How it works
IRS Publication 969: "An employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses can't generally make contributions to an HSA." A limited-purpose FSA (dental and vision) or a post-deductible FSA don't cause this problem; a general-purpose FSA does. Contributions made while ineligible are excess contributions -- not deductible, plus a 6% excise tax (Form 5329) for every year they stay in the account. Electing a $1,200 general-purpose FSA out of habit while also planning a $3,000 pretax HSA contribution (plus $500 from the employer) at a 30% tax rate blocks the whole $3,500 and costs $900 of tax savings on your own money, plus a $210 excise tax if it isn't withdrawn; switching to a limited-purpose FSA instead fixes it at no cost. More in FSA vs HSA: which should you choose.