Health Care Accounts

Compare HSA, FSA, and HRA Options

HSA, HRA, or FSA, What's the Difference?


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

 

Health Savings Accounts (HSA)

Flexible Spending Accounts (FSA)

Health Reimbursement Arrangements (HRA)

Tax-Advantaged (Contributions Reduce Annual Tax Expenses)

Yes

Yes

No

Earns Interest

Yes

No

No

Owned by Account Holder

Yes

No

No

Owned by Employer

No

Yes

Yes

Account Holder Can Contribute

Yes

Yes

No

Employer Can Contribute

Yes

No

Yes

Annual Contribution Limit

Yes

$3,050 for individuals (2011)

$3,100 (2012)

$6,150 for families (2011)

$6,250 (2012)

No

$2,500 starting in 2013

$5,000 for dependent-care FSAs

Yes

Determined by employer

Unused Balances Roll Over Annually

Yes

No

No

Stays with Account Holder if Retires or Changes Jobs

Yes

No

No

Used for Retirement Income

Yes

(taxed as income)

No

No

Opened by Account Holder or Employer

Yes

No

No

Opened Only by Employer

No

Yes

Yes

Can Reduce Account Holder’s Insurance Premiums

Yes

No

No

Can Reduce Account Holder’ Out-of-Pocket Health Care Expenses

Yes

Yes

Yes

Can Reduce Employer’s Insurance Premiums

Yes

No

No

Can Contribute to Decreased Utilization by Turning Employees into Smarter Health Care Consumers

Yes

No

No

Can Reduce Employer’s Health Care Expenses

Yes

No

No