covers certain expenses like vision and dental care along with an HSA.
  • Be mindful of coordination of benefits rules if you have both accounts to ensure compliance with IRS regulations.

By combining an FSA and HSA, you can enjoy greater flexibility and savings on healthcare expenses. The FSA can cover expenses that may not be HSA-eligible, while the HSA can help you save for future medical needs and enjoy the long-term tax advantages.

It's essential to understand the rules and limitations of each account to make the most of these savings opportunities. Consult with your benefits administrator or financial advisor to determine the best approach for your individual situation.


The primary intent behind Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) is to aid individuals in managing their healthcare costs efficiently. By utilizing both accounts strategically, you can unlock additional savings opportunities.

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