Is an HSA the Same as an FSA? | Understanding the Difference Between Health Savings Accounts and Flexible Spending Accounts

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both great ways to help you save money on medical expenses, but they are not the same thing. Here's a breakdown of the differences between the two:

HSAs and FSAs both allow you to set aside pre-tax money to pay for eligible medical expenses, but there are some key differences:

  • HSAs are only available to individuals with a High Deductible Health Plan (HDHP), while FSAs are available through employers to all employees.
  • With an HSA, the money you contribute rolls over from year to year and belongs to you even if you change jobs or health plans. With an FSA, you typically lose any unused funds at the end of the plan year.
  • HSAs offer a triple tax advantage - contributions are tax-deductible, the money grows tax-free, and withdrawals for qualified medical expenses are tax-free. FSAs only offer a tax advantage on contributions and withdrawals.
  • HSAs have higher contribution limits than FSAs, allowing you to save more for future healthcare costs.

So, in summary, HSAs and FSAs are both valuable tools for managing medical expenses, but they operate differently and have varying benefits. It's important to understand these differences to make the most of your healthcare savings options.


It’s a common misconception that Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are the same, but knowing the differences can lead to smarter financial choices.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter