HSA Shop logoHSA Shop

HSA Guide

What is an FSA and HSA? Understanding the Basics

Published February 5, 2024

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: You can use an FSA for eligible medical expenses but unused funds may be forfeited, while an HSA requires a high-deductible health plan and lets funds rollover and be invested.

Overview of FSA and HSA benefits

When it comes to managing healthcare expenses, two common options are Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA). Both accounts offer tax advantages and can help individuals save money on medical costs. However, there are some key differences between the two that are important to understand.

How FSAs work and their key drawback

Flexible Spending Accounts (FSA) are offered by employers and allow employees to contribute pre-tax dollars to the account. These funds can be used for eligible medical expenses, such as copayments, deductibles, and prescription medications. One drawback of an FSA is that any unused funds at the end of the year may be forfeited.

How HSAs work, rollover, and investing

On the other hand, Health Savings Accounts (HSA) are available to individuals with high-deductible health plans. Contributions to an HSA are tax-deductible, and the funds can be used for qualified medical expenses tax-free. Unlike FSAs, funds in an HSA rollover year after year and can even be invested for potential growth.

Key differences and decision guidance

Here are some key points to remember about FSAs and HSAs:

  • FSAs are employer-sponsored, while HSAs are available to individuals with high-deductible health plans.
  • Funds in an FSA must be used by the end of the plan year, or they may be forfeited. HSA funds rollover year after year.
  • Contributions to an FSA are set by the employer, while individuals can choose how much to contribute to an HSA, up to annual limits set by the IRS.
  • Both FSAs and HSAs offer tax savings on qualified medical expenses.
  • HSAs can also be used as a long-term savings vehicle for healthcare expenses in retirement.

Understanding the differences between FSAs and HSAs can help individuals make informed decisions about their healthcare finances. Whether you have the option to enroll in an FSA or an HSA, both accounts offer valuable tax benefits and can help you save money on healthcare expenses.

Understanding the intricacies of healthcare financing can be overwhelming, but knowing the differences between Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) can greatly enhance your ability to manage medical costs effectively.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles