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Health Reimbursement
Arrangement (HRA)
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Health Savings Account
(HSA)
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Flexible Spending Account
(FSA)
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Account Holder
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Employer
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Individual (Employee)
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Employer
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Eligibility
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Individual must work for an employer that offers one
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Individual must be enrolled in an HSA-qualified medical plan
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Individual must work for an employer that offers one
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Funding
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Employer only
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Individual and/or employer and certain others
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Individual and/or employer
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Portability
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Cannot be rolled over to a new employer
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The employee takes it when leaving employment; after age 65, funds may be used for non-medical expenses
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Cannot be rolled over to a new employer
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Fund Carryover from Year to Year
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Optional (determined by employer)
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Funds carry over year to year
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Health FSA: Optional (employers choose a 2 1/2 month grace period, carryover up to IRS maximum limit, or neither).
Dependent Care FSA: Funds are forfeited to employer if they are not used by the end of the plan year after a run-out period or grace period, if applicable
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CDPHP Plan Compatibility
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EPO, PPO, HMO, HDEPO, HDPPO, HDHMO
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Qualified HDEPO, HDPPO, HDHMO
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EPO, PPO, HMO, HDEPO, HDPPO, HDHMO
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Qualified Expenses
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Determined by employer; can include copayments, deductibles, vision care, dental care, prescriptions, and other IRS-qualified medical expenses
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All IRS-qualified medical expenses
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Health FSA: All IRS-qualified medical expenses, or defined, limited expenses such as dental and vision care
Dependent Care FSA: Child or adult day care
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