Flexible Spending Accounts (FSAs)

This plan can only be elected if you enroll on either the Basic or Enhanced Plan.

Flexible Spending Accounts (FSAs) allow you to set aside pre-tax funds to pay for health care and dependent care expenses. Since these contributions are not subject to federal, state or payroll tax withholding, you keep more of your paycheck.

Each year you wish to participate in the FSAs, you must elect the amount you want to contribute.

Your contributions will be deducted from your paychecks in equal installments throughout the year and deposited into your account(s).
You cannot change your contribution amount during the year unless you have a qualifying event.
Estimate your contribution amounts carefully, as unused funds will be forfeited after the end of the closing date.
Keep in mind that you cannot transfer from one FSA to another.

Health Care FSA

The Health Care FSA can be used to pay out-of-pocket medical, dental, vision and prescription drug expenses.

Annual Contribution Limit: $2,850
Eligible Expenses: Copays, coinsurance, deductibles, prescription expenses (For a full list, visit www.irs.gov Publication 502)
Funds Available: Full amount is available at the beginning of the plan year
Payment or Reimbursement Options: FSA Debit Card, Direct Deposit, Check
Deadline for Services: 6/30/2022
Deadline to Submit Claims for Reimbursement: Up to 90 days after deadline.

Medical FSA Handout

WEX Benefits Mobile App

Dependent Care FSA

The Dependent Care FSA can be used to pay eligible day care expenses for your children under age 13 or a dependent adult to allow you or your spouse to work or attend school full time.

Annual Contribution Limit: $5,000 ($2,500 if married and filing separate tax returns)
Eligible Expenses: Day care, after-school care, babysitting (work-related), nanny (For a full list, visit www.irs.gov Publication 503)
Funds Available: You may only use up to the amount of funds you have in your account
Payment or Reimbursement Options: Direct Deposit or Check
Deadline for Services: 6/30/2023
Deadline to Submit Claims for Reimbursement: Up to 90 days after deadline

Dependent Care FSA Contribution Limits

Limited Purpose FSA

If you are enrolled in a High Deductible Health Plan with a Health Savings Account, you are eligible to enroll in the Limited Purpose FSA for dental and vision expenses only. You may contribute up to $2,850.

Flexible Spending Accounts (FSAs)