Insights & Advice From Bank Of Tennessee


Flexible Spending Accounts for Medical and Dependent Care

Flexible Spending Accounts for Medical and Dependent Care

Does your employer offer flexible spending accounts? Do you take advantage of this benefit?

If you answered "yes" to the first question but "no" to the second, you might be losing hundreds of dollars, depending on your income-tax bracket, every year.

What Are Flexible Spending Accounts?

The problem is, too many employees do not understand the benefits of flexible spending accounts, better known by the acronym FSA.

Such accounts allow employees to set aside money from their regular paychecks on a pre-tax basis to pay for out-of-pocket medical or dependent care expenses.

That might sound confusing, but here's how it works: Every pay period, your employer deducts a set amount of money from your paycheck. You then use that money to pay for medical or dependent-care expenses that your regular health insurance will not cover. For instance, you might need to lose weight to stave off diabetes or hypertension. You could use the money in your flexible spending account to pay for enrollment in a weight-loss program.

The benefit of this is obvious: You will be saving up money for health expenses on a regular basis. You then won't face a significant financial shock if you need to pay potentially pricey out-of-pocket healthcare expenses.

However, there's an even more significant financial benefit: The dollars you stow away in your flexible spending account are considered pre-tax dollars. That means that they reduce the amount of income you will have to report to the IRS every year, thus reducing the amount of income taxes that you must pay each year. If you earn $40,000 a year, and you put $2,000 into a flexible spending account, the gross income that you must report to the IRS falls to $38,000. Depending on the size of your tax rate, that could result in significant tax savings.

The Internal Revenue Service puts limits on the amount that you can deposit into an FSA each year. In 2021, FSAs will be limited to $2,750 per year, which is the same as last year. However, contribution limits are expected to be raised annually based on the rate of inflation. However, even with restrictions, the savings are still meaningful to most employees.


Companies that offer FSAs tend to provide two different kinds: those set aside for healthcare expenses and those created for dependent-care.

It is important to note that dependent-care accounts are not just for your children. They can be used for any of your dependents, including your elderly parents if you are taking care of them.

How can you use your FSA money? A recent story by CNBC does a good job listing some options. If you suffer a disability, you can use FSA money to pay for renovations to make your home more accessible. If you need to lose weight to battle a doctor-diagnosed medical problem, you can use FSA money to sign up for weight-loss programs. You can also use the money in your account to pay for gasoline or tolls when you use your car for medical reasons.

If you have a dependent-care FSA, you can use the money in it to pay for nursery school for your children, nannies or adult daycare.

Use it or Lose it

Flexible spending accounts are not perfect, however. They come with a provision that requires you to spend all of the money deposited in your FSA account before the end of the year or risk losing any unspent funds.

The “use-it-or-lose-it” rule has always been one of the biggest downsides to saving in these plans. Some plans do provide a grace period to let you use the money by March 15 of the following year, but the "lose it" rule kicks in after that date.

In response to issues that many consumers faced in losing such unspent funds, the U.S. Treasury Department amended FSA rules in 2013. The changes permitted employers to offer plans that would allow employees to roll over up to $500 from their current plan year account for the next plan year.

Such changes are made at the employer's discretion, however, and many haven't implemented the new option. Many companies have decided to maintain the March 15 grace period instead of the rollover provision as IRS rules force them to choose one option or the other. Check with your plan administrator to see what your company offers.

FSAs, then, are as flexible as their name suggests. However, their availability from employers is not as widespread as many would like. According to a 2018 study conducted by the Society for Human Resource Management, only 63 percent of employers offer medical Flexible Spending Accounts.