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Flexible Spending Accounts

Flexible Spending Accounts (FSAs) provide a tax-advantaged way to pay for eligible

health care and dependent care (including elder care) expenses. FSAs let you save

for eligible health and dependent care expenses with dollars that are automatically

withheld from your paycheck before taxes. The amount you save depends on your

tax bracket.

Using your FSA account(s)

1. Decide how much to contribute each year during Open Enrollment. Contributions

are deducted from your paycheck in equal amounts on a pre-tax basis during the

calendar year.

2. When you have eligible expenses, you can use the VISA FSA debit card sent to

you when you enroll. Or, you can submit claims receipts to Discovery Benefits for

reimbursement.

You must file claims for 2017 expenses by March 31, 2018 or the

unused amount is forfeited

.

Note that if you or your spouse contribute to an HSA, you may only enroll in a

Limited Use Spending Account with contributions only used for dental and vision

expenses. This limitation is required by the IRS to prevent duplication of tax benefits.

There are two Flexible Spending

Accounts:

• Health Care Spending Account

• Dependent Care Spending Account

Each year you choose to participate

in one, both, or neither account; you

are not automatically re-enrolled.

You cannot transfer money between

the accounts.

Health Care

Spending Account

Limited Use

Spending Account

Dependent Care

Spending Account

Contributions to a Health

Savings Account (HSA)

You are not making HSA

contributions

You/your spouse contribute

to an HSA

n/a

Eligible Expenses

Out-of-pocket medical,

prescription drug, dental

and vision expenses

Out-of-pocket dental

and vision expenses

Out-of-pocket expenses for

dependent care, such as child

day care, or eldercare while

you are at work

FSA Contribution Maximum

$2,500 per year

$2,500 per year

$5,000 per year

($2,500 if married and filing

separate tax return)

Access to Contributions

As soon as participation begins, you can be reimbursed up to your

annual contribution amount, minus any reimbursements you have

already received.

This reimbursement is made regardless of the amount currently in

your account.

You can be reimbursed for

expenses only up to the amount

currently in your account.

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