General purpose healthcare FSA

General purpose healthcare FSA

This account allows you to be reimbursed for eligible medical, prescription, dental, and vision care expenses incurred during the benefit plan year. For 2022, you can contribute up to $2,850.

If you are enrolled in the HRA Plus or HRA Value plan, you can use the general purpose healthcare flexible spending account to pay for copays, deductibles and coinsurance related to your or your dependents’ eligible medical, dental and vision care or prescription drug costs.

Note: If you are a participant in the HSA Base plan, you are not eligible to elect the general purpose healthcare flexible spending account option; however, you can enroll in the limited purpose (combination) healthcare flexible spending account.

Eligible healthcare expenses

Eligible expenses are medically necessary expenses not covered by your medical, dental or vision plans, including:

  • Deductibles and copayments
  • Your share of covered expenses
  • Dental and orthodontia expenses
  • Prescription glasses, contact lenses and lens cleaning solution
  • Laser vision correction
  • Prescription drugs and drug copayments

Eligible expenses do not include: cosmetic procedures, treatments not supervised by a qualified health care professional, premiums for employer-provided health care plans or other expenses that are not medically necessary.

View a complete list of eligible expenses

Limited purpose healthcare FSA

Limited purpose healthcare FSA

If you are a participant in the HSA Base plan you may enroll in a limited purpose (combination) healthcare flexible spending account which works in addition to your health savings account (HSA). For 2022, you can contribute up to $2,850.

Prior to meeting the annual deductible, you can use the limited purpose (combination) healthcare flexible spending account to pay for eligible dental, vision and preventive brand prescription expenses only. Then, after meeting the annual deductible, you can use the limited purpose (combination) healthcare flexible spending account like a general purpose healthcare flexible spending account for all qualified healthcare expenses, including IRS-approved medical expenses not covered under Allscripts Prescription Drug Coverage, such as over-the-counter (OTC) medications. A prescription is required for OTC medicines.

Eligible healthcare expenses

Eligible expenses are out-of-pocket expenses not covered by your dental or vision plans, including:

  • Your share of covered expenses
  • Dental and orthodontia expenses
  • Prescription glasses, contact lenses and lens cleaning solution
  • Laser vision correction

Eligible expenses do not include: medical expenses, including deductibles and copayments, prescription drugs, cosmetic procedures, treatments not supervised by a qualified health care professional, premiums for employer-provided health care plans or other expenses that are not medically necessary.

Dependent care FSA

Dependent care FSA

This account can be used to pay for eligible dependent care expenses on a before-tax basis for a qualifying child or relative. For 2022, you can contribute up to $5,000.

You can use this account for dependent care expenses incurred so you and your spouse can work, or so your spouse can attend school full time. If your spouse stays home full time, you are not eligible for the tax benefit.

Eligible expenses

To be eligible, care must be provided while you (and your spouse, if you are married) work, look for work or attend school full time. Eligible expenses include care in your home by an eligible provider or at a licensed facility. You will not be reimbursed for residential or “sleep-away” care, nursing home care or for babysitting when you are not at work.

The Dependent care flexible spending account will not cover services provided by your spouse, a child of yours under age 19 or any dependent you claim as an exemption on your federal income tax.

Commuter spending accounts

Commuter spending accounts

The commuter accounts will no longer be offered after Dec. 31, 2023.

If you are currently enrolled in a commuter FSA and have a balance in your account as of Jan. 1, 2023, your commuter account will automatically be transitioned to a MyChoice account. You will be able to continue to spend the funds you have in your commuter account, but beginning Jan. 1, 2023, you will no longer be able to contribute additional funds. If you do not currently have a commuter account, you will not be able to enroll in one in 2023.

For the 2022 plan year, you can contribute up to $280 each month.

More details on eligible expenses >

Managing your flexible spending account

Managing your flexible spending account

Flexible spending accounts are easy to use, and Allscripts makes it even easier to manage:

Use it or lose it.

It’s important to note that you cannot use funds from one account to pay for or be reimbursed for expenses that are qualified for another account. For all flexible spending accounts, your contributions will be taken out of your paycheck in equal amounts during the plan year. The money goes into your flexible spending account before you pay any taxes on it.

You’ll lose any money left in your flexible spending accounts at the end of the plan year, so keep track of your balance and be sure to spend everything in your account.

Flex debit card

If you newly enroll in a general purpose healthcare flexible spending account or a limited purpose (combination) healthcare flexible spending account, you will receive a debit card to pay for eligible expenses. This is a great way to eliminate potential out-of-pocket costs that can occur at the time of purchase or service. One of the best features of the general purpose healthcare flexible spending account and limited purpose (combination) healthcare flexible spending account is that you can begin spending your total flexible spending account funds before the deductions are taken out of your paycheck, but remember—keep your receipts!

You cannot use your debit card for withdrawing cash from an ATM.

Funds in all other plans are available as they are deducted/contributed each paycheck. IRS regulations state that you should use your debit card to pay for your transit pass. Parking can be paid for with your debit card or by submitting a claim online.

Debit card expense substantiation

In certain cases, WEX will request documentation to verify you used your debit card for eligible expenses under the plan. You are required to substantiate all debit card expenses or repay the plan the amount of the unsubstantiated claim. If you do not provide valid documentation for or repay the expense, the amount of the claim will be deducted from your pay or added to your W-2 as taxable income after the close of the plan year. You can login to WEX to check claims and upload documentation as needed.

Need assistance?

WEX

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To make changes, go to:
allscriptsbenefits.com

Funds available January 1

The full amount you elect to contribute to a general purpose healthcare flexible spending account or limited purpose (combination) healthcare flexible spending account is available January 1 of that plan year.

Health Savings Account + flexible spending account?

If you (or your spouse) have a Health Savings Account (HSA) you are not eligible to enroll in the general purpose healthcare flexible spending account. However, you may enroll in the limited purpose (combination) healthcare flexible spending account if you are enrolled in the HSA Base Medical plan.