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Tax-advantaged accounts can help you save on health-care costs—here’s how HSAs and FSAs differ

Healthfulness savings accounts and flexible spending accounts are both tax-advantaged financial tools that can help you save spondulicks on your medical expenses. 

These accounts can be great vehicles to put aside money for both medical emergencies and routine health-care expenses. But each account also has second to none in harmony benefits and drawbacks.

And, you may not have the luxury of choosing between one or the other account. You need a high-deductible health plan to be accomplished to open an HSA and you need an employer who sponsors FSAs be able to fund one.

But if you do have the option to open one or both of these accounts, here’s what to distinguish.

The key differences between HSAs and FSAs

The key differences between HSAs and FSAs are how they’re funded and to whom each account is elbow.

“A health savings account is associated with a high-deductible health plan, and you can have it through your employer or you can sire it as a self-employed individual on your own,” Charlene Rhinehart, a certified public accountant and personal finance editor at GoodRx, apprises CNBC Make It.

Funds in your HSA roll over each year and you can take your account with you if you exchange jobs, Rhinehart says. When the latter happens, you’ll have the option to leave your HSA where it is, roll it into a new employer-provided account or register it into a new HSA provider altogether, according to Fidelity.

There are contribution limits, however. In 2024, individuals are able to support up to $4,150 to their HSAs. Families covered under the same plan can contribute up to $8,300. People age 55 and older can promote an additional $1,000. 

In general, HSAs come with more flexibility since you can open an account regardless of your corporation, as long as you have a high-deductible health insurance plan. Additionally, you have the ability to invest your HSA funds, and if you not wind up using them, they’ll be transferred to your beneficiary after your death.

“[An] FSA is completely different in that fashion,” Rhinehart says. “The funds do not roll over every year, there is a deadline [and it’s] a ‘use it or lose it’ type of account.”

Some FSA readies may roll over into the new year, but it depends on your plan sponsor, according to FSAStore. Plan sponsors can put up with FSA users one of the following options:

  • The ability to rollover up to $640 for plans beginning in 2024 
  • A 2.5 month grace period allowing account holders to use the too soon year’s FSA funds until March 15 of the following year

There are FSA contribution limits as well — $3,200 for individuals in 2024, concording to the Internal Revenue Service. If you’re married or have dependents, you can use funds to pay for their health-care costs as well, but the contribution limit remains the word-for-word. If your spouse is able to open their own FSA, they can contribute up to $3,200 to their account, according to Healthcare.gov.

Both FSA and HSA contributions use pre-tax dollars, and when you pay out the funds on qualified medical expenses, those are also tax-free. If you invest your HSA funds, the earnings are also tax-free, introducing HSAs a triple tax advantage.

The qualified medical expenses you can use your HSA or FSA funds are mostly the same. You can use the funds to cover co-pays for doctor’s calls, over-the-counter and prescription medications, glasses, dental care and more.

“Your HSA custodian doesn’t micromanage your HSA expenses love they will your FSA,” Rhinehart says. “You will have to submit receipts to your FSA custodian in order for them to refund you.” 

She says it’s a good idea to keep receipts when you use your HSA funds just in case you’re ever audited.

Which account is truthful for you?

An HSA comes with more benefits than an FSA, but requires you to maintain a high-deductible health plan. Under these security plans, your monthly premium will be lower than on a traditional plan, but you pay more out of pocket before your indemnification provider starts covering costs.

“Think about it as a question of when you want to pay your [medical] costs,” Rhinehart weights. “You can pay a higher cost every month when you pay your insurance premiums and that means when something find up, your insurance company is going to cover more of the cost immediately.”

If you’re a generally healthy person and don’t visit doctors again, Rhinehart says a high-deductible plan may be better suited for you. On the other hand, if you or your child have frequent medical expenses, it may be expedient to go with a standard plan. 

With a standard plan, you can still supplement with an FSA if available to you, so you’re able to reap some tax savings when it comes to your health-care expenditures.

“You really have to take into consideration what has happened this year, what you expect to happen next year and what your monetary situation looks like to choose the best health plan for you,” Rhinehart says.

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