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They are similar but the HSA is your account that you carry with you irrespective of your employment. The flexible spending account is tied to your employment.
A medical flexible spending account is an account that you contribute pre-tax dollars from your wages to pay for out-of-pocket health-related expenses done through your employer. It's a plan sponsored by your employer.
An HSA is owned by you. It's a savings account that you contribute to on a tax-free basis through your employer. If you contribute on your own, you can get a deduction on your Form 1040. If you change employers, you can carry it with you. You must have a High-Deductible Health Plan to participate. Your distributions are tax free if they are used to pay for qualified medical expenses.
Refer to TurboTax Help articles What is a high-deductible health plan (HDHP)?, What is a Flexible Spending Arrangement (FSA)?, and What is a health savings account (HSA)?
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