How to use a flexible spending account (FSA) effectively

Understanding a Flexible Spending Account (FSA) Flexible Spending Accounts (FSAs) are a popular employee benefit that allows individuals to set aside pre-tax dollars for medical expenses. By utilizing an FSA effectively, participants can maximize their

Written by: Anya Krishnan

Published on: October 21, 2025

Understanding a Flexible Spending Account (FSA)

Flexible Spending Accounts (FSAs) are a popular employee benefit that allows individuals to set aside pre-tax dollars for medical expenses. By utilizing an FSA effectively, participants can maximize their savings and manage healthcare costs more efficiently. To leverage this financial tool, it’s essential to understand its structure and application.

Step 1: Determine Your Eligible Expenses

Begin by familiarizing yourself with the types of expenses that qualify for reimbursement under the FSA. Eligible expenses typically include:

  1. Medical Costs: Co-pays, deductibles, and other out-of-pocket costs for doctors, hospitals, and prescriptions.
  2. Dental and Vision Care: Procedures like cleanings, eye exams, and glasses or contact lenses.
  3. Over-the-Counter Medications: Some over-the-counter drugs and medical supplies are eligible, particularly those with a doctor’s prescription.
  4. Dependent Care: Childcare expenses can often be paid for using a dependent care FSA.

To maximize your FSA contributions, compile a list of expected medical expenses for the upcoming year, ensuring you cover a broad range of services.

Step 2: Estimate Your Annual Contribution

Each year, determine a realistic contribution amount based on your budget and healthcare expenses. In 2023, the maximum contribution limit is $3,050 per individual, subject to employer limits. Consider:

  • Past Medical Expenses: Review previous years’ expenses to forecast this year’s costs.
  • Planned Medical Procedures: Factor in known upcoming appointments or surgeries.
  • Dependent Care Needs: If you have children or dependents requiring care, incorporate these costs into your estimates.

By accurately estimating your contributions, you avoid losing unspent funds, as FSAs have a “use-it-or-lose-it” policy.

Step 3: Take Advantage of Carryover and Grace Period Options

Check if your employer provides a carryover option or a grace period for unused funds:

  • Carryover: Some plans allow you to carry over up to $610 (in 2023) into the following year. This option helps you use leftover funds rather than losing them.
  • Grace Period: Typically lasting 2.5 months after the plan year ends, this gives you additional time to incur expenses and fully utilize the funds.

Understanding these options helps to optimize your contributions and avoid wastage.

Step 4: Use Your FSA Wisely Throughout the Year

Once you’ve set up your account and calculated your contributions, approach your FSA expenses strategically:

  • Plan Expenditures: Schedule non-urgent healthcare services throughout the year to utilize FSA funds efficiently.
  • Save and Submit Receipts: Keep thorough records of your expenses. Save receipts for medical services and products that qualify under the FSA rules.

Many FSAs provide a debit card for direct payments, making it easy to manage your healthcare expenditures. However, ensure that you keep a record of these transactions for reimbursement processes when needed.

Step 5: Know the Claims Process

Filing claims can vary by plan; however, most FSAs require you to submit a claim form with receipts for reimbursement. Understand your plan’s process to avoid delays:

  1. Gather Your Documentation: Collect all receipts and any necessary documentation before submitting your claim.
  2. Submit Claims Promptly: File claims as soon as you incur eligible expenses to avoid missing deadlines. Monitor your account to ensure timely reimbursements.
  3. Stay Informed on Deadlines: Pay attention to the submission deadlines set by your plan to ensure you capture all eligible costs.

Step 6: Explore Product and Service Options

Evaluate whether specific products or services are eligible for FSA reimbursement by leveraging available resources. Many modern healthcare products can help maximize the utility of an FSA:

  • Health and Wellness Products: From fitness trackers to supplements, check if they qualify under your FSA.
  • Telehealth Services: Explore virtual appointments, which may also qualify under your FSA, offering convenience and access to care.

Additionally, many eligible items can often be purchased online or through various retailers, making it more convenient to access needed products.

Step 7: Seek Employee Education

Utilize the resources and information provided by your employer. Many companies offer educational sessions, FAQs, and one-on-one consultations regarding FSAs. Understanding the ins and outs of your specific plan ensures you’re making the most of this employee benefit.

  • Attend Information Sessions: Participate in workshops or webinars that detail how to maximize your FSA usage.
  • Inquire About Additional Benefits: Some plans may offer additional services, such as telemedicine, wellness programs, or rebates, which you can pair with FSA use.

Step 8: Evaluate Your Needs Annually

At the end of each year, take time to reassess your FSA needs. This evaluation will help inform your contributions for the next plan year:

  • Revisit Expected Healthcare Costs: New diagnoses or changes in family size can significantly impact your healthcare expenditures.
  • Adjust Contributions Accordingly: Based on your evaluation, adjust your FSA contributions in alignment with your projected usage to avoid unnecessary loss of funds.

Step 9: Utilize Digital Tools for Monitoring

Many FSAs offer digital platforms or mobile apps that allow you to track your balances, submit claims, and view eligible expenses conveniently. By leveraging these tools:

  • Stay Organized: Track your contributions and spending in real-time to ensure usage aligns with your budget.
  • Submit Claims Effortlessly: Use your smartphone to take pictures of receipts and submit claims directly through the app.

These modern conveniences can add ease to managing your FSA, enhancing your overall experience with the account.

Step 10: Contribute Strategically

Think forward when contributing to your FSA—consider changes in life circumstances. Factors such as job changes, marriage, and the birth of a child can significantly alter your healthcare needs:

  • Update Contributions: Make sure to update your contribution amounts during open enrollment or when life changes occur. Adjusting your contributions ensures you’re set up for financial success, aligned with your current and foreseeable healthcare needs.

By carefully managing your FSA, you can take full advantage of the tax savings and financial benefits it offers, ensuring financial security in managing health-related expenses. Each step taken towards understanding and managing your FSA can lead to significant savings and a more financially stable approach to healthcare.

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