Compare Savings Accounts

Flexible Savings Accounts (FSA), Health Savings Accounts (HSA), and Health Reimbursement Arrangements (HRA) are types of health care savings accounts that allow you to pay for medical expenses pre-tax.



Flexible Spending Account Health Savings Account
Health Reimbursement Arrangement
Who is this available to? Group members Individual and group members enrolled in an HSA qualified high-deductible health plan and not covered by any other non-qualifying health plan (including Medicare) Group members

Who funds it?


You and/or your employer

Your employer

What kind of plan can I use it with?


HSA qualified High Deductible Health Plan Any Health Plan but typically a higher deductible Health Plan

If I don’t use all the money in the account during the year, what happens to it?

You lose it.

It rolls over to the next year.

Depending on the plan design, it may roll over to the next year.

Do I keep the money if I leave my employer?




Can I use it for non-medical expenses?


Yes, after age 65**



*If you are enrolled in an HSA-qualified plan, you must use a limited-purpose flexible spending account.

**Even at age 65 or older, HSA withdrawals for non-medical expenses are subject to income tax.

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
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