LPFSAs: A simple way to save

A limited purpose flexible spending account (LPFSA) allows you to contribute pre-tax dollars to use for eligible vision and dental expenses. If used in conjunction with a health savings account (HSA), it allows you to maximize your pre-tax HSA contributions and contribute additional pre-tax dollars to the LPFSA.

Significant savings

The example scenario below provides estimated LPFSA savings based on a family health plan and a 20% combined federal and state tax rate. Amounts shown are the maximum allowed by the IRS. Your company or provider may allot a lower amount for your LPFSA plan.

medical expenses

out-of-pocket medical expenses
(HSA)

$7000
+

vision/dental expenses

vision/dental expenses
(LPFSA)

$2700
+

tax savings

tax savings

$1940

Use it or lose it

FSAs are generally “use-it-or-lose-it” plans. This means that amounts in the FSA at the end of the plan year generally cannot be carried over to the next year. However, the plan can provide for either a grace period or a carryover. Additionally, if an accountholder leaves an employer or retires, unused funds are forfeited. For more details, see IRS publication 969 or consult a tax advisor.

Limited carryover

Some plans may allow up to $550 of unused FSA funds remaining at the end of a plan year to be carried over to the next year. Ask your benefits team for details about your plan’s FSA carryover and/or grace period policy.

How it works

1


Sign up

During your employer’s annual enrollment, sign up to participate in an LPFSA and determine the amount you would like to contribute to your LPFSA throughout the year to pay for qualified expenses.

2


Contribute

Your employer will arrange to have the elected amount of your pre-tax earnings contributed to your LPFSA. The amount withheld from your paycheck is equal each pay period. The full amount that you choose to contribute to your LPFSA throughout the plan year will be available for you to use beginning on the first day of the plan year.

3


Use your funds

When you incur a qualified expense, you can either pay with your LPFSA debit card or submit the expenses through the online member portal for reimbursement. Remember to save all receipts; you will need them for reimbursements and to validate your expenses.

Limited purpose expenses

Dental

Eligible expenses*

  • Artificial teeth
  • Coinsurance & deductibles expenses in excess of an insurance plan's usual, customary reasonable charges
  • Dental implants eligible if primary purpose is to treat or correct an existing dental condition that meaningfully promotes the proper function of the body and/or is not for cosmetic reasons
  • Dental treatment including fees for x-rays, fillings, braces, extractions, dentures, etc
  • Fluoridation device
  • Occlusal guards to prevent grinding teeth
  • Orthodontia including fees associated with maintenance work in the year payments are made

Ineligible expenses*

  • Dental implants eligible if primary purpose is to treat or correct an existing condition that inhibits the proper function of the body, not eligible if the primary purpose is cosmetic
  • Toothbrushes, dental floss, toothpaste
  • Teeth whitening/bleaching may be eligible if prescribed by a physician to treat a congenital abnormality, disfiguring disease, or treatment resulting from personal injury from an accident or trauma

Vision

Eligible expenses*

  • Contact lenses Related materials and equipment (ie saline solution and cleansers)
  • Eye examinations Eyeglasses and related materials and equipment prescribed by a physician for medical purposes
  • Laser eye surgery Includes Lasik and Radial Keratotomy
  • Optometrist/opthalmologist
  • Reading glasses
  • Prescription sunglasses

Ineligible expenses*

  • Non-prescription sunglasses

*This list is not comprehensive. For additional information, call HealthEquity at 866.346.5800

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