Aspect | HSA (Health Savings Account) | HRA (Health Reimbursement Arrangement) |
---|---|---|
Ownership of Account | Owned and funded by the individual | Funded solely by the employer and may be |
and/or their employer. | available for employee use. | |
Tax Advantages | Contributions are tax-deductible, | Employer contributions are typically tax- |
and earnings grow tax-free. | deductible, and reimbursements for | |
Distributions for qualified medical | qualified medical expenses are | |
expenses are tax-free. | tax-exempt for employees. | |
Can be invested for potential | Interest or earnings on the account | |
growth. | are often not available to employees. | |
Eligibility Requirements | Must be enrolled in a High Deductible | Available to employees as defined by |
Health Plan (HDHP). | employer plan terms. | |
Contribution Limits | Contribution limits are set by the IRS | Employers determine contribution limits |
annually. | and can vary. | |
In 2022, the annual contribution limit | For 2022, employers can contribute up to | |
for individuals is $3,650, and for | $5,450 for self-only coverage and up to | |
families, it's $7,300. | $11,000 for family coverage. | |
Portability | Fully portable; the account belongs | Typically not portable; employees lose |
to the individual and moves with them | access to the HRA upon leaving the | |
regardless of employment changes. | employer or retiring. | |
Withdrawals | Can be used for qualified medical | Used exclusively for reimbursing |
expenses at any time. | qualified medical expenses. | |
After age 65, funds can be withdrawn | Unused funds may be rolled over to the | |
for non-medical expenses without | following plan year (rollover amounts | |
penalties (though subject to income | vary by plan design), but not typically | |
tax, like a traditional IRA). | portable if you leave the employer. | |
Role of the Employer | Employers can contribute to the HSA | Employers fund and administer the HRA, |
but it's not required. | determining contribution amounts and | |
reimbursable expenses. | ||
Reimbursement Process | Individuals pay for medical expenses | Employees submit receipts for qualified |
out of the HSA and then request | medical expenses to be reimbursed from | |
reimbursement. | the HRA, subject to plan rules. |