Interactive Comparison

HSA vs FSA — Interactive Comparison

Both are pre-tax accounts for medical spending. An HSA is yours forever, grows tax-free, and requires an HSA-eligible plan. An FSA is employer-owned and typically forfeited if unused.

HSA vs FSA
FeatureHSAFSA
Who owns itYouEmployer
Requires HDHPYesNo
Rolls over year-to-yearYes — indefinitelyUsually no (limited carryover)
Invests / growsYes, tax-freeNo
Portable if you change jobsYesNo
Best forHealthy, long-horizon saversW-2 with predictable annual spending
Want the full deep-dive? This is the short interactive version.
Full HSA vs FSA Guide

Frequently Asked Questions

Only in specific cases — usually a limited-purpose FSA (dental/vision only) alongside an HSA.

No. They roll indefinitely and can be invested. After age 65 they can be withdrawn for any purpose at ordinary income tax rates.

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