FLEXIBLE SPENDING ACCOUNTS (FSAs)
Choose how much to contribute.
FSAs give you the chance to pay eligible expenses with tax-free money. Your contributions are deducted from each paycheck before taxes are taken out.
Carefully calculate how much you’ll need because only $500 of your Health Care FSA and none of your Dependent Care FSA balance rolls over to the next year. (If you enroll in the Blue PPO + HSA plan and have a Health Care FSA balance to roll over, it will be placed in a Limited Purpose Health Care FSA.)
Two Health Care FSA Choices
| TRADITIONAL HEALTH CARE FSA If enrolled in the Blue Choice or Blue PPO plan |
LIMITED PURPOSE HEALTH CARE FSA If enrolled in the Blue PPO + HSA plan |
|
|---|---|---|
| Pay for ... | Medical, dental, and vision expenses |
Dental and vision expenses only (you can use your HSA for medical expenses) After your deductible, you can use your FSA for medical expenses, too |
| Contribute up to ... | $2,750 each year |
|
Dependent Care FSA Choice
- Pay for eligible expenses for child care or after school programs (for your dependents up to age 13) and/or elder care
- Contribute up to $2,500 or $5,000, depending on your tax filing status
- Check the Summary Plan Description (SPD) for details and exceptions