I'm sure someone has addressed that FSA are use it or lose it, but HSAs are "forever". Also the HSA is regarded as "yours" and follows you if you leave your current employer (regardless of the reason. I had a nearly fully funded HSA when the old nuthouse shitcanned me, and that is now my current HSA with the rehab. Also, you can pay for medical expenses without insurance coverage being in place ... like in that transition between once I got shitcanned and before the coverage kicked in after I was hired. I could have used the HSA money without penalty for dr visits, dental, eyeglasses.
Unlike the FSA, though, you cannot use HSA money to buy any OTC meds or other things that have vaguely medical purpose and are sold in drug stores.
If you have the money to cover the deductable, the high deductable plans with the HSA are really good. One of my cow orkers DOES use her coverage enough to fulfill the deductable every year and is very happy with it.
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