Flexible Spending Accounts for Medical Expenses

Most employers offer flexible spending accounts (FSA’s) where you can set aside a portion of your earnings tax free to pay for things like medical expenses and childcare. FSA’s can save you about 30% on your out of pocket expenses since you don’t pay taxes on the amount you put into them. FSA’s can be used for the following expenses:

A health care FSA reimburses for co-pay amounts, procedures not covered by your medical insurance, prescription drugs, dental exams, eyeglasses and contact lenses, psychologist's visits and more.

A dependent care FSA reimburses for services that allow you to work, such as childcare, day care for the elderly or disabled.

Only 15-20% of people take advantage of FSA’s for a number of reasons.

Fear of losing money: Current law requires that any money left in an FSA at the end of the year revert to your employer, not to you. This use-it-or-lose-it rule causes many people to severely underestimate their anticipated expenses-and, therefore, reduces their gain.

Paying twice upfront: The pre-tax dollars deposited in your FSA come directly from your gross earnings. This money is held until you submit a verifiable receipt for an expense. That means you must first spend again by paying for a service upfront, and then file to collect reimbursement. If your budget is tight, you might not be able to afford that temporary double hit on income.

No changes allowed: With few exceptions, once you've signed on, you can't change the amount your FSA withdraws, or what that money can go for, until it's time to set up the account for the next year. Mid-year changes are permitted if your marital status, employment situation or number of dependents changes.

No child-care tax credit: If you set up a dependent care FSA, you cannot also claim a tax credit for childcare costs. Benefits experts agree, however, that if your gross income is about $28,000 or more, you'll do better using an FSA than claiming the tax credit.

Using your FSA can save you money though. If you are afraid of using it because of one of the above reasons, try it on a reduced amount to see how it works. Let's assume you're in a 28 percent tax bracket and you put $2,000 of your pre-tax earnings in a health care FSA. You can make claims to the account for services you or anyone included under your insurance coverage receives. The FSA money is reimbursed to you without a federal tax bite and, in most states, without state or local taxes chomping at it either. You save at least $560. Everyone has out of pocket expenses such as copays, and they add up to more than you think. By putting that money aside in an FSA you can save.

Maximizing your FSA is easy:

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