Why would I want an FSA if I have an HSA?

Asked by: Mason Mohr PhD  |  Last update: January 21, 2024
Score: 4.3/5 (57 votes)

By choosing to participate in both an HSA and a limited FSA or combination FSA, you're able to apply any dental, vision and preventive care expenses to your FSA, your HSA funds will have the ability to grow (both as you contribute them and, if you choose, through investment).

What happens to unused FSA funds?

For employees, the main downside to an FSA is the use-it-or-lose-it rule. If the employee fails to incur enough qualified expenses to drain his or her FSA each year, any leftover balance generally reverts back to the employer.

What qualifies for FSA 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.

What are the benefits of a FSA?

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.

Is a gym membership FSA eligible?

The Internal Revenue Service (IRS) typically does not allow funds from a Flexible Spending Account (FSA) to pay for membership dues at health clubs or gyms.

HSA vs FSA: Which One Should You Get?

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Can I cash out my FSA?

An FSA allows you to contribute pre-tax dollars from your salary. Your employer may also make contributions to your FSA account. You may withdraw the money tax-free if it's used for qualifying expenses.

Can I cash out FSA funds?

Unfortunately, FSA cards cannot be used to withdraw FSA funds from an ATM. These cards can only be used on qualifying medical products and services.

Do I have to pay back my FSA if I quit?

Employers are not allowed to ask for money back that you spent from your FSA if you quit or retire. This is due to the Uniform Coverage rule which ensures that your Flexible Spending Account funds are available to you in full as soon as your plan year starts. Any FSA amount you don't use is returned to your employer.

Do I lose my FSA money if I lose my job?

Money left unused in your FSA goes to your employer after you quit or lose your job unless you are eligible for and choose COBRA continuation coverage of your FSA. Even if you're able to continue your FSA with COBRA, your FSA money can't be used to pay for monthly COBRA health insurance premiums.

Can an employer ask for FSA money back?

Generally, the uniform coverage rule does not allow employers to charge an employee for the balance of a health flexible spending account (FSA) if the employee leaves employment mid-year.

How do I pay myself back from FSA?

Submitting a claim online

Under Quick Links, click on File a Spending Account Claim. If prompted, select Pay Me to get started. If you want to upload your documentation, it must be in PDF format. Otherwise, you can create a fax coversheet and fax your documentation to PayFlex.

Should FSA be reported on w2?

A flexible spending account (FSA) allows employees to be reimbursed for medical or dependent care benefits from an account they set up with pretax dollars. The salary-reduction contributions aren't included in taxable wages reported on Form W-2 and they are not eligible as tax deductions.

How do I spend excess FSA money?

Last-Minute Ideas for Spending your FSA Funds
  1. Review if your FSA has a carryover or grace period. ...
  2. Review your medicine cabinet. ...
  3. Schedule a dental cleaning, eye doctor appointment or physical. ...
  4. Schedule a chiropractor or acupuncture visit. ...
  5. Plan ahead for upcoming vacations. ...
  6. Check your baby supplies.

Can you use FSA to pay old medical bills?

Can I use my Health Care FSA to reimburse outstanding medical expenses from the prior year? No, expenses must be incurred during the current plan year. The only exception to this rule is orthodontics.

Does Costco take FSA cards?

Costco accepts a limited number of cards at the main checkout lanes, but they'll let you pay for eligible items with your HSA/FSA card at the Pharmacy or Optical counters. So to use your FSA or HSA cards at Costco, just bypass the regular checkout lines and visit the Pharmacy or Optical department instead.

How does an FSA affect your tax return?

Key Takeaways. An FSA helps employees cover health-related costs not included in their insurance plans. 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.

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 I buy a toothbrush with FSA?

Toothbrushes are not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) because they are general health products.

Does FSA cover toilet paper?

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

Are tampons FSA eligible?

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

Does IRS check FSA receipts?

The IRS requires that every dollar spent from an FSA be eligible and verified. This verification process is "substantiation".

Does FSA count as taxable income?

You aren't taxed on the amounts you or your employer contributes to the FSA. However, you must include in your income any contributions your employer makes for your long-term medical care insurance. You usually forfeit money you contribute that you don't spend by the end of the plan year.

What is the IRS rule on FSA?

Reimbursements from an FSA that are used to pay qualified medical expenses aren't taxed. An HRA must receive contributions from the employer only. Employees may not contribute. Contributions aren't includible in income.

Can I use my HSA to pay my care credit?

Can I use CareCredit with my HSA or FSA funds? Yes, CareCredit can be used along with your HSA or FSA funds to pay for an eye exam, glasses, contact lenses and more. If you have healthcare costs that exceed the funds in your HSA or FSA, CareCredit can be used to cover the remaining balance.

Can I use HSA to pay credit card?

It's common to put medical costs on credit cards. You can pay them off with your HSA or FSA, but keep good records.