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    Health Savings, Spending and Reimbursement Programs Comparison

     

    Plan

    Description

    Additional Information

    Health Savings Accounts
    (HSA)

    A tax-exempt trust or custodial account that you set up in conjunction with a HSA eligible plan to pay or reimburse certain medical expenses you incur.

    • Unused funds remain available for use in later years.
    • The interest or other earnings on the assets in the account are tax free
    • Portable
    • Owned by the employee
    • The employee, employer or any third party can contribute.

    Health Reimbursement Arrangement
    (HRA)

    An employer-funded arrangement used to reimburse employees for qualified medical expenses

    • Must be funded solely by the employer.
    • The employer controls the account
    • Employees are reimbursed tax-free for qualified medical expenses
    • Reimbursements of qualified claims are tax-deductible for the employer.
    • Not portable.

    Medical Savings Account
    (MSA)

    An account created to help self-employed individuals and employees of certain small employers meet the medical care costs of the account holder, and family.

    • Account designed for employers with 50 or fewer employees.
    • The employee or the employer can contribute, but not both.
    • Portable.

    Health Flexible Spending Arrangements
    (FSA)

    An arrangement that allows an employee to set aside a portion of his or her earnings to pay for qualified medical expenses.

    • Account can only be established by the employer.
    • FSAs are subject to an end-of-the-year "use it or lose it" requirement that limits their ability to protect against unexpected out-of-pocket medical expenses.
    • Not portable.

    Take a few minutes to review a self-paced Online Briefing
    on HSAs.