Understanding the Difference Between HRA and HSA

When discussing health benefits, you might have come across terms like HRA and HSA. While they both help you save for medical expenses, there are key differences between the two.

An HRA (Health Reimbursement Arrangement) and an HSA (Health Savings Account) are both tools to help manage healthcare costs, but they operate in distinct ways:

Health Reimbursement Arrangement (HRA):

  • Employer-funded benefit
  • Employer owns the account
  • Reimbursement for qualified medical expenses
  • Unused funds may roll over year to year at employer’s discretion
  • Not portable if you change jobs

Health Savings Account (HSA):

  • Employee-owned account
  • Contributions can be made by both employer and employee
  • Tax-deductible contributions
  • Can be used for qualified medical expenses
  • Portable and stays with you even if you change jobs

Choosing between an HRA and an HSA depends on your specific healthcare needs and financial situation. Consider factors like who owns the account, rollover options, and portability when making your decision.


The world of health benefits can be complex, especially when it comes to understanding financial tools like HRA and HSA. While both options are designed to help individuals manage healthcare expenses, their specific features and implications differ significantly.

An HRA (Health Reimbursement Arrangement) is an employer-funded benefit that allows businesses to reimburse employees for qualified medical expenses. The funds are owned by the employer, meaning that any unused amount can roll over from year to year at the employer's discretion. However, if you decide to move on to a different job, the HRA does not go with you.

Health Reimbursement Arrangement (HRA):

  • Funded entirely by the employer, providing employees with a safety net for medical expenses.
  • The employer retains ownership of the account, which can influence how funds are managed.
  • Reimbursement process involves submitting proof of qualified medical costs.
  • Yearly rollovers may vary based on the employer’s policy, adding a layer of unpredictability to fund availability.
  • Account is not portable; changing your employer means that you may lose unspent funds.

Health Savings Account (HSA):

  • Unlike HRAs, HSAs are owned by employees, making them a personal asset.
  • Both employers and employees can contribute to the HSA, creating a collaborative approach to funding.
  • Contributions are tax-deductible, offering significant savings come tax season.
  • Funds can be used to cover a wide range of qualified medical expenses tax-free.
  • Portability is a key feature; even if you change jobs, your HSA remains intact and available for future use.

Ultimately, the choice between an HRA and an HSA should align with your unique healthcare needs and financial goals. Assess the account ownership, the ability to roll funds over, and the portability factor to ensure you make an informed decision.

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