Are FSA eligible items tax-free?

Asked by: Ms. Cora Kreiger MD  |  Last update: May 7, 2025
Score: 4.3/5 (19 votes)

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.

Do you pay tax on FSA eligible items?

A Flexible Spending Account (FSA, also called a “flexible spending arrangement”) is a special account you put money into that you use to pay for certain out-of-pocket health care costs. You don't pay taxes on this money. This means you'll save an amount equal to the taxes you would have paid on the money you set aside.

Can you write off FSA items on taxes?

Contributing to an FSA reduces taxable wages since the account is funded with pretax dollars. Since your FSA contribution is paid in pretax dollars, it cannot be taken as a tax deduction. You may be able to use the FSA to help pay for things like a gym membership or massage therapy, with a doctor's prescription.

Are FSAs tax-free?

However, FSAs are tax-free from the first dollar. You do not have to meet the 10 percent AGI minimum before receiving the deduction. Further, money set aside through an FSA is also exempt from FICA (Social Security and Medicare) taxes. This exemption is not available on your federal income tax return.

What taxes are exempt from FSA?

An employee who chooses to participate in an FSA can contribute up to $3,300 through payroll deductions during the 2025 plan year. Amounts contributed are not subject to federal income tax, Social Security tax or Medicare tax. If the plan allows, the employer may also contribute to an employee's FSA.

How To Use Your FSA & HSA on AMAZON (Easy)

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What are the IRS rules on FSA?

An employee who chooses to participate in an FSA can contribute up to $3,200 through payroll deductions during the 2024 plan year. Amounts contributed are not subject to federal income tax, Social Security tax or Medicare tax. If the plan allows, the employer may also contribute to an employee's FSA.

Can you use FSA for gym membership?

But that's not all a Letter of Medical Necessity can do for you. You can even pay for your gym membership with FSA/HSA funds, making it easier than ever to access top-of-the-line equipment like the models we have in our studios.

Do I need to report my FSA on my taxes?

If I participated in a Health Care FSA, do I need to report anything on my personal income tax return at the end of the year? No. There are no reporting requirements for Health Care FSAs on your income tax return.

Are diapers FSA eligible?

Regular diapers for newborns and infants are not FSA eligible because they do not treat a medical condition, but rather aid a healthy function of the body. There are some ways to save, however, including sales, coupons, buying in bulk or joining rewards programs.

How much will FSA save me in taxes?

With a Flexible Spending Account (FSA), you can save an average of 30 percent by using pre-tax dollars to pay for eligible FSA expenses for you, your spouse, and qualifying children or relatives. Here's how an FSA works. Money for your FSA is deducted automatically from your paycheck before taxes are taken out.

Does IRS check FSA receipts?

IRS rules require that all FSA and HRA claims be substantiated. If the claim cannot be auto-substantiated, the employee is required to submit documentation to support the claim. You should save itemized receipts and documentation for all health care services—even when you paid using your payment card.

What are FSA eligible expenses?

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.

Is a gym membership tax-deductible?

The IRS typically does not allow taxpayers to deduct gym memberships or other costs associated with general health and wellness. The main reason is that these expenses are considered personal, even if they contribute indirectly to improved work performance, stress reduction, or overall well-being.

Are FSA items tax deductible?

If you use a Health Care FSA (HCFSA) to pay for eligible health care expenses, you cannot deduct those same expenses on your federal income tax return. However, your entire allotment (FSA contribution) is deducted from your pay before taxes are taken out, so it's considered pre-tax.

Is FSA use it or lose it?

The IRS' use-or-lose rule states that FSA funds must be spent by the participant within the FSA's plan year. That means FSA participants typically need to spend most or all of their FSA funds by the end of the plan year. Unused funds at the end of the plan year are forfeited to the plan.

Can I cash out my FSA?

You can't withdraw money from an ATM

One of those is that the money can only be spent on FSA-eligible expenses. The easiest way to be sure your purchases are eligible is to shop at a store that exclusively sell FSA-eligible items (hint: FSAstore.com).

Are car seats FSA eligible?

Car seats are not eligible for reimbursement with a flexible spending account (FSA), limited-purpose flexible spending account (LPFSA), dependent care flexible spending account (DCFSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

Are tampons FSA eligible?

Feminine hygiene products: Pads, liners, and tampons all qualify as FSA-eligible expenses. The end of the year is a good chance to stock up if you need to. Pain relievers: Over-the-counter pain medications such as Aleve, Tylenol, and generic versions of the drugs are available for purchase through FSA funds.

Is deodorant FSA eligible?

For example, daily care products, like Vaseline, toothpaste, and deodorant, are not FSA-eligible expenses. Gym memberships and health insurance premiums aren't eligible either.

Does FSA really save money?

Contributing to a flexible spending account (FSA) could save you several hundred dollars in taxes. FSAs do this by exempting contributions from federal and state income taxes, as well as payroll taxes.

What happens if you don't provide FSA receipts?

What happens if I cannot provide a receipt? Generally, your employer or benefits company allows a specific amount of time–often 60 days–for you to submit your required documentation. If you miss the deadline, or the claim is denied, your employer must follow the IRS' rules.

What is the FSA tax at Costco?

A flexible spending account (FSA) is a tax-advantaged way to pay for medical costs, including services and health-related items. One downside of these accounts is that they are “use it or lose it” — you must use the funds in your account by the end of your plan year because they do not roll over into the next one.

Can FSA pay for massage?

Massage Therapy may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with flexible spending accounts (FSA), health savings accounts (HSA) and health reimbursement arrangements (HRA).

What happens if I accidentally used my HSA card for groceries?

You can repay the incorrect distribution before filing your federal taxes for that tax year. However, if you do not correct the mistake, the unqualified amount will be subject to income tax, and you may also face an additional 20% tax penalty.