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How to Stack Flex Plans (FSA, HRA, HSA)

Posted on May 30th, 2014

Can an individual be covered by more than one “Flex Plan” at the same time?

Yes, Health Care Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs) can be combined in certain circumstances. Here's how: 

HSA combined with FSA; or HSA combined with HRA; or HSA combined with FSA and HRA

FSA and/or HRA must be structured in one of two ways to maintain HSA-eligibility

  • Limited Purpose (a.k.a. Limited Scope)
    • Reimbursements are limited to “excepted benefits” (e.g. dental, vision)
  • Post-deductible
    • Reimbursements start only after a minimum deductible of $1,250 on the major medical plan has been satisfied for single-only coverage
    • Reimbursements start only after a minimum deductible of $2,500 on the major medical plan has been satisfied for family coverage

HRA combined with FSA

Any type of permissible HRA can be combined with any type of permissible FSA

Important Note: No "double dipping" allowed!

Participants cannot be reimbursed for the same expense twice (e.g. an individual cannot pay for an expense out of their HSA and then also be reimbursed for the same expense from their HRA or FSA).

No Double Dipping

 

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The materials contained within this communication are provided for informational purposes only and do not constitute legal or tax advice. 

 

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