HSA or FSA: Which Should You Choose at Open Enrollment If You’re 35, Generally Healthy, and Your Employer Offers Both an HDHP and a PPO?
Open enrollment is the single most consequential financial decision most employees make each year — and the average American spends less than 20 minutes on it. The HSA vs FSA choice isn’t just about which account to use for Tylenol and contact lenses. For a healthy 35-year-old, pairing an HSA with a high-deductible health plan can mean $3,000-$4,000 more in tax-advantaged savings per year compared to a PPO with an FSA — plus the HSA balance rolls over forever, compounds tax-free if invested, and can be used for anything after age 65. The FSA has real advantages too, but they apply to a specific profile. Here’s the full comparison with actual numbers.










