A Health Care FSA can reimburse you for eligible Health Care expenses that are not covered by your health insurance plan. These include deductibles, copays and certain out-of-pocket expenses.

Consider last year's health-related expenses, including medical, dental, vision or pharmacy costs you foresee that might not be covered under your health plan. Also consider any changes in your family status that might have an impact on these expenses.

For help deciding how much to contribute, check out the FSA Savings Calculator.

All expenses must be qualified medical, vision, pharmacy, mental health, or dental benefit expenses as defined in Section 213(d) of the Internal Revenue Code. For a complete list, click here.

Below are examples of eligible expenses that are reimbursed through a Health Care FSA:

• Chiropractic treatment
• Contact lenses/saline solution
• Copayments/coinsurance
• Deductibles
• Dental work/orthodontia
• Doctor’s fees
• Eye exams
• Eyeglasses
• Hearing aids
• Laboratory fees
• OTC medicines
• Orthodontia
• Prescriptions
• Psychiatric treatment
• Routine physicals
• Weight Watchers^® (as treatment for obesity or an obesity-related disease)

Your savings will depend on several factors, including your income, tax bracket and yearly health care expenses. For example, assuming an annual income of $40,000, a 15% tax bracket, and estimated health care expenses of $2,000, your tax savings will be approximately $453 annually by using a Health Care FSA.

Filing Status: Head of Household with one dependent. These projections are only estimates of 2006 tax information and should not be assumed to be tax advice.

We make reimbursement easy! We offer several automatic reimbursement options so you don't have to complete a paper claim form.

 For forms, click here