HSA vs FSA: Which Is Right for You?
Both accounts save you taxes on medical expenses. But they work differently. Answer a few questions to get a personalized recommendation.
Include copays, prescriptions, dental, vision, etc.
HSA requires a High Deductible Health Plan (HDHP)
Health Savings Account (HSA)
HSA offers more flexibility with rollover, portability, and investment growth.
2026 FSA Limit
$3,200
Use it or lose it
2026 HSA Limit
$4,400+
Rolls over forever
You can't have both at the same time
If you have an HSA, you can only use a Limited-Purpose FSA (dental/vision only).
Side-by-Side Comparison
| Feature | HSA | FSA |
|---|---|---|
| Funds roll over | Forever | Use it or lose it* |
| Portable between jobs | Always yours | Tied to employer |
| Investment growth | Tax-free | Not possible |
| Requires HDHP | Yes | Any health plan |
| Full amount available day 1 | As you contribute | Full election upfront |
| 2026 Contribution limit | $4,400 / $8,750 | ~$3,200 |
| Catch-up contributions (55+) | +$1,000 | Not available |
* Some FSA plans allow a $610 carryover or 2.5-month grace period. Check your plan.
When FSA Makes Sense
- You have predictable expenses that match the FSA limit
- You don't have access to an HDHP (can't get HSA)
- You need full annual amount available immediately (planned surgery, etc.)
HSA Eligible Expenses
See what qualifies as an HSA-eligible expense
Browse ExpensesTax Savings Calculator
Calculate how much you'll save with an HSA
Calculate SavingsAlready have an HSA? Start tracking expenses.
Every medical expense you track is money you can reimburse tax-free, anytime.
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