Should I Choose HRA or HSA? Understanding the Differences and Benefits

When it comes to choosing between an HRA (Health Reimbursement Account) and an HSA (Health Savings Account), it can be a confusing decision to make. Both accounts offer benefits that can help you save on healthcare costs, but they have key differences that may make one more suitable for your needs than the other.

Before making a decision, it's important to understand the differences and benefits of each account:

  • HRA: HRA is funded solely by your employer, and you can use the funds to pay for eligible healthcare expenses.
  • HSA: HSA is funded by you and/or your employer, and the funds can be used for eligible healthcare expenses. Unlike HRA, the funds in an HSA are owned by you and can be rolled over from year to year.

Here are some factors to consider when deciding between HRA and HSA:

  • Employer contributions: HRA is solely funded by your employer, while HSA allows contributions from both you and your employer.
  • Ownership of funds: In an HRA, the funds remain with your employer if you leave the company, whereas in an HSA, the funds are yours to keep even if you change jobs.
  • Portability: HSA is portable and can move with you, providing flexibility even if you change jobs or retire.
  • Tax benefits: Both HRA and HSA offer tax advantages, but the tax treatment of contributions and withdrawals may differ.

Ultimately, the decision between HRA and HSA depends on your individual circumstances and healthcare needs. If you prefer more control over your healthcare funds and want portability, an HSA may be the better option. However, if your employer offers an HRA with generous contributions, that could also be a valuable choice.

It's recommended to consult with a financial advisor or benefits specialist to determine which account aligns with your financial goals and healthcare requirements.


Choosing between an HRA (Health Reimbursement Account) and an HSA (Health Savings Account) can feel overwhelming, but understanding the key differences is crucial. Both accounts are designed to help you manage healthcare costs; however, they do so in distinct ways that cater to varying preferences and needs.

Let’s break down the differences to clarify your decision-making:

  • HRA: Funded entirely by your employer, an HRA can cover eligible healthcare expenses, but be aware that these funds revert to your employer when you leave your job.
  • HSA: An HSA is unique in that it incorporates contributions from both you and your employer, meaning you can control your investments. Moreover, the money you save can roll over from year to year, accumulating tax-free.

When weighing your options, consider these factors:

  • Employer contributions: An HRA relies only on employer funding, while an HSA encourages both your contributions and your employer's.
  • Ownership of funds: The mighty HSA wins here—when you change jobs, your funds continue with you, unlike an HRA.
  • Portability: Life changes, jobs change, but an HSA moves with you, granting you the freedom to use it wherever you go.
  • Tax benefits: Both accounts feature tax advantages, but HSAs offer significant tax benefits on contributions, growth, and withdrawals that you won't find with HRAs.

In conclusion, the decision hinges on what suits your lifestyle and financial planning best. If you crave control and portability, consider the HSA. If you're fortunate to have a robust HRA from your employer, that can also be a considerable advantage. Always consider speaking with a financial advisor to tailor your decision to your specific circumstances.

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