it doesn't sound like it but ask your employer. a health care spending a/c seems like a plan maintained by your employer with payroll check deductions to fund the a/c along with voluntary employer contributions. . you submit bills and get reimbursed up to some maximum. the difference is that if you have unused funds in an HSA at year's end they remain to use next year. with a typical employer plan, you have a grace period in the following year to submit medical bills but after that any balance is forfeited.
