Understanding HSA vs. HRA: What Are the Differences?

Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) are two common healthcare options that often cause confusion among consumers. To make an informed decision about which is right for you, it’s essential to understand the key differences between the two.

HSAs and HRAs have similarities, such as both being tax-advantaged accounts used to pay for qualified medical expenses. However, there are distinct differences that set them apart:

HSAs:

  • Require a high-deductible health plan (HDHP).
  • Contributions are tax-deductible.
  • Contributions can roll over and accumulate year after year.
  • Withdrawals for qualified medical expenses are tax-free.
  • Portability – account is owned by the individual and not tied to the employer.

HRAs:

  • Do not require an HDHP.
  • Employers fund the account, and the contributions are not taxed.
  • Employers decide on the expenses that can be reimbursed.
  • Unused funds may be forfeited at the end of the year.
  • Employees do not own the account – it is tied to the employer.

When choosing between an HSA and HRA, consider factors such as your healthcare needs, financial situation, and future plans. Consulting with a benefits expert or financial advisor can help you make an informed decision.


When it comes to managing your healthcare expenses, understanding the differences between Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) can significantly impact your financial planning. Both provide tax benefits and assist with medical costs, but they cater to different needs and situations.

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