Flexible Spending Accounts (FSA)


Flexible Spending Accounts (FSAs) from Optum Bank let you set aside pre-tax dollars for eligible health and dependent care expenses. You can enroll in one or both FSAs and must choose your annual contribution amount, which is deducted pre-tax from your paycheck.

Health Care FSA

IRS Annual Maximum: $3,300

  • Covers eligible expenses for you, your spouse/domestic partner, and children.
  • Use the full annual amount anytime during the plan year.
  • Eligible expenses include copays, coinsurance, deductibles, orthodontia, and glasses/contacts. For a complete list, refer to IRS Publication 502: Medical and Dental Expenses, available at www.irs.gov/publications.
  • When you incur an eligible expense, you can use your Optum Bank debit card or pay out-of-pocket and submit a reimbursement request with documentation.
  • Not available if enrolled in HDHP with HSA.

Limited Purpose FSA

IRS Annual Maximum: $3,300

  • For HDHP with HSA participants.
  • Covers eligible dental and vision expenses only.
  • The Limited Purpose FSA also allows for reimbursement of medical expenses subject to meeting the Cigna HDHP/HSA plan's annual deductible

Dependent Care FSA

IRS Annual Maximum: $5,000

  • Covers daycare expenses for children 12 and under, or older dependents who cannot physically or mentally care for themselves.
  • Care must be necessary for you and your spouse to work.
  • Care may be provided through live-in care, babysitters, or licensed daycare centers.
  • Reimbursement only up to the amount available in your account after payroll contributions.

Learn more:

  • Plan documentation

Important:

FSAs offer tax advantages, but are subject to IRS regulations.

Deadlines

All expenses for the Health Care and Dependent Care Flexible Spending Accounts must be incurred during the plan year: January 1 through December 31. Must file claims by March 31 of following year.

Contact

Optum Bank 877-620-6194 www.optumbank.com

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