There are three common Consumer Directed Accounts that allow you to use pre-tax dollars or reimburse you for qualified, health-related expenses.

Explore the chart below to understand the important differences between each account type.

Consumer Directed Accounts Comparison Chart:

Tax-exempt account that allows you to set aside pre-taxed income for medical expenses

A COBRA-eligible account that reimburses you for qualified medical expenses

An account that allows you to set aside a pre-determined amount of money for out-of-pocket expenses that are not covered by your plan.

Money can be deposited by the employee or the employer

Money can be deposited only by the employer

Money is deducted from your income before it’s taxed

Must be set up in conjunction with a High Deductible Health Plan

Must be set up in conjunction with a High Deductible Health Plan

HDHP not required

You can take funds with you when employment ends

You can NOT take funds with you when employment ends

You can NOT take funds with you when employment ends

Can roll over from year to year

May roll over funds from year to year at employer’s discretion

May reduce employer’s obligation for Medicare and FICA taxes to significant savings

Consumer Directed Accounts Comparison:

HSA

Tax-exempt account that allows you to set aside pre-taxed income for medical expenses

Money can be deposited by the employee or the employer

Must be set up in conjunction with a High Deductible Health Plan

You can take funds with you when employment ends

You can take funds with you when employment ends

HRA

A COBRA-eligible account that reimburses you for qualified medical expenses

Money can be deposited only by the employer

Must be set up in conjunction with a High Deductible Health Plan

You can NOT take funds with you when employment ends

May roll over funds from year to year at employer’s discretion

FSA

An account that allows you to set aside a pre-determined amount of money for out-of-pocket expenses that are not covered by your plan.

Money is deducted from your income before it’s taxed

HDHP not required

You can NOT take funds with you when employment ends

May reduce employer’s obligation for Medicare and FICA taxes to significant savings

What's Covered

HSA

  • Deductibles
  • Copayments
  • Coinsurance
  • Most healthcare, dental, and vision expenses

HRA

  • Qualified expenses are determined by each individual employer

FSA

  • Can cover a wide variety of medical expenses, from prescription drugs to speech therapy, fertility treatments, and more

FAQs

Q: How much should I Contribute to my HSA?

A: Figure out how much you should contribute to your HSA account by using the HSA Contribution Worksheet in the Resources section below.

Q: How much should I Contribute to my FSA?

A: J.P. Farley has designed a Flexible Spending Account Worksheet to help you determine how much money you should contribute to your account for the plan year. It is also located in the Resources section below.

Q: Can I have an HSA, HRA, and an FSA?

A: If you participate in a health savings account and wish to also participate in a flexible spending account or health reimbursement account, you must make sure your employer is offering a “limited purpose” arrangement plan.

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Resources

FAQs, worksheets, and forms to help you get the most out of your HSA, HRA, or FSA:

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