| HRA | HSA | Medical FSA | |
| Who is Eligible? | Any employee, subject to employer's eligibility requirements. Sometimes tied to health plan (may require HDHP). | An individual who is covered under a qualified HDHP, is not covered by Medicare and cannot be claimed as a tax dependent. | Any employee, subject to employer's eligibility requirements. |
| Who owns the account? | Employer | Employee | Employer |
| Is the account portable? (Can it transfer after leaving employer?) | Usually No | Yes | No |
| Do the funds earn interest? | Usually No. The employer can credit interest if funds are invested. | Yes, interest accrues tax-free. | No |
| Do unused funds carryover to the next year? | Possibly. This is not required and depends on the plan set up. | Yes | Possibly. Some plans offer a rollover of unused funds (up $680 in 2026). Check your plan details. |
| Who can contribute to the plan? | Employer Only | Employee, Employer, Individual | Employee and/or employer |
| Is the plan COBRA eligible? | Yes | No | Yes |
| Can funds be taken out for non-medical related expenses? | No | Yes, however, non-medical withdrawals are taxable and subject to a 10% penalty if under the age of 65 at time of withdrawal. | No |
| Maximum Contribution | Limit set by employer. | For 2026, $4,400 if the person has single coverage, $8,750 if family coverage. Individuals aged 55 and older can make an additional catch-up contribution of $1,000. | Limit set by the employer. (Up to $3,400 for 2026) |