HSA vs FSA
See tax savings, employer match, and decades of tax-free growth from an HSA vs. the use-it-or-lose-it FSA.
HSA
wins by
$111,390
Head-to-head
HSA tax savings
$996
FSA tax savings
$792
Employer HSA
$500
HSA future value
$110,686
FSA forfeiture risk
$0
Total HSA value
$112,182
Total FSA value
$792
Freedom Coach™
HSA wins by $111,390 — triple tax advantage matters.
HSA saves $996 in taxes now, $500 in employer match, and grows to $110,686 at retirement.
Premium
Save side-by-side plan year scenarios and project HSA compounding at retirement.
Unlock PremiumHSA: rollover forever, invest, portable. FSA: use-it-or-lose-it, no investing, dies when you leave the job. HSA requires an HDHP; FSA works with any plan.
1) Deductible contributions, 2) tax-free growth if invested, 3) tax-free withdrawals for qualified medical expenses. No other account has all three.
Let it grow. Pay medical bills from a taxable account and save receipts — you can reimburse yourself years later, tax-free, giving decades of untaxed growth.
After 65 you can withdraw for anything (taxed like a Traditional IRA). Before 65, non-medical withdrawals hit a 20% penalty + tax.
Not a general FSA. But a Limited-Purpose FSA (dental/vision only) can pair with an HSA to stack tax savings.
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