Flexible Spending Account

Here is a partial list of eligible expenses:

• Acupuncture
• Chiropractic services
• Contact lenses (corrective)
• Home Health and hospice care
• Lasik eye surgery
• Non-medicated band-aids, rolled bandages and dressings
• Orthodontic treatment
• Transportation for medical care
• Wheelchairs

Minimum annual deposit: $10 per pay period ($260 per year)

Maximum annual deposit: $3,200

To ensure you don't lose your healthcare FSA funds, you will need to spend that money by March 15 and submit your reimbursement for healthcare FSA requests before April 30.

Dependent Care FSA funds can be used to pay eligible care expenses to ensure your dependents (child or elder) are taken care of while you are working.

Here is a partial list of eligible expenses:

• After school care
• Babysitting fees
• Day care services
• In-home care/au pair services
• Nursery and preschool
• Summer day camps

Minimum annual deposit: $10 per pay period ($260 per year)

Maximum annual deposit: $5,000

The maximum contribution depends on your tax filing status. If married filing separately, or single and not head of household, your maximum annual deposit is $2,500. If married filing jointly, or single and head of household, the maximum annual deposit is $5,000.

For your dependent care FSA funds, you will need to spend that money by December 31 and submit your reimbursement for Dependent Care FSA requests before April 30.

The FSA Card is a convenient Healthcare Flexible Spending Account (HCFSA) reimbursement option. When you swipe your FSA Card to pay for eligible expenses at your health care provider or drugstore, funds are electronically deducted from your HCFSA account. The FSA Card cannot be used for reimbursement of dependent care expenses.

If you enroll in an HCFSA, two cards will be sent in the mail. Your spouse or eligible dependent may use the second card. Use your cards each plan year until their expiration date.

Prescriptions and Over-The-Counter Purchases
Prescription and certain Over-The-Counter (OTC) purchases with the card are only accepted at registered merchants (i.e. stores like Publix, Walmart, Target and CVS). For all other qualified expenses, such as medical copayments, the FSA Card will function normally. 

Certain eligible expenses that you pay for with your FSA card will require documentation so that the FSA provider can verify that you are not using your FSA card to pay for an expense that is covered under your insurance.

Examples of services that would require documentation include:

• Co-payments under a spouse's medical plan or prescription drug plan
• Medical & Dental deductible and co-insurance payments
• Some prescriptions and certain OTC items*
• Durable medical equipment
• Eyeglasses, contacts lenses or Lasik surgery
• Other eligible expenses that are not covered under your insurance

*Over-the-Counter (OTC) drugs and medicines require a prescription to qualify for FSA reimbursement and your FSA card use.

For expenses requiring documentation, the Explanation of Benefits (EOB) provided by the insurance carrier (if applicable) and the merchant’s receipt or provider’s statement is acceptable. EOBs for claims under the County’s medical and dental plans can be obtained through the vendor’s website. 

If you fail to send in the requested documentation for an FSA Card expense, you will be subject to:

• Withholding of payment for an eligible paper claim to offset any outstanding FSA Card transaction
• Suspension of your FSA Card privileges
• The reporting of any outstanding FSA card transaction amounts as taxable income, and applicable taxes will be withheld