Understanding the Difference Between HRA and HSA: Key Points to Know

Health Reimbursement Arrangement (HRA) and Health Savings Account (HSA) are two popular healthcare options that often create confusion among individuals. While both accounts help in managing healthcare expenses, there are significant differences between them.

HRAs and HSAs differ in several key aspects:

  • Employer Contributions: HRAs are funded solely by an employer, while HSAs allow contributions from both employers and employees.
  • Ownership of Funds: In an HRA, employers own the funds and can roll over unused amounts, whereas in an HSA, employees own the funds and can carry them over from year to year.
  • Portability: HSAs are portable, meaning they belong to the individual and can move with them between jobs, while HRAs are tied to the employer.
  • Eligibility Requirements: HSAs are only available to individuals covered by a high-deductible health plan (HDHP), whereas HRAs do not have this restriction.
  • Tax Benefits: Both HRA and HSA offer tax benefits, but HSAs provide triple tax advantages - contributions are tax-deductible, growth is tax-deferred, and withdrawals for qualified medical expenses are tax-free.

Understanding these differences can help you make an informed decision when choosing between an HRA and an HSA. Consider your healthcare needs, financial goals, and eligibility criteria before selecting the right option for you.


Understanding the nuances between a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA) is crucial for effective health financial planning. HRAs are exclusively employer-funded plans designed to assist employees with certain medical expenses. In contrast, HSAs allow individuals to save pre-tax dollars for both immediate medical costs and future healthcare needs, promoting financial flexibility.

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