Understanding the Difference Between an HRA and HSA for Your Healthcare Needs

When it comes to managing healthcare expenses, it's important to know the difference between a Health Reimbursement Account (HRA) and a Health Savings Account (HSA). Both accounts can help you save money for medical costs, but they have some key differences.

Health Reimbursement Account (HRA):

  • Employer-funded account
  • Reimbursement for qualified medical expenses
  • Unused funds may not roll over from year to year
  • Employer owns the account

Health Savings Account (HSA):

  • Individual or employer-funded account
  • Tax-advantaged savings for medical expenses
  • Unused funds can roll over from year to year
  • Account is owned by the individual

While both HRAs and HSAs can help you save for healthcare costs, the primary differences lie in who funds the account, rollover rules, and ownership. Understanding these distinctions can help you choose the right option for your needs.


When it comes to navigating your healthcare finances, understanding the distinctions between a Health Reimbursement Account (HRA) and a Health Savings Account (HSA) is crucial. Both accounts serve to assist you in managing medical expenses, yet they operate quite differently.

Health Reimbursement Account (HRA):

  • These accounts are fully funded by your employer, which means they take the lead in contributing to your healthcare savings.
  • Typically, HRAs are designed for reimbursement of qualified medical expenses, providing you with peace of mind when unexpected health costs arise.
  • One thing to note is that unused funds in an HRA may not roll over from year to year, which can lead to a 'use it or lose it' situation.
  • Remember, your employer retains ownership of the account, and if you change jobs, you may lose access to those funds.

Health Savings Account (HSA):

  • HSAs can be funded by either you or your employer, allowing for more flexibility in contributions.
  • These accounts offer tax advantages, meaning contributions can reduce your taxable income, and withdrawals for qualified medical expenses are tax-free.
  • Unlike HRAs, HSAs allow you to roll over any unused funds from year to year, enabling you to save for future health expenses.
  • You are the owner of the account, meaning it stays with you even if you change jobs, giving you added security.

Understanding the nuances of HRAs and HSAs is essential for making informed decisions about your healthcare expenses and ensuring you choose the right option to fit your financial situation.

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