Can I pay COBRA with flexible spending account?

Asked by: Emilio Schmitt MD  |  Last update: September 18, 2023
Score: 4.5/5 (66 votes)

COBRA premiums are not eligible under a flexible spending account (FSA). They are eligible under a health savings account (HSA), and may be eligible under a health reimbursement arrangement (HRA). HRA account holders should check with their benefits administrator to determine eligibility for their plan.

Are HSA and FSA COBRA eligible?

Yes, COBRA continuation coverage premiums can be paid from your HSA. In addition, if you are unemployed and receive unemployment compensation, you can purchase other healthcare insurance with your HSA. You cannot pay COBRA premiums with a Flexible Spending Account (FSA).

What can you pay with a flexible spending account?

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.

Is COBRA required for FSA?

Most, if not all, health FSAs will qualify for the special limited COBRA obligation, and those that do may limit COBRA coverage in two ways: (1) the maximum COBRA coverage period may terminate at the end of the plan year in which the qualifying event occurs; and (2) the health FSA is not required to offer COBRA ...

Is COBRA FSA expenses tax deductible?

Are my COBRA premiums deductible? Yes they are tax deductible as a medical expense. There isn't necessarily a “COBRA Tax Deduction”. You can only deduct the amount of COBRA medical expenses on your federal income tax in excess of 7.5% of your Adjusted Gross Income and then only if you itemize deductions.

SAVE 30% WITH YOUR FSA ACCOUNT | FLEXIBLE SPENDING ACCOUNT | TAX FREE MONEY | PERSONAL FINANCE

42 related questions found

Are COBRA premiums covered by HSA?

Can I pay my COBRA medical premiums tax-free from my HSA? Yes. You can make tax-free distributions from your HSA to pay medical premiums when you continue coverage through COBRA or are collecting unemployment benefits. My employer contributes $50 per pay period to my HSA.

Do you have a deductible with COBRA?

Do I have to start over with my deductible and out-of-pocket maximum accruals? No. COBRA coverage is an extension of the same coverage held during active employment. If you already satisfied your deductible during the current plan year, you will not have to do so again during the current plan year while on COBRA.

Can I use my HRA to pay for COBRA premiums?

Does COBRA Apply to HRAs? An HRA is just like any other group health plan. Therefore, it is subject to COBRA. Of course, if the employer is otherwise excepted from COBRA (for example, as an employer with fewer than 20 employees), then COBRA will not apply to the HRA.

What is the uniform coverage rule for FSA?

That's because IRS requirements for health FSAs include a “uniform coverage” rule under which the maximum amount of reimbursement must be available at all times during the plan year (or other period of coverage), reduced only for any prior reimbursements for the same period.

What is the disadvantage of FSA account?

Disadvantages. The amount you can contribute is less than in an HSA. You lose money if you don't use the contributions to pay for qualified health expenses within the plan year. You can't grow FSA contributions by investing them in stocks.

What is not covered by a flexible spending account?

These items include antacids, allergy medicine, pain relievers, cold medicine, feminine products and more. Any item that is purchased to maintain good health and not to treat or alleviate an illness or injury is not reimbursable.

Does COBRA cost more than regular insurance?

You should expect COBRA insurance costs to be substantially higher than what you paid as an employee because your employer is no longer required to pay a share. In 2022, employees paid an average of $111 per month for an individual plan and $509 per month for a family plan, according to KFF.

Is COBRA a HDHP?

COBRA covers all qualifying group health insurance plans (e.g. PPOs, HDHPs, HMOs) for private sector companies. Since COBRA isn't a new health insurance plan, but is instead the system through which you maintain access to your previous employer-sponsored group plan, your coverage will remain the same.

What is the difference between FSA and HSA?

HSAs and FSAs both help you save for qualified medical expenses. HSAs may offer higher contribution limits and allow you to carry funds forward, but you're only eligible if you're enrolled in a HSA-eligible health plan. FSAs have lower contribution limits and generally you can't carry over funds.

Can you use FSA and insurance reimbursement?

Where should I submit my claim first for medical expenses: to my insurance or my Medical FSA? Your claim must always be submitted to your insurance carrier first. The remaining eligible expenses that you pay out-of-pocket can then be submitted for reimbursement from your Medical FSA.

Is sunscreen an FSA expense?

Sunscreen: FSA Eligibility. Sunscreen is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) ...

Does a mattress count for FSA?

or HSA funds to purchase a mattress? So the answer is usually "no", despite the massive health effects of the right mattress. That is, unless you purchase a BioPosture mattress.

How to calculate COBRA insurance cost?

If you want to figure this out on your own, ask HR how much your employer is contributing toward your monthly coverage. Then, check your pay stub to see how much you're contributing. After adding these figures, add another 2% (for the service fee). This will show you exactly how much you'll expect to pay for COBRA.

What insurance premiums can be paid with HRA funds?

The following types of insurance premiums are all HRA-qualified, provided they're not already paid with pre-tax dollars:
  • Major medical individual health insurance premiums.
  • Dental and vision plan premiums.

What is the past cost method of COBRA?

Past cost method.

Under this method, the COBRA rate is equal to "(I) the cost to the plan for similarly situated beneficiaries for the same period occurring during the preceding determination period ...

How can I avoid paying COBRA?

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

Does COBRA take effect immediately?

How long does it take for COBRA to kick in? With all paperwork properly submitted, your COBRA coverage should begin on the first day of your qualifying event (for example, the first day you are no longer with your employer), ensuring no gaps in your coverage.

What is the maximum COBRA out of pocket?

Your group health plan can require you to pay for COBRA continuation coverage. The amount charged to qualified beneficiaries cannot exceed 102 percent of the cost to the plan for similarly situated individuals covered under the plan who have not incurred a qualifying event.

Can you contribute to an HSA if you are no longer employed?

∎ Can I contribute to an HSA even if I'm not employed: You do not have to have a job or earned income from employment to be eligible for an HSA – in other words, the money can be from your own personal savings, income from dividends, unemployment, etc.