FSA - HSA Comparison
| Flexible Spending Account | Health Savings Account | |
| Eligibility to contribute | You do not have to enroll in a specific insurance plan in order to be eligible for the FSA. |
You are eligible only if you enroll in consumer-directed health plan with a health savings account (CDHP/HSA) and are not enrolled in Medicare. |
| Annual Contribution dollar limits | The current annual election maximum is $3,600 per employee. If you and your spouse both have an FSA, you may each set aside up to the annual maximum amount (i.e. there is no household maximum). |
In 2012, the single contribution limit is $3,100 and the family contribution limit is $6,250. These limits include any contributions made by your employer. The year you turn 55 you are eligible to contribute an additional $1,000 to the above contribution maximums. |
| Account Ownership | Your FSA is set up and owned by your employer. |
Your HSA is set up for you when you enroll in the consumer-directed health plan. You own the health savings account. |
| Funding | Employee salary reduction, but funded with your full annual election on your first day of coverage each plan year. |
Can be funed by the individual through employee salary reduction dollars, by your employer or by others (e.g. family members). Funds are available as they are contributed. |
| Use it or lose it | Yes, any funds you do not spend in your FSA are forfeited to the program administrator. |
No, any unused funds in your HSA at the end of the plan year are yours to keep and roll over from year to year. |
| Qualified medical expenses |
Not permitted
|
Not permitted
|
| Option to change contributions | You can only change your election/deduction amount if you experience certain qualifying events such as marriage, divorce, birth of a child, etc. |
You must contact your personnel, payroll or benefits office to find out how often you can change your election amount. |
| How your income taxes are affected | Employee's contributions are taken out before taxes and reduces taxable gross income. |
Employee's and employer's contributions are taken out before taxes and reduces taxable gross income. |