HRA vs. HSA: Which is Better for You?

When it comes to choosing between a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA), it's essential to understand the differences to make an informed decision that aligns with your healthcare needs and financial goals.

Here's a breakdown to help you compare the two:

Health Reimbursement Arrangement (HRA)

  • Employer-funded account
  • Can only be offered by employers
  • Funds can be used tax-free for eligible medical expenses
  • Unused funds may roll over year to year, per employer's discretion
  • Employer has control over the account

Health Savings Account (HSA)

  • Individually owned account
  • Available to individuals with a high-deductible health plan
  • Contributions are tax-deductible and grow tax-free
  • Funds can be used for qualified medical expenses at any time
  • Unused funds roll over year to year, belong to the individual

So, which is better for you, an HRA or an HSA? It ultimately depends on your specific situation and needs.

Consider the following factors:

  • Employment status - Are you covered by an employer-sponsored high-deductible health plan?
  • Financial goals - Do you want to save for current or future medical expenses?
  • Control over funds - Do you prefer having individual control over healthcare funds?

By evaluating these aspects, you can determine whether an HRA or an HSA aligns better with your needs and preferences.


When considering your options for healthcare funding, it's crucial to weigh the pros and cons of both a Health Reimbursement Arrangement (HRA) and a Health Savings Account (HSA). Understanding these differences can significantly impact your financial health.

Both HRAs and HSAs offer tax advantages for medical expenses, but they operate quite differently, particularly regarding ownership and control.

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