When Can I Use My FSA Instead of My HSA?

Understanding when to use your FSA (Flexible Spending Account) instead of your HSA (Health Savings Account) can help you maximize your healthcare savings. While both accounts offer tax advantages, they have specific guidelines for usage.

Here's a breakdown to help you navigate the differences:

  • Use Your FSA When:
    • For certain health expenses not covered by your HDHP (High Deductible Health Plan) or HSA.
    • Over-the-counter medicines without a prescription.
    • Dental and vision expenses.
    • Certain copays and deductibles.
  • Use Your HSA When:
    • For qualified medical expenses as defined by the IRS.
    • Long-term care premiums.
    • Medicare premiums.
    • COBRA coverage.

It's important to keep in mind that you cannot use both accounts to pay for the same expense. Be sure to plan your healthcare spending accordingly to reap the benefits of both accounts.


When deciding between your FSA and HSA, it's essential to understand how each can cater to your specific medical expenses. While the FSA can be beneficial for immediate health costs, your HSA can serve long-term financial goals with its tax-free growth advantages.

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