Why can't you have an HSA and FSA?
Asked by: Dr. Mellie Krajcik | Last update: September 24, 2025Score: 4.1/5 (12 votes)
What happens if you have both FSA and HSA?
The IRS has specific rules regarding the use of these accounts, and individuals are not allowed to have both an HSA and an FSA at the same time. This is because the funds in an HSA are considered to be owned by the individual, while the funds in an FSA are owned by the employer.
Can you have a limited FSA and HSA at the same time?
By limiting FSA reimbursements to dental and vision care expenses, you (or your spouse) remain eligible to participate in both a limited-purpose FSA and an HSA. Participating in both plans allows you to maximize your savings and tax benefits.
Can my wife have FSA while I have HSA?
You can possess both FSA and HSA accounts simultaneously. There is no rule against that at all.
Is something FSA eligible if it is also HSA?
Many premade first-aid kits are HSA- and FSA-eligible too. Menstrual-care products: Tampons, pads, period underwear, and other menstrual items are HSA- and FSA-eligible. Acne medication: Some acne medications and treatments, like acne cleansers, gels, creams, and serums, can be paid for with your HSA and FSA.
What Should You Do If Your Employer Doesn't Offer an HSA?! #AskTheMoneyGuy
Why can't I have an HSA and an FSA?
An FSA counts as "other health coverage," according to IRS Publication 969. So a general purpose health FSA will not be compatible with an HSA.
Are condoms HSA-eligible?
Condoms are eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA).
Can I have an FSA and HSA in the same year?
Internal Revenue Service (IRS) rules clarify that you can't contribute to a Health Savings Account (HSA) and a Flexible Spending Account (FSA) in the same plan year.
Can I use my FSA for my adult child?
Your Healthcare Flexible Spending Account (FSA) plan has added Adult Children to the definition of eligible dependants effective this plan year. This means that you may submit eligible expenses for reimbursement under your FSA plan for services incurred by your children up to age 26.
What is the maximum FSA limit for 2024?
An employee who chooses to participate in an FSA can contribute up to $3,200 through payroll deductions during the 2024 plan year.
Can you overlap HSA and FSA?
Typically that's not allowed except under limited circumstances. I recommend you check with your HSA provider directly. There's a rule that states: "An employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses can't generally make contributions to an HSA.
Can HSA be used for dental?
Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.
Can you double dip FSA and HSA?
A common question posed: Can a participant be reimbursed for the same dental and vision expenses through both the Limited Purpose FSA and the HSA? This is called, “double dipping.” It is important to know that “double dipping” is not allowed.
Can you have both HSA and Limited Purpose FSA?
You can use a limited purpose flexible spending account (LPFSA) to pay for vision and dental expenses before you reach your deductible and sometimes for qualified expenses after you reach it. Unlike a standard FSA, a limited purpose FSA can be used in tandem with an HSA. A LPFSA is funded with pretax dollars.
What happens to my FSA if I switch to HSA?
FSA to HSA: Carryover and Contributions
Your FSA balance is carried over into the new plan year – Carrying over any amount on an unrestricted basis has the same effect as re-enrolling in a General-Purpose FSA. This will disqualify you from contributing to an HSA until the end of the FSA plan year.
Is everlywell FSA eligible?
Generally speaking, the answer is “yes.” Telehealth services, like Everlywell virtual care visits, are considered eligible for reimbursement with FSA/HSA according to the FSA store.
Can I use FSA for gym membership?
Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.
What happens if I have an HSA and my spouse has an FSA?
Your spouse can't contribute to an HSA during any month in which you participate in a general Health Care FSA, even if you're also enrolled in the HSA-qualified medical plan that your spouse's employer sponsors and you meet all other eligibility requirements, and even if you do not use your general Health Care FSA to ...
Can FSA be used for dental?
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. You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums.
Should I get an FSA if I have an HSA?
If you expect to have high medical costs throughout the year or want to maximize contributions to your HSA while minimizing your withdrawals, using a limited-purpose FSA for expected vision and dental expenses could be a smart choice.
What is the HSA limit for 2025?
The limit is $4,300 if you are single. The 2025 HSA contribution limit for families is $8,550. HSA users aged 55 and older can make an extra $1,000 to their HSAs.
Can I have two HSA accounts at the same time?
This is a very common question from our customers, so let's lead with the short answer: Yes, you can have more than one health savings account (HSA).
Can I buy deodorant with HSA?
Deodorant reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
Are tampons HSA eligible?
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 I use an HSA to buy a bed?
According to the HSA Store, "A mattress expense is only eligible when its components and construction costs exceed those of a standard mattress for general health." To use your funds for a new mattress, you'll need to provide a letter of medical necessity (LMN) from a medical professional stating you have a medical ...