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HSA or HRA or FSA. What's the difference?


All healthcare accounts are not created equal.  That's why you need an experienced, trusted advisor to help you when it comes to your healthcare finances.  HealthEquity is here to help you understand the sometimes complex and confusing world of healthcare account acronyms (HSA, HRA, FSA, MSA, VEBA, Oh my...).  Here's a chart to help compare 3 of the more common types of accounts:

  Health Savings Account (HSA) Health Reimbursement Arrangement (HRA) Flexible Spending Account (FSA)
The Basics A tax-advantaged account used to pay qualified medical expenses of the account holder, spouse, or dependents An employer-funded arrangement used to reimburse employees for qualified medical expenses An employer-established, tax-advantaged account funded by employees to pay for qualified medical expenses with tax-free dollars
Who can open the account? The employee or employer as long as the employee is enrolled in an HSA-eligible health plan The employer The employer
Who can contribute? Employers, employees or any third party The employer The employee
Who owns the account? The employee The employer All unspent funds revert back to the employer at year end

Is there a yearly contribution limit?

In 2010 and 2011, the yearly contribution limits will be $3,050 for individuals and $6,150 for families. Yes. Determined by the employer Yes. Determined by the employer
Do unused funds carry over to the next year? Yes Determined by employer No
Can you take the account with you if you change jobs or retire? Yes No No
Can you use the account for retirement income? Yes. After age 65 you can withdraw money for any reason with no penalty, although it will be taxed as income No No