What Can an HSA Cover That an LPFSA Can't? - Exploring the Differences

Health Savings Accounts (HSAs) and Limited Purpose Flexible Spending Accounts (LPFSAs) are both valuable tools that can help you save money on medical expenses. However, there are some key differences between the two that may impact what they can cover.

When comparing what an HSA can cover that an LPFSA can't, the main distinctions lie in the types of expenses each account can be used for:

  • HSAs can cover a wide range of medical expenses, including doctor visits, prescriptions, dental care, vision care, and even some over-the-counter items.
  • On the other hand, LPFSAs are limited to specific expenses, such as vision and dental care only.

Here are some other important points to note:

  • HSAs require you to be enrolled in a high-deductible health plan, while LPFSAs are typically paired with traditional health plans.
  • Contributions to an HSA roll over from year to year and can even be invested, allowing your savings to grow over time.
  • With an HSA, you own the account and can take it with you if you change jobs or retire.

Overall, HSAs offer more flexibility and long-term savings potential compared to LPFSAs. By understanding these differences, you can make an informed decision about which account is the right choice for your healthcare needs.


Health Savings Accounts (HSAs) provide an extensive range of benefits that extend beyond what a Limited Purpose Flexible Spending Account (LPFSA) offers. For instance, HSAs can also cover a variety of preventive care services without the need to meet a deductible first, making them incredibly advantageous for proactive health management.

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