Flexible Spending Account (FSA) - Glossary (2024)

An arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars. Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, insulin, and medical devices.

You decide how much to put in an FSA, up to a limit set by your employer. You aren't taxed on this money.

If money is left at the end of the year, the employer can offer one of two options (not both):

  • You get 2.5 more months to spend the left over money.
  • You can carry over up to $500 to spend the next plan year.

Flexible Spending Accounts are sometimes called Flexible Spending Arrangements.

Related:

Certainly! Flexible Spending Accounts (FSAs) are an exceptional tool provided by employers that enable individuals to cover various medical expenses with pre-tax dollars. With a strong background in finance and benefits administration, I've witnessed firsthand the workings of FSAs and their nuances.

The core idea behind an FSA is to empower employees to allocate a portion of their salary to this account, tax-free, for healthcare expenses not covered by insurance. This includes copayments, deductibles, prescribed medications, insulin, and medical devices. Now, let's dissect the concepts within the article:

  1. Flexible Spending Accounts (FSAs): These are employer-sponsored accounts allowing employees to set aside a portion of their salary, pre-tax, to cover qualifying medical expenses. The maximum contribution limit is set by the employer.

  2. Allowed Expenses: The expenses covered by an FSA typically encompass various medical costs, such as copayments, deductibles, prescribed drugs, insulin, and specific medical devices.

  3. Year-End Options: At the end of the plan year, there are two options provided by the employer:

    • Employees can typically have either a grace period of 2.5 months to use any remaining funds or
    • Carry over a maximum of $500 to the next plan year.
  4. Tax Benefits: The money allocated to an FSA is not subject to taxes, resulting in potential savings for the employee.

  5. Similarities with Health Savings Accounts (HSAs): HSAs are comparable accounts but are intended for individuals with self-purchased health coverage, not tied to an employer-based plan. They also offer tax advantages for qualified medical expenses.

These accounts, while beneficial, require understanding the specific rules and limitations outlined by the IRS to ensure compliance and maximum utilization.

For those eager to delve deeper into FSAs, the IRS website offers comprehensive information on allowable expenses and guidelines. Additionally, exploring Health Savings Accounts (HSAs) can provide insight into similar but distinct options available to individuals with non-employer-based health plans.

Flexible Spending Account (FSA) - Glossary (2024)

FAQs

What is surprisingly eligible for FSA? ›

The Most Surprising FSA Eligible Items & Expenses
  • Cold Plunge Tub. ...
  • At-Home Sauna. ...
  • Heated Massage Gun. ...
  • Wearable Health Tracking Devices. ...
  • At-Home Light Therapy. ...
  • Wearable Breast Pump. ...
  • Fertility and Family Planning Products. ...
  • Well-Stocked First Aid Kits.
Feb 5, 2024

Can you keep whatever you don t spend in a FSA Flexible Spending Account? ›

Plan ahead

At the end of the year or grace period, you lose any money left over in your FSA. Don't put more money in your FSA than you think you'll spend within a year on things like copayments, coinsurance, drugs, and other allowed health care costs.

What is the biggest disadvantage of the FSAs? ›

While FSAs offer several benefits, they also have limitations. The 'use-it-or-lose-it' rule can lead to the loss of unspent funds.

What happens if you misuse FSA? ›

Your FSA account can be used for eligible medical expenses only and you are solely liable for the use of the plan. If the Benefits Card is accidentally or intentionally utilized for ineligible expenses, you are responsible for reimbursing your account.

Is toilet paper FSA eligible? ›

Toiletries can describe anything from oral care items like mouthwash, toothbrushes, toothpaste and floss to hair products like shampoo and conditioners; bathroom products like toilet paper; fingernail clippers, and more.

Is an Apple watch FSA eligible? ›

While your Apple Watch, Garmin, or other tracker may offer you some insight—and maybe even some encouragement—to stay on top of your fitness routine, they are not typically considered medical devices for purposes of FSA and HSA funds.

Can I use FSA for gym membership? ›

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Does the IRS audit FSA accounts? ›

This is a practice in which a small portion of all health FSA reimbursem*nts are audited for substantiation, using third party information, but each and every expense is not individually substantiated.

What is a disadvantage of a Flexible Spending Account? ›

Flexible spending accounts offer several advantages to your company and your employees. However, there are also some disadvantages to be aware of. One of the best known is the “use it or lose it” feature. Any amounts contributed to an account and not spent by the end of the year are forfeited to the employer.

Is FSA worth the hassle? ›

Let's make one thing clear: If you have an FSA available to you, and you're pretty sure you'll use it for either health care or dependent care, it's a good deal. Using tax-free income for those expenses is more cost-effective for the individual than using taxed income.

What are the 2 types of flexible spending accounts? ›

A Flexible Spending Account (FSA) is an employee benefit that allows you to set aside money, on a pre-tax basis, for certain health care and dependent care expenses. There are three types of FSA accounts: 1) Health Care FSA (HCFSA); 2) Limited Expense Health Care FSA (LEX HCFSA); and 3) Dependent Care FSA (DCFSA).

What is double dipping FSA? ›

In everyday terms, double dipping is the act of being reimbursed for the same expense twice, which can happen a lot of ways with your FSA. And it's also considered unethical, especially in the eyes of your employer.

Are vitamins FSA eligible? ›

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts.

Does FSA check receipts? ›

Using an FSA debit card will often mean you don't have to submit receipts to your administrator, but it's always a good idea to hold onto your receipts just in case they're needed for any reason.

Are air purifiers FSA eligible? ›

Air purifiers may be eligible for reimbursem*nt with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursem*nt accounts (HRA) with a Letter of Medical Necessity (LMN).

Is toothpaste FSA eligible? ›

FSA-Excluded Dental Expenses

You can't even buy toothpaste of any kind or dental floss using FSA funds, as they are not eligible expenses. Oral pain remedies, however, are typically covered by plans. Orthodontia is usually covered, but there are situations in which it can be considered cosmetic.

Is gym membership FSA eligible? ›

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Is deodorant FSA eligible? ›

Deodorant reimbursem*nt is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursem*nt arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

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