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Healthcare FSA

A healthcare FSA (Flexible Spending Account) is an IRS tax-favored account you can use to pay for your eligible medical expenses not covered by your insurance or any other plan. These funds are set aside from your salary before taxes are deducted, allowing you to pay your eligible expenses tax free. A partial list of these eligible expenses can be found on this page.

Minimum Annual Deposit:

$10 per pay period ($260 per year)

Maximum Annual Deposit:

$5,000 (including a $50.96 annual administrative fee)

Partial List of Medically Necessary Eligible Expenses

Acupuncture

Ambulance service

Birth control pills and devices

Chiropractic care

Contact lenses (corrective)

Dental fees

Diagnostic tests/health screening

Doctors' fees

Drug addiction/ alcoholism treatment

Drugs

Experimental medical treatment

Eyeglasses (corrective)

Guide dogs

Hearing aids & exams

Injections and Vaccinations

In vitro fertilization

Nursing services

Optometrist fees

Orthodontic treatment

Over-the-counter items

Prescription drugs to alleviate nicotine withdrawal symptoms

Smoking cessation pgm/treatments

Surgery

Transportation for medical care

Weight-loss programs/meetings

Wheelchairs

X-rays

Note: Budget conservatively. No reimbursement or refund of Healthcare FSA funds is available for services that do not occur within your plan year.

* IRS-qualifi ed expenses are subject to federal regulatory change at any time during a tax year. Certain other substantiation requirements and restrictions may apply, and will be supplied to you following enrollment.

Back to Top Page Last Edited: Tue Jul 12, 2011 1:11:47 PM
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