What is the difference between an HSA and FSA? | Patriot Plans
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HomeHealth InsuranceWhat is the difference between an HSA and FSA?
HSA Health Insurance

What is the difference between an HSA and FSA?

An HSA (Health Savings Account) is available with an HSA-eligible HDHP and funds roll over year to year. An FSA (Flexible Spending Account) is available with any employer health plan and has a use-it-or-lose-it rule (with a $660 rollover option in 2026). HSAs are portable; FSAs are not.

Key Points

  • HSA: available with HSA-eligible HDHP, funds roll over year to year
  • FSA: available with any employer health plan, use-it-or-lose-it rule
  • FSA 2026 rollover: up to $660
  • HSA: portable β€” you keep it when you leave your employer
  • FSA: not portable β€” you lose it when you leave your employer