Is HRA Same as HSA? Understanding the Differences and Benefits

Many individuals often get confused between Health Reimbursement Arrangements (HRA) and Health Savings Accounts (HSA) as both are related to healthcare expenses. However, they are not the same and have distinct features.

Let's delve into the differences between HRA and HSA to understand them better:

Health Reimbursement Arrangements (HRA):

  • HRA is funded solely by the employer.
  • Employees can be reimbursed tax-free for qualified medical expenses up to a specified amount set by the employer.
  • Unused funds may roll over year to year, depending on the employer's plan.

Health Savings Accounts (HSA):

  • HSA is funded by the individual, employer, or both.
  • Contributions are tax-deductible and grow tax-free.
  • Individuals can use HSA funds to pay for qualified medical expenses at any time without penalties.

In summary, while both HRA and HSA help with medical expenses, they differ in terms of funding, ownership, and rollover rules.

Choosing between HRA and HSA depends on individual needs, the employer's offerings, and future healthcare expectations.


It's a common dilemma: many people often confuse Health Reimbursement Arrangements (HRA) with Health Savings Accounts (HSA). While both serve the purpose of helping you manage healthcare costs, their structures and benefits are notably different.

Let’s break down the differences between HRA and HSA for a clearer understanding:

Health Reimbursement Arrangements (HRA):

  • HRA is a compensation arrangement funded exclusively by the employer, providing a safety net for employees.
  • Employees can conveniently pay for eligible medical expenses and receive reimbursements that are completely tax-free, making healthcare more affordable.
  • One attractive feature of HRAs is that unused funds can roll over from year to year, although this is contingent upon the specific plan offered by the employer.

Health Savings Accounts (HSA):

  • Unlike HRAs, HSAs can be funded by the individual, their employer, or both, which adds flexibility in choosing health plans.
  • Contributions made to an HSA are tax-deductible and the funds grow tax-free, enabling users to build up a reserve for medical expenses.
  • Individuals can utilize their HSA funds at any point to cover qualified medical expenses without facing penalties, giving them financial freedom.

In conclusion, while HRAs and HSAs are both valuable tools for managing medical expenses, they vary significantly in terms of funding sources, ownership rights, and rules regarding fund rollovers.

When selecting between an HRA and an HSA, consider personal health needs, future medical costs, and what your employer offers to make the most informed choice.

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