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When Can I Use My FSA Instead of My HSA?

Published October 24, 2024

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Short answer: Use your HSA for expenses covered by your HDHP and qualified by the IRS, while using your FSA for certain health expenses not covered and for dental and vision.

FSA vs HSA: core differences overview

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:
  • Use Your HSA When:

When HSA applies for qualified expenses

  • 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.
  • For qualified medical expenses as defined by the IRS.
  • Long-term care premiums.
  • Medicare premiums.
  • COBRA coverage.

Planning which account fits your goals

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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