Can I have both HSA and Healthcare FSA contributions in the same tax year?
I'm in a bit of a pickle with our healthcare accounts this year. At the beginning of 2024, I enrolled in a family HSA plan and set up contributions for $8,300 since both my wife and I are on my high-deductible health insurance plan. Here's where things got complicated: My wife started a new position in July and accidentally signed up for a regular healthcare FSA through her employer (she has a no-deductible plan with them). She's already contributed about $1,500 to the FSA starting in July, and it's set to continue through the end of the 2024 tax year. I know having both an HSA and FSA simultaneously is a tax no-no. From what I've researched, there might be a few options: she could potentially convert her regular FSA to a limited-purpose FSA, or I could withdraw my HSA contributions for the second half of the year. What's the best approach here to avoid tax penalties? Has anyone dealt with something similar? Any suggestions would be greatly appreciated!
24 comments


Sean Kelly
This is actually a pretty common issue that happens when spouses have different employers with different benefits. You're right that you generally can't contribute to both an HSA and a healthcare FSA in the same tax year - it's against IRS rules. Your best option is likely converting your wife's FSA to a limited-purpose FSA if her employer allows it. A limited-purpose FSA can only be used for dental and vision expenses, not medical expenses, which makes it compatible with an HSA. This would allow you to keep your full HSA contribution. If that's not possible, you'll need to calculate your HSA contribution limit for the months before your wife got the FSA (January through June) and withdraw the excess contributions before the tax filing deadline to avoid penalties. The formula would be $8,300 ÷ 12 × 6 = $4,150 allowed for those six months.
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Zara Mirza
•Would the wife's employer even allow changing from a regular FSA to a limited one mid-year? I thought those elections were locked in unless you had a qualifying life event?
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Luca Russo
•Wait but what happens to the money already spent from the FSA? Would they have to pay that back if they switch to limited-purpose or is it just going forward?
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Sean Kelly
•Most employers do require a qualifying life event to make mid-year benefit changes, but some are more flexible with FSA changes, especially when it involves compliance issues like this. It's definitely worth asking HR if they can make this adjustment. For money already spent from the FSA, typically you wouldn't have to pay anything back when converting to a limited-purpose FSA. However, once converted, any future reimbursements would be restricted to dental and vision expenses only.
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Nia Harris
I went through something similar last year and found this amazing tool called taxr.ai (https://taxr.ai) that helped me figure out the exact rules around HSAs and FSAs. It analyzed my specific situation and showed me all my options with the potential tax consequences of each one. I was able to upload my benefit enrollment documents and it pointed out that my wife's FSA was actually already a limited-purpose one (which I hadn't realized), so we were actually fine. Saved me from making unnecessary withdrawals from my HSA! The tool breaks down all the IRS rules in plain English and walks you through what you need to do.
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GalaxyGazer
•Does taxr.ai work for reviewing employer benefits documentation? My HR department gave me a bunch of confusing paperwork about our FSA options and I can't make sense of it.
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Mateo Sanchez
•I'm skeptical about these online tools. How does it actually know all the specific rules for different employer plans? Seems like something you'd need a benefits specialist for.
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Nia Harris
•Yes, it works great for reviewing benefits documentation! You can upload your enrollment forms, benefit descriptions, or even screenshots of your benefits portal. It uses AI to identify the type of accounts you have and the specific rules that apply to your situation. As for knowing the rules for different employer plans, it doesn't just rely on general IRS guidelines - it actually extracts the specific details from your documents to give personalized guidance. It's more flexible than talking to a benefits specialist because you can quickly test different scenarios and see the tax implications.
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GalaxyGazer
Just wanted to follow up and say I tried taxr.ai after seeing it mentioned here. I uploaded my confusing benefits documents and it immediately identified that I had unknowingly signed up for both an HSA and a general-purpose FSA through different employers (me and my spouse). The tool explained exactly what I needed to do to fix it and even generated a letter I could send to HR requesting the change to a limited-purpose FSA. My HR department approved the change within 48 hours! Saved me from a potential tax headache and hours of research trying to figure out the rules myself.
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Aisha Mahmood
When I had this exact problem, I spent WEEKS trying to get through to someone at the IRS to confirm what I needed to do. Kept getting disconnected or waiting on hold for hours. Finally found a service called Claimyr (https://claimyr.com) that got me connected to an actual IRS agent in under an hour. The IRS agent confirmed that I needed to either convert the FSA to limited-purpose or prorate my HSA contributions for the months before my wife got her FSA. They walked me through the exact calculation and what forms I'd need. Totally worth checking out their demo at https://youtu.be/_kiP6q8DX5c if you're struggling to get answers directly from the IRS.
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Ethan Moore
•How does this Claimyr thing actually work? Do they just call the IRS for you or what? I don't get it.
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Yuki Kobayashi
•Yeah right, nothing gets you through to the IRS faster. I've tried everything and still wait hours. Sounds like an ad to me.
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Aisha Mahmood
•They don't call the IRS for you - it's a service that holds your place in the phone queue and calls you when an IRS agent is about to pick up. So instead of being on hold for 3+ hours, you just go about your day until they notify you that an agent is ready. I was skeptical too before I tried it! I had spent multiple days trying to get through myself and kept getting disconnected after 2+ hours of waiting. With Claimyr I was connected in about 45 minutes. It's not instant access or anything magical - it's just a way to avoid being stuck on hold yourself.
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Yuki Kobayashi
I have to admit I was wrong about Claimyr. After posting my skeptical comment, I decided to give it a try since I was desperate to resolve my own HSA/FSA issue before tax time. I was shocked when I got a text about 40 minutes later saying an IRS agent was about to pick up. They connected me right away and I finally got clear answers about how to handle excess contributions. The agent even emailed me the specific form I needed. Saved me from what would have been a $540 penalty for over-contributing to my HSA. Never thought I'd be recommending an IRS-related service, but here we are!
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Carmen Vega
Your simplest option might be to just have your wife contact her HR department immediately and ask if she can cancel her FSA since it was an error in selection. Many employers have a grace period for benefit elections, especially for new employees. If they won't cancel it, then definitely see if they'll convert it to limited-purpose FSA which only covers dental and vision, which is allowed alongside an HSA.
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QuantumQuester
•How long is the typical grace period for new employee benefits? My husband just started a job and I'm worried he made similar mistakes with his selections.
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Carmen Vega
•Grace periods vary quite a bit by employer. Some offer 30 days, others might give you 14 days or even less. A few generous employers might allow changes up to 60 days, but that's uncommon. If your husband just started, have him contact HR immediately if he thinks he made a mistake. The sooner he addresses it, the more likely they'll be willing to work with him on making changes outside of the formal election period.
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Andre Moreau
One important thing no one has mentioned - if you go the route of withdrawing excess HSA contributions, make sure you also withdraw any earnings on those excess contributions. The IRS requires both to be withdrawn to avoid penalties.
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Zoe Stavros
•How do you even calculate the earnings portion? Does the HSA provider do this for you?
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Andre Moreau
•Yes, in most cases your HSA provider will calculate the earnings portion for you when you request an excess contribution withdrawal. They typically have a specific form for this purpose that will ask whether you're removing excess contributions. If for some reason they don't offer this calculation, you'd need to determine what percentage your excess contribution represents of your total account, and then apply that percentage to any earnings during the period the excess was in your account.
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Jamal Harris
Has anyone considered the timing here? Since the wife started the FSA in July, couldn't they argue that the HSA was fine for January-June, and then became ineligible only from July onward? That way they'd only need to withdraw half the year's HSA contributions instead of all of it.
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Sean Kelly
•You're absolutely right! HSA eligibility is determined month-by-month. So for the months when only the HSA existed (Jan-June), they can keep their HSA contributions prorated for those months. The monthly limit for family coverage would be $8,300 ÷ 12 = $691.67 per month. So they could keep approximately $4,150 in HSA contributions for those 6 months and would only need to withdraw the excess contributions for July through December.
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Anastasia Kozlov
•Thanks for bringing this up - that's exactly what I was thinking when I mentioned withdrawing contributions for the second half of the year. Since my wife's FSA didn't start until July, we were eligible for family HSA contributions from January through June. I think I'm going to try first to see if her employer will convert the FSA to limited-purpose, and if not, then I'll calculate the prorated amount for the first six months and withdraw the rest from my HSA before the tax deadline.
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Abby Marshall
Just be really careful about the timing of any HSA withdrawals if you go that route! I learned the hard way that excess contributions need to be withdrawn by the tax filing deadline (including extensions) to avoid the 6% excise tax penalty that applies each year the excess remains in the account. Also, since you mentioned you've already contributed $8,300 for the full year, make sure your payroll department stops any ongoing HSA contributions immediately while you sort this out. You don't want to keep adding to the problem while you're trying to fix it. One more thing - document everything! Keep records of when your wife's FSA started, any communications with HR about potential changes, and if you do need to make HSA withdrawals, keep all the paperwork from your HSA provider. You'll need this documentation for your tax return.
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