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Home > CDHP Overview > HSA or HRA?

Which Type of CDHP is a better fit for you?

Both HSAs and HRAs have distinct advantages and disadvantages for both the employer and the employee = Advantage

Hold the curser over each criteria topic to see an explanation

Employer Perspective

CriteriaHSAsHRAs
Cash Flow
Health Plan Benefit Design Flexibility
Potential to use funds for Unqualified Expenses
Portability
Ability to Limit Eligible Medical Expenses
Tax Benefits
Ability to Share Funding Burden with Employees
Ability to Limit Fund Rollover

Employee Perspective

CriteriaHSAsHRAs
Health Plan Benefit Design Flexibility
Potential to use funds for Unqualified Expenses
Portability
Qualified Medical Expense not Limited by Employer
Tax Benefits
Employer required to Contribute to Account
No restrictions on Fund Rollover

By offering greater control, HRAs have significant advantages over HSAs for Employers. Conversely, fewer employer restrictions around HSAs make them more desirable than HRAs from the Employees’ standpoint.


HSA’s may be a good choice for Employers where the following are all important:

  • Providing a tax shelter for a number of high wage earners
  • Providing employees flexibility to use tax free funds to pay for the very broad list of qualified medical expenses
  • Providing employees with ownership of the Personal Health Care Account with complete portability
If all of the above are not important, an HRA may be a better choice.


It is important to note that both can be effective tools that can empower consumers to be more actively involved in their health care decisions!