Is an HSA and HRA the Same? All You Need to Know

Health savings accounts (HSAs) and health reimbursement arrangements (HRAs) are often confused, but they are not the same. It's important to understand the differences between the two to make informed decisions about your healthcare needs.

HSAs and HRAs both provide ways to save for medical expenses, but they have distinct features and eligibility requirements:

  • HSAs are individually owned accounts that you can contribute to if you have a high-deductible health plan.
  • HRAs are funded solely by your employer, and you can't contribute to them directly.

Here are some key differences between HSAs and HRAs:

  • Ownership: HSAs are owned by the individual, while HRAs are owned by the employer.
  • Portability: HSAs are portable, meaning you can take them with you if you change jobs or health plans. HRAs are not portable and stay with the employer.
  • Contributions: With an HSA, both you and your employer can contribute, while HRAs are funded solely by the employer.
  • Withdrawals: You can withdraw funds from an HSA for qualified medical expenses tax-free. HRAs are reimbursed by the employer directly for eligible expenses.

It's essential to consider your healthcare needs and financial situation when choosing between an HSA and an HRA. Consulting with a financial advisor or benefits specialist can help you make the best decision for your circumstances.


When it comes to managing healthcare expenses, understanding the distinction between health savings accounts (HSAs) and health reimbursement arrangements (HRAs) is crucial. HSAs allow individuals with high-deductible health plans to save money tax-free, while HRAs are employer-funded accounts that reimburse you for medical expenses directly.

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