Aetna Choice HSA vs. Aetna HRA Select Single: Which is Better?

When it comes to choosing between Aetna Choice HSA and Aetna HRA Select Single, it is essential to understand the differences to make an informed decision that suits your healthcare needs and preferences.

Aetna Choice HSA:

  • Health Savings Account (HSA) allows you to contribute pre-tax money for medical expenses
  • High deductible health plan combined with a tax-advantaged savings account
  • Enables you to save for current and future healthcare expenses

Aetna HRA Select Single:

  • Health Reimbursement Arrangement (HRA) funded by the employer to cover eligible healthcare expenses
  • No contribution required from the employee
  • Employer decides on the contribution amount and eligible expenses

Choosing between the two depends on your healthcare needs, financial situation, and preference for control over healthcare expenses. If you prefer more control and tax benefits, Aetna HSA might be a better option. However, if you want employer-funded coverage with no contribution required, Aetna HRA Select Single could be the preferred choice.


When navigating the world of healthcare plans, understanding the nuances between the Aetna Choice HSA and the Aetna HRA Select Single can help you make a choice that aligns with both your health needs and financial goals.

Aetna Choice HSA:

  • Offers a Health Savings Account (HSA) where you can stash away pre-tax dollars specifically for medical expenses.
  • Requires enrolling in a high deductible health plan that is paired with this savings account, ideal for those looking to save for future healthcare costs.
  • Empowers you to build savings for current and anticipated healthcare expenses, providing excellent tax advantages.

Aetna HRA Select Single:

  • Features a Health Reimbursement Arrangement (HRA) that is entirely employer-funded, relieving you of any contribution responsibilities.
  • All eligible healthcare expenses are covered through employer contributions, positioning it as a more hands-off approach to managing medical costs.
  • Employers retain the authority to determine both the contribution amount and the eligible expenses, which may limit choice but reduces personal financial burden.

Your choice between these two plans should take into account how much control you want over your healthcare spending, your financial situation, and the kind of healthcare benefits you anticipate needing.

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