The Thrive Account is an employer-funded account that allows your company to provide funds via a wallet or multiple wallets to be used on various spending categories. The most important differentiator is that any company-contributed funds that are spent in the Thrive Account will be taxed as income. What is eligible under the Thrive Account is determined by your employer.
Health Savings Accounts (HSA) are pre-tax accounts that are used for medical-related expenses such as co-pays, prescriptions, and procedures. This account is traditionally funded by an employee (some employers may make contributions, too). The money is added to your account on a pre-tax basis meaning these funds are not taxed as income. Eligible expenses for these accounts are determined by government regulations.