FSA vs. HSA vs HRA
 
  FSA
Flexible Spending
Account
HSA
Health Spending Account
HRA
Health Reimbursement
Account
Who contributes to it? Employee Employee and/or employer Employer only
Who owns it? Employee Employee Employer
Is it portable if you leave your current employer? No Yes No
Does unused balance carry over after year-end? No Yes Possibly, at employer’s discretion; maximum limits may apply.
Is the account invested? No Yes, although a minimum balance may be required; the investment options available vary by financial institution. No
Are there any service or maintenance fees on the account? None to employee (employer pays). Yes. Typically the employer pays the fees as long as you are employed there. None to employee (employer pays).
What are the tax benefits? Contributions are tax-free, which reduces your taxable income. Contributions and earnings may be tax-free, which reduces your taxable income. Contributions are tax-free.
Can it be used for anything other than eligible health care expenses? No Yes, but if withdrawn for non-approved expenses, the money is subject to income taxes and possibly a 10% penalty. No