Step | Health Care FSA |
Dependent Care FSA |
---|---|---|
Estimate your out-of-pocket expenses. Examples of eligible expenses* include: | • Deductibles, copays,
and co-insurance for medical,
prescription drug, dental, and vision care that are not paid under
any health plan • Expenses that exceed plan limits • Over-the-counter medications used to treat personal injuries or sickness are NOT eligible unless for insulin or with a prescription • Expenses for domestic partners are not eligible |
• Childcare
centers, private providers, nursery schools, summer day camps, and after school
care provided for your eligible dependent children
up to age 13 • Care provided for your eligible elderly or disabled, tax-qualified dependent |
How much you can contribute: | Up to $3,050 per year | Up to $5,000 per year ($2,500 if married and filing separately) |
Payroll deductions are taken: | January 1, 2024 – December 31, 2024 | |
Enroll by: | Enroll by November 25, 2023. If you participated in 2023, you must re-enroll. Your 2023 election will not carry over. | |
Incur expenses by: | January 1, 2024 – March 15, 2025 | January 1, 2024 – December 31, 2024 |
Submit claims by: | April 30, 2025 | April 30, 2025 |
Receive reimbursement up to: | Annual elected amount | Account balance |
*Note: Although it’s easy to participate in the FSAs, the IRS places some rules on their use. For details, such as exclusions for both the Health Care and Dependent Care FSAs, visit www.mypayflex.com.