Understanding the Difference Between HSA and HRA: A Comprehensive Guide

Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) are both valuable tools that can help individuals manage their healthcare costs. While they share some similarities, there are key differences between the two that are important to understand.

HSAs and HRAs both offer tax advantages and can be used to pay for qualified medical expenses, but they have different eligibility requirements, funding sources, and rollover rules.

An HSA is a savings account that individuals can contribute to on a pre-tax basis to cover current and future medical expenses. It is available to individuals who are enrolled in a high-deductible health plan (HDHP).

On the other hand, an HRA is an employer-funded arrangement that reimburses employees for out-of-pocket medical expenses. HRAs are funded solely by the employer and do not allow employee contributions.

Here are some key differences between HSAs and HRAs:

  • Eligibility: HSAs are available to individuals with an HDHP, while HRAs are typically offered by employers to employees as part of their benefits package.
  • Funding: HSAs can be funded by both individuals and employers, whereas HRAs are funded solely by the employer.
  • Portability: HSAs are owned by the individual and are portable, meaning they can be carried from one job to another. HRAs are employer-funded and generally do not follow the employee if they leave the company.
  • Rollover: HSAs have a rollover feature that allows unused funds to carry over from year to year. HRAs do not typically have a rollover feature, and any unused funds may be forfeited at the end of the plan year.

It's essential to carefully consider your healthcare needs and financial situation when choosing between an HSA and an HRA. Both accounts offer unique benefits, so it's crucial to select the option that aligns best with your individual circumstances.


Understanding the financial impacts of healthcare is crucial, and knowing the difference between Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) can help you make informed choices about managing healthcare expenses.

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