What Happens If You Have an HSA and FSA? - Understanding Health Savings Accounts and Flexible Spending Accounts

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are both useful tools for managing healthcare expenses, but what happens if you have both?

Having both an HSA and an FSA can have pros and cons, depending on how you use them. Here's what you need to know:

Pros of Having an HSA and FSA:

  • You can contribute to both accounts, allowing you to save more money for medical expenses.
  • HSAs and FSAs have different rules and benefits, giving you more flexibility in how you use the funds.
  • If you have high healthcare costs, having both accounts can help you cover a wider range of expenses.

Cons of Having an HSA and FSA:

  • You may have to juggle multiple accounts, which can be confusing to manage.
  • There are IRS rules regarding using both accounts in the same year, so be sure to understand the limitations.
  • Not all employers offer both options, so you may not have the choice to have both accounts.

Ultimately, having both an HSA and FSA can be advantageous if you understand how to maximize their benefits and navigate the rules effectively.


Exploring the interaction between Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can empower you to make informed decisions about your healthcare expenses.

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