Do You Lose Money at the End of the Year in HSA or FSA?

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are popular choices for managing healthcare expenses. One common concern for users is whether they lose money at the end of the year in these accounts. Let's break it down for a better understanding.

Health Savings Account (HSA):

  • Funds in HSA roll over year after year, there is no 'use it or lose it' rule.
  • Contributions to HSA are tax-deductible and grow tax-free.
  • Unused HSA funds stay in the account and can be saved for future healthcare expenses.

Flexible Spending Account (FSA):

  • FSAs typically have a 'use it or lose it' rule where funds not used by the end of the plan year can be forfeited.
  • Some FSAs offer a carryover option or a grace period to use remaining funds.
  • Employers have the option to allow a carryover of up to $550 from one year to the next or a grace period of up to 2.5 months to spend remaining funds.

It's essential to plan your healthcare expenses accordingly to maximize the benefits of your HSA or FSA.


When it comes to managing healthcare costs, understanding the rules of Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) is crucial. Many people worry about losing unused funds at the end of the year, but this concern varies greatly between the two accounts.

Health Savings Account (HSA):

  • One of the key advantages of an HSA is that funds accrue indefinitely; there's no 'use it or lose it' predicament.
  • The tax benefits of HSAs are significant: contributions are tax-deductible, and your savings grow tax-free.
  • In fact, an HSA can serve as a long-term savings vehicle for healthcare costs, allowing you to plan for future expenses without the pressure of a time limit.

Flexible Spending Account (FSA):

  • On the other hand, FSAs can pose a risk of losing money if funds remain unspent by the end of the plan year.
  • Fortunately, some FSAs come with options to carry over a portion of your balance—up to $550—or provide a grace period of up to 2.5 months after the plan year ends to use those leftover funds.
  • This means it’s crucial to strategize your spending within the year to take full advantage of your FSA benefits.

Knowing the differences between HSAs and FSAs can help you effectively manage and utilize your healthcare funds without fear of losing money at year-end.

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