What is the difference between HSA and FSA?

Asked by: Buford Berge  |  Last update: February 11, 2022
Score: 5/5 (22 votes)

The most significant difference between flexible spending accounts (FSA) and health savings accounts (HSA) is that an individual controls an HSA and allows contributions to roll over, while FSAs are less flexible and are owned by an employer.

Which is better HSA or FSA?

FSA or HSA: Which Is Better? When it comes to flexibility, tax-free growth and portability, an HSA wins over the more limited FSA.

What does an FSA cover that an HSA does not?

You can't contribute to an HSA and a traditional FSA in the same year. But HSA holders can contribute to an LPFSA for dental and vision expenses, and to a Dependent Care FSA for child care costs.

Why is FSA better than HSA?

Because your contributions are made on a pretax basis, a healthcare FSA directly reduces your taxable income, as well as the payroll taxes you pay. When you have a high deductible medical plan at work, an HSA can be critical for filling in the expense gap that comes along with it.

Can I have both FSA and HSA?

Back to the original question – “can you have an FSA and HSA at the same time?” Generally speaking, you cannot have a health FSA and HSA at the same time. However, there are a couple of exceptions: limited purpose FSAs and dependent care FSAs.

HSA vs FSA

24 related questions found

Can you use HSA for dental?

HSA - You can use your HSA to pay for eligible health care, dental, and vision expenses for yourself, your spouse, or eligible dependents (children, siblings, parents, and others who are considered an exemption under Section 152 of the tax code).

What is the HSA maximum for 2021?

The IRS sets maximum HSA contribution limits every year. For 2021, individuals can contribute a maximum of $3,600, up from $3,550 in 2020. You can contribute up to $7,200 for family coverage, an increase of $100 from the previous year.

Do HSA roll over?

You can roll over all the funds in your HSA. Rolling over your funds every year allows you to grow the value of your portfolio. An HSA is similar to an individual retirement account (IRA) or 401(k). ... You can grow the portfolio for decades and continue to pay for your qualified medical expenses tax-free.

What items are HSA eligible?

Examples of items generally eligible under HSAs, FSAs, and HRAs:
  • Acupuncture.
  • Alcoholism treatment.
  • Ambulance.
  • Artificial limb.
  • Automobile modifications for a physically handicapped person.
  • Birth control pills.
  • Blood pressure monitoring device.
  • Braille books & magazines (above the cost of regular printed material)

How much should you put in HSA?

As of 2017, you can contribute a maximum of $3,400 to an individual HSA or $6,750 to an HSA for your family, according to the IRS. If you're 55 or older, you get to contribute another $1,000 on top of that. It's important to note that there can't be joint owners on an HSA.

Can I buy groceries with my HSA card?

Yes! You can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) to purchase any Ready, Set, Food!

Is hand sanitizer covered by HSA?

Health savings account (HSA) participants may use the funds in their HSA to pay for masks, hand sanitizer, and sanitizing wipes on a pre-tax basis. Sponsors of flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs) may also allow these expenses to be reimbursed from their plans.

Can I buy lotion with HSA?

Lotion: HSA Eligibility. ... Lotion is not eligible for reimbursement because it is considered a general health product and therefore is non-reimbursable.

Are HSA worth it?

If you're generally healthy and you want to save for future health care expenses, an HSA may be an attractive choice. Or if you're near retirement, an HSA may make sense because the money can be used to offset the costs of medical care after retirement.

What will FSA cover?

You can use funds in your FSA to pay for certain medical and dental expenses for you, your spouse if you're married, and your dependents. ... FSAs may also be used to cover costs of medical equipment like crutches, supplies like bandages, and diagnostic devices like blood sugar test kits.

Why have both HSA and FSA?

Both HSAs and FSAs are similar in that they help you make qualified health purchases using tax-free funds. But with limited exceptions, you can't have both. This means if you want to take advantage of your employer's flexible spending account, you may not be able to contribute to your HSA.

Can I buy tampons with HSA?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Can you buy toilet paper with HSA?

Lively, my pick for the top HSA account, maintains a very thorough list of qualified medical expenses that has been updated. Items like common deodorant, shampoo, soap, and toilet paper are not eligible.

Can I buy toothbrush with HSA?

Toothbrushes are not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) because they are general health products.

Can you cash out an HSA?

Can I withdraw the funds from my HSA at any time? Yes, you can withdraw funds from your HSA at any time. But please keep in mind that if you use your HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

Does HSA money expire?

HSAs are different. The money you contribute to an HSA has no “expiration date.” You can withdraw funds you need to pay for everyday out-of-pocket health care expenses or save them for care you may need years down the road.

Can I transfer HSA to IRA?

No, there's no way to convert an HSA to an IRA. ... If you withdraw funds from your HSA to use for any other purposes before age 65 you'll pay taxes on them, as well as a penalty. After age 65, you won't, so at that point it works just like any other retirement account - IRAs included.

How much can I contribute to my HSA if I am over 55?

If you are age 55+ by the end of the year, you can contribute an additional $1,000 to your HSA. If you are married, and both of you are age 55+, each of you can contribute an additional $1,000.

What happens if you contribute too much to HSA?

If you've contributed too much to your HSA this year, you can do one of two things: ... You'll pay income taxes on the excess removed from your HSA. 2. Leave the excess contributions in your HSA and pay 6% excise tax on excess contributions.

Is toilet paper FSA eligible?

Toiletries can describe anything from oral care items like mouthwash, toothbrushes, toothpaste and floss to hair products like shampoo and conditioners; bathroom products like toilet paper; feminine care like tampons and pads; cotton swabs and fingernail clippers, and more.