A Flexible Spending Account (FSA) allows you to dedicate pre-tax money to eligible health care and out-of-pocket costs for you, your spouse, and your dependents. Employers who offer this benefit will withhold a certain amount of money each paycheck, pre-tax, for your FSA account. The money accumulated in your FSA account must go toward qualified health care expenses throughout the year.
This year is almost over, which means it’s time to check the remaining funds in your FSA account. Any funds not spent by December 31, 2022, may be forfeited. (Your employer may offer a grace period or a carry-over amount, but it’s not required by law.)
You can read more about how FSAs work in this IRS publication. But here are a few fast facts about FSA’s from Healthcare.gov:
- The FSA limit is $2,850 per year per employer. If you’re married, an additional $2,850 can go into your spouse's FSA with their employer.
- FSA funds can pay for certain medical and dental expenses for you, your spouse if you’re married, and your dependents.
- FSA funds can pay deductibles and copayments, but not insurance premiums.
- FSA funds can pay for prescriptions and over-the-counter medicines with a doctor's prescription. Reimbursements for insulin are allowed without a prescription.
- FSAs may also cover medical equipment costs, such as crutches, supplies like bandages, and diagnostic devices like blood sugar test kits.
If you have taken care of your primary annual medical needs and still have money in your account, check this list of Eligible Health Care FSA (HC FSA) Expenses.
What you can buy with your FSA
Many people don’t take advantage of all the approved FSA items and miss out on using up the funds in their accounts. Here are some common and unexpected ideas for spending that money wisely to meet current, upcoming, or unforeseen health needs.
What most people do
Accumulating surplus over-the-counter medication such as allergy treatment, pain relievers, and cold medicine is a typical way to zero your FSA. Some ideas:
- First aid materials such as bandages and over-the-counter medications
- Pulse oximeters to measure blood oxygen levels
- Automated external defibrillators
- Blood pressure monitoring devices
- Blood sugar test kits
If your health care plan doesn’t cover eye and dental care, use your FSA account to cover costs for exams or procedures. Many medical procedures are eligible for FSA spending, including:
- In vitro fertilization
- Genetic testing
- Laser vision correction surgery
Exercise and Wellness
FSAs can also pay for certain wellness expenses. A medical practitioner's note or prescription must accompany the expense on submission. For the expense to be eligible, the product or service must treat a specific medical condition for a finite duration. These could include:
- Massage therapy
- Gym or health club monthly membership fee
- Personal trainer
- Dietary or herbal medicines to treat medical conditions
- Fiber supplements to treat medical conditions
- Weight loss drugs to treat a disease
Vaccines and COVID-19 Tests
You can often obtain vaccines using your FSA account. Here are some examples of vaccines that are commonly paid for with FSA funds:
- Flu shots
- Travel vaccines
- Hepatitis A
- Hepatitis B
- Chicken Pox
Family Planning and Care
Knowing what family care expenses are eligible for FSA spending can be confusing. For example, diaper rash ointment is, but diapers are not. Many services and items, however, are covered, including fertility treatments, contraception, condoms, and pregnancy tests for family planning. Childbirth classes, breastfeeding classes, prenatal vitamins, lactation supplies, and breast pumps are qualified items for pregnant or new moms.
You may be able to use FSA funds to pay for learning disabilities testing and developmental services. FSA funds can cover early intervention, therapy, and tools such as braille books.