Understanding the Difference between HSA and HRA: A detailed comparison

Health accounts are an essential tool for managing healthcare costs effectively. Among these accounts, Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) are two popular options that individuals and employees can utilize to save and pay for medical expenses. Understanding the differences between an HSA and an HRA can help you make informed decisions about your healthcare savings.

Health Savings Account (HSA)

An HSA is a tax-advantaged savings account available to individuals with high-deductible health plans (HDHPs). Here are some key points about HSAs:

  • Contributions are made by both the individual and their employer.
  • Contributions are tax-deductible and grow tax-free.
  • Funds can be used to pay for qualified medical expenses.
  • Unused funds roll over year after year.

Health Reimbursement Arrangement (HRA)

An HRA is an employer-funded account that reimburses employees for qualified medical expenses. Here are some key points about HRAs:

  • Employers solely contribute to HRAs.
  • Reimbursements are tax-free to the employee.
  • Unused funds may roll over year to year, but this is at the employer's discretion.
  • HRAs are not portable if you change jobs.

Key Differences between HSA and HRA

While both HSAs and HRAs can help you save on healthcare costs, there are crucial differences between the two:

  • Ownership: With an HSA, the account is owned by the individual, allowing for greater control over the funds. In contrast, an HRA is owned and funded by the employer.
  • Portability: HSAs are portable and can be taken with you if you change jobs or retire. On the other hand, HRAs are tied to the employer, making them non-portable.
  • Contributions: Both employees and employers can contribute to an HSA, while only employers contribute to HRAs.
  • Roll-over of funds: HSAs allow for unused funds to roll over from year to year, whereas HRAs may or may not have a rollover feature depending on the employer's plan design.

Conclusion

Choosing between an HSA and an HRA depends on your specific healthcare needs and preferences. Understanding the nuances of each account type can help you maximize your healthcare savings and benefits.


Health accounts serve as invaluable financial tools designed to alleviate the burden of healthcare expenses. Among these, Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) are two leading options that individuals can consider for managing their medical costs effectively. Becoming familiar with the differences between an HSA and an HRA is essential for making well-informed decisions regarding your healthcare financial strategies.

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