Is QSEHRA an HSA Account? Exploring the Differences

QSEHRA and HSA are both valuable health savings options, but they have distinct differences that are important to understand. QSEHRA stands for Qualified Small Employer Health Reimbursement Arrangement, while HSA stands for Health Savings Account. Let's delve into the specifics of each to clarify the distinctions between them.

QSEHRA:

  • Primarily offered by small employers to reimburse employees for qualified health expenses
  • Employer-funded, with set annual limits on reimbursements
  • Employees can use funds for qualified medical expenses tax-free
  • Reimbursements are not considered taxable income for employees

HSA:

  • Available to individuals with a high-deductible health plan
  • Contributions can be made by the individual, employer, or both
  • Funds can be used for qualified medical expenses tax-free
  • Contributions are tax-deductible and grow tax-free

Key Differences:

  • QSEHRA is an employer-funded reimbursement arrangement, while HSA allows for individual and employer contributions
  • QSEHRA is limited to small employers, while HSA is available to individuals with high-deductible health plans
  • There are annual contribution limits for HSAs, but not for QSEHRA
  • HSAs offer the potential for investment growth, while QSEHRA does not

In conclusion, QSEHRA and HSA serve different purposes and cater to different needs. Understanding the distinctions between the two can help individuals and employers make informed decisions about their health savings options.


When considering health savings options, it's crucial to recognize the differences between QSEHRA and HSA. While both provide financial support for medical expenses, they serve different types of individuals and employers.

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