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Health care flexible spending accounts (FSAs)

A health care FSA reimburses you for eligible health care expenses for you and your eligible dependents. Eligible expenses include medical, dental, vision, hearing and prescription drug expenses. You can also use FSA funds to pay for copays, coinsurance and certain over-the-counter (OTC) items. 

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Pay the faster way

Your FSA card is the fastest and most convenient way to pay for everything, from bandages to braces, and contacts to chiropractors. Plus you save up to 30%* since you’re using pre-tax dollars. Shop the Optum Store for even more savings. Get 7% off at checkout with code OPTFSA7.

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Use it — don't lose it!

Find out ways you can use your funds so you don't lose them.

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Eligible expenses

Learn about eligible health care expenses for your health care FSA. 

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Learn how FSAs work

A health care FSA lets you cover eligible health expenses with before-tax dollars.

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What is a health care FSA?

A health care FSA reimburses you for eligible health care expenses for you and your eligible dependents. Eligible expenses include medical, dental, vision, hearing and prescription drug expenses. You can also use FSA funds to pay for copays, coinsurance and certain over-the-counter (OTC) items.

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Don't leave money behind

In most cases, your health care FSA funds are available as soon as they appear in your account. It’s important to understand that in most cases FSA have a “use it or lose it” rule. That means you may lose any money left in your account at the end of the plan year. Use your FSA card to shop local retailers and save up to 30%* since you're using pre-tax dollars. Learn more.

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Tax savings 

Your taxable income is reduced by the amounts you deposit into your FSA accounts, up to IRS limits.

2023 limits:

  • Health care FSA max IRS election: $3,050
  • Dependent care FSA max IRS election:
    • Individual: $2,500
    • Family: $5,000
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Additional resources

Getting started with your FSA

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Common FSA eligible/ineligible expenses 

This document helps you determine which expenses may be eligible for reimbursement under your health care FSA.

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Tips for spending your FSA 

It’s important to understand the “use it or lose it” rule for FSAs. That means you may lose any money left in your account at the end of the plan year.

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Paying with your FSA

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FSA: How to upload a receipt

Learn how to upload a receipt for an Optum Bank debit Mastercard® purchase.

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FSA: How to file a claim

Watch this video for step-by-step instructions on how to file a claim.

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*Savings compares using pre-tax income in your FSA to using after tax income for purchases and assumes a 30% combined tax rate from all applicable federal, state, and FICA taxes. Results and amount will vary depending on your circumstances.