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HSAs vs FSAs

Compare health accounts

HSAs require HDHPs and roll over with you; FSAs may be use-it-or-lose-it and tied to employers—both reduce taxable income for medical spend.

Eligibility

HSAs need HDHPs; FSAs usually employer-based with limits.

Rollover

HSAs roll over indefinitely; FSAs often expire with limited carryover.

Use

Pay qualified expenses pre-tax; track receipts for proof.

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