| 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| After age 65, funds can be withdrawn | Unused funds may be rolled over to the |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. |