Health Care FSA vs HSA

How does the Health Care FSA differ from the HSA? Although both plans offer you pre-tax savings on eligible medical expenses, the Health Care FSA and the HSA differ in the following ways:

  FSA HSA
Must be enrolled in a high deductible health plan (Anthem Consumer Choice/Basic or Kaiser HDHP) No Yes
Unused funds roll over from year to year Up to $500 Entire balance
Company makes contributions No Yes
Funds can be invested and grow with interest No Yes
The money in your account is portable and can be taken with you if you leave Cotality No Yes
In addition to medical and prescription drugs, dental and vision expenses are eligible for reimbursement Yes Yes

Even if you enroll in the Anthem Consumer Choice and open an HSA, you are eligible for a “limited use” FSA. With a limited use FSA you can get reimbursed for certain non-medical expenses, such as dental and vision expenses.

Participating in the HSA and FSA
If you are enrolled in a high deductible health plan and consented to the Health Savings Account (HSA), but also elected a Healthcare FSA, your FSA is a Limited Purpose FSA. You can use money in your Limited Purpose FSA only for eligible dental and vision expenses. You cannot use it for medical or prescription drug expenses.

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