Understanding the Difference between Base Plans with HSA and HRA Health

When it comes to choosing a health insurance plan, understanding the difference between base plans with an HSA (Health Savings Account) and an HRA (Health Reimbursement Arrangement) is crucial. Both HSA and HRA are account-based health plans that can help you save on medical expenses, but they differ in how they are funded and utilized.

Here's a closer look at the key differences between base plans with HSA and HRA health:

Health Savings Account (HSA):

  • Funded by you, your employer, or both
  • Contributions are tax-deductible
  • Can only be paired with a high-deductible health plan (HDHP)
  • Unused funds roll over year after year
  • Portable and stays with you even if you change jobs
  • Withdrawals for qualified medical expenses are tax-free

Health Reimbursement Arrangement (HRA):

  • Funded solely by your employer
  • Employer determines the contribution amount
  • Can be paired with any type of health plan
  • Unused funds may or may not roll over, per the employer's plan design
  • Non-portable and stays with the employer if you leave your job
  • Reimbursements for qualified medical expenses are tax-free

Choosing between an HSA and an HRA depends on various factors such as your medical expenses, employer offerings, and personal preferences. Understanding these differences can help you make an informed decision that suits your healthcare needs best.


When navigating the complexities of health insurance, knowing the differences between base health plans that incorporate a Health Savings Account (HSA) versus a Health Reimbursement Arrangement (HRA) is essential to ensure you choose the best option for your healthcare needs.

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