ACA health insurance
HSA, FSA or HRA: what is the difference?
An HSA is yours and rolls over, but needs a high-deductible plan. A flexible spending account (FSA) belongs to your employer arrangement and usually has a use-it-or-lose-it deadline. A health reimbursement arrangement (HRA) is funded by your employer.
Side by side
- HSA: you own it, it rolls over, you need a qualifying high-deductible plan, and you contribute.
- FSA: set up through an employer, money generally has to be used within the plan year or a short grace period, and it does not need a particular plan type.
- HRA: employer-funded and employer-owned, which pays or reimburses you for medical costs under the employer's rules.
Can you have more than one?
Having a general-purpose FSA usually stops you from contributing to an HSA. Some limited-purpose FSAs for dental and vision can sit alongside an HSA. Ask your employer which version you have.
Have this ready when you call
- Which accounts your employer offers
- Your health plan type
Common questions
Which is better?
It depends on your plan and your employer. The HSA is the only one you own and take with you.
Can I move FSA money to an HSA?
Generally no. They are separate accounts with separate rules.
Related answers
Rather talk it through?
Call 855-367-1095 and a licensed agent will go through your situation with you. There is no charge to ask, and no obligation to enroll.
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- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.