Is a FSA Or HSA Qualify as ACA Compliant?

When it comes to managing your healthcare expenses, it's essential to know the differences between a Flexible Spending Account (FSA) and a Health Savings Account (HSA) and whether they qualify as Affordable Care Act (ACA) compliant.

FSAs and HSAs are both tax-advantaged accounts that can help you save money on eligible healthcare expenses. Here's a breakdown of each:

  • Flexible Spending Account (FSA):
    • Employee-sponsored benefit
    • Pre-tax contributions
    • Use-it-or-lose-it rule (though some plans allow a rollover or grace period)
    • Can be used for qualified medical expenses
  • Health Savings Account (HSA):
    • Available to individuals with a high-deductible health plan (HDHP)
    • Contributions are tax-deductible
    • Unused funds roll over from year to year
    • Can be used for qualified medical expenses

So, do FSAs or HSAs qualify as ACA compliant?

Under the ACA, both FSAs and HSAs are considered ACA compliant as long as they meet certain guidelines:

  • The plan must provide minimum essential coverage
  • It must meet the minimum value standard
  • It should be affordable for the employee

By offering an FSA or HSA, employers can help their employees meet the ACA requirements while also providing them with a valuable healthcare benefit.


When managing healthcare expenses, understanding the intricacies between a Flexible Spending Account (FSA) and a Health Savings Account (HSA) is vital, especially considering their compliance with the Affordable Care Act (ACA).

Both FSAs and HSAs serve as tax-advantaged accounts, aiding you in saving on eligible healthcare costs. Let's delve deeper into each:

  • Flexible Spending Account (FSA):
    • An employer-sponsored benefit
    • Allows for pre-tax contributions
    • Typically follows a use-it-or-lose-it policy, although some plans may permit a rollover or grace period
    • Can be utilized for a wide range of qualified medical expenses
  • Health Savings Account (HSA):
    • Accessible to individuals enrolled in a high-deductible health plan (HDHP)
    • Contributions are tax-deductible, reducing taxable income
    • Any unused funds conveniently roll over each year
    • Can fund qualified medical expenses such as deductibles, copayments, and even some over-the-counter medications

So, how do these accounts fare in terms of ACA compliance?

According to the ACA guidelines, both FSAs and HSAs are deemed ACA compliant as long as they fulfill certain criteria:

  • The insurance plan must offer minimum essential coverage
  • It needs to meet the minimum value standard
  • Finally, it should be considered affordable for employees

By providing either an FSA or HSA, employers not only assist their employees in satisfying ACA requirements but also contribute to enhancing their overall healthcare benefits.

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