Your 2023 Flexible Spending Account (FSA) Dollars

Approaching year-end 2023 and with 2024 looming, it’s important to be aware of Flexible Spending Account (FSA) contribution limits. In 2023, participants could contribute up to $3,050 for an HCFSA or LEX HCFSA. This account reimburses participants for dependent care expenses, such as child daycare and elder care. For the upcoming year 2024, the new FSA contribution limits are as follows: Health Care FSA: $3,200 and Dependent Care FSA: $5,000. An FSA is a medical spending account that an employee pays into throughout the year via payroll deductions.

One important thing to keep in mind about FSAs is the use-it-or-lose-it rule. Any remaining balance typically reverts back to the employer at year-end. Therefore, it’s essential to plan and leverage your 2023 FSA and Health Savings Account (HSA) dollars now. The carryover amount for health care and limited-purpose FSAs is increasing. For the year 2023, you can carry over up to $610 in unused funds for plan year 2024.

It’s worth noting that FSA and HSA accounts both allow for contributions with pre-tax dollars. However, for tax purposes, an FSA and an HSA are not the same. HSA contribution limits are different from FSA limits and allow for catch-up contributions for those aged 55 and above, whereas FSAs do not. Both HSAs and FSAs let participants save for qualified medical expenses, but HSAs usually have higher contribution limits and allow you to carry funds forward. However, you’re only eligible for an HSA if you enroll in an HSA-eligible health plan.

2023 FSA Eye Eligible Items

• Eye Glasses
• Eye Drops (OTC)
• Eye Equipment (prescription glasses and sunglasses and prescription contact lenses. Items associated with the maintenance and care are also considered eligible reimbursable expenses under consumer-directed healthcare accounts.
• Eye Exam
• Eye Mask for Pain Relief
• Eye Pressure Monitor
• Eye Surgery
• Eye Treatment Medication (Source FSA: Eye treatment medications are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA), or a limited-purpose flexible spending account (LPFSA). Eye treatment medication reimbursement is not eligible with a dependent care flexible spending account (DCFSA). If this is an over-the-counter (OTC) eye treatment medication, it would be fully eligible with an FSA, HSA, HRA, or LPFSA.
• Eye Glass Accessories (Eye Glass Screw Driver, Pre-Moistened Lens Wipes, Keychain Reading Glasses, Eye & Ear Glass Droppers, Reading Glasses On Your Phone, Lens Cleaning Spray, Lens Wipes, Anti-Reflective Leans Cleansing Spray, Repair Kit, Nose Pads, Sunglass Reader With Magnetic Detachable Polarized Lens, Sunglass Reader With Smoke Tint,

Flexible Spending Account 2023 And Eligible Items.

The year 2023 FSA dollars are for eligible expenses and care provided from the effective date of enrollment through March 15, 2024.  If you have a health plan through your job, you can use an FSA to pay for healthcare costs such as (Source: Metlife, It is important that you check with your employer):

• Health insurance copayments, office visits, co-insurance payments, and deductibles
• Dental work and orthodontia
• Prescriptions
• Therapy and counseling services
• Chiropractic care and acupuncture
• Hospital fees, surgery, and diagnostic services
• Allergy testing
• Home healthcare: Thermometers, pain relief devices, blood pressure monitors, medical alert devices, blood sugar test kits, and more
• Over-the-counter (OTC) medications: Cough, cold, flu, allergy, asthma, pain relief, and more
• Baby and child supplies: Breast pumps, bed mats, bedwetting underwear, baby monitors, and more
• Skincare: Sunscreen, acne products, medicated lip balms, and more
• Oral care: Pain relief, water flossers, denture cleanser tablets, and more
• Foot care: Orthotics, foot creams, callus and corn removers, blister treatment, and more
• Digestive health: Heartburn relief, antacid tablets, laxatives, acid reflux pillows, and more
• Vitamins: Prenatal, nutritional supplements, multivitamins, and more
• First aid supplies: Bandages, pain relief creams, antibiotic ointments, first aid kits, and more
• Sexual health medications and products: OTC and prescription birth control, condoms, ED medications, fertility tests, and more
• Menstrual products: Pads, tampons, menstrual underwear, menstrual pain relief, and more
• Incontinence supplies: Pads, underwear, bed underpads, and more
• Smoking cessation: Programs, products, and more

Key takeaways about FSAs, HSAs and HRAs (Source: Aetna)

• FSAs and HSAs both offer tax benefits and have annual contribution limits.
• You must have an HDHP to qualify for an HSA.
• Funds in an HSA roll over from year to year. There is no “use it or lose it” rule.
• Many HSAs offer investment options.
• FSAs are “use it or lose it.” That means you’ll lose any funds you don’t spend by the end of your plan year unless the plan has a grace period or carryover feature.
• You can use your FSA to cover eligible healthcare costs at the start of the year. The entire amount is available on day one.
• HSA holders cannot spend more than the funds deposited in their HSA. However, they can save receipts for qualified medical expenses and file for reimbursement later after their balance has grown.
• You can’t contribute to an HSA and a traditional FSA in the same year. But HSA holders can also use an LPFSA for dental and vision expenses, and a Dependent Care FSA for childcare costs.
• You can contribute funds to an HSA and FSA. Only your employer can contribute to your HRA.
• Anyone can contribute to your HSA: you, your employer, or another person.
• With HRAs, employers may limit which health expenses are eligible and the amount you’re able to roll over from year to year.

Many people do not know that you can have an FSA and HAS. You can have an HSA if you have a Limited Expense FSA. The Limited Expense FSA lets you put funds aside for dental, preventative care expenses, and vision expenses only. Many also are eligible for a Dependent Care FSA.

The 2023 FSA period is January 1, 2023, through December 31, 2023. You are allowed to carry over into 2023 and must use the remaining funds by March 15, 2024. It is important to note that the 2022 FSA funds can only be used to reimburse eligible expenses for care provided from the effective date of your enrollment through March 15, 2023.

Make sure you take advantage of the benefits that your FSA account allows. Contact us if you have questions about your FSA account and eligible items eye-related items. We are here for you.