Do I Have to Pay for a Flexible Spending Account and an HSA?

When it comes to healthcare accounts like a Flexible Spending Account (FSA) and a Health Savings Account (HSA), it's essential to understand the differences in costs and how they work. Let's break it down for you:

An FSA is an account that you contribute to with pre-tax dollars from your paycheck to pay for eligible medical expenses. The contributions are decided by you during open enrollment, and the funds must be used within the plan year or risk losing them.

On the other hand, an HSA is also funded with pre-tax money, but it belongs to you, not your employer. You can use the funds for qualified medical expenses, and the unused balance rolls over year after year - there's no 'use it or lose it' rule.

Now, onto the cost aspect:

  • For an FSA, you decide how much to contribute, and that amount is deducted from your paycheck throughout the year. This money is available for you to use immediately, even if you haven't contributed the full amount yet.
  • With an HSA, you decide how much to contribute, but you can also receive contributions from your employer. The money in your HSA is yours to keep, even if you change jobs or health plans.

So, do you have to pay for a Flexible Spending Account and an HSA? The short answer is yes, but in different ways:

  • You pay for an FSA through regular deductions from your paycheck, which can help lower your taxable income.
  • With an HSA, you can contribute money yourself, and your employer may also contribute. This account is portable and can grow over time, offering tax benefits along the way.

Both an FSA and an HSA can help you save money on healthcare expenses, but they work in slightly different ways in terms of costs and benefits. Understanding these differences can help you make the best choice for your healthcare needs.


Understanding the financial implications of a Flexible Spending Account (FSA) versus a Health Savings Account (HSA) can be crucial for your healthcare budgeting. While both utilize pre-tax dollars to pay for eligible expenses, the portability and rollover benefits of an HSA make it an attractive option. Additionally, contributions to an HSA can provide a safety net as they grow over time, allowing you to invest in your future healthcare needs.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter