Health Care FSA

A Health Care Flexible Spending Account (FSA) helps you set aside money to pay for eligible health care expenses you’ll have during the year. The plusses: You contribute pretax income, so you’re paying no taxes on your contributions—plus, your contributions reduce your taxable income.

When you elect your benefits as a new employee or during annual open enrollment, you choose your FSA contribution level for the calendar year ($3,200 in 2024). The maximum amount you can roll over to the next calendar year is $610; you forfeit any additional amounts remaining in your account at the end of the year.

During every open enrollment period, you’ll elect the amount you want to contribute to your FSA the following year. Your election does not automatically roll over from year to year.

Your pretax paycheck contributions are deposited directly into your Health Care FSA, which is administered by HSA Bank.

You can use your FSA to pay for eligible expenses, including:

  • Copays and coinsurance
  • Prescription drugs and over-the-counter medications (with a doctor’s prescription)
  • Medical equipment, like crutches, and supplies, such as bandages
  • Vision care, like eyeglasses and contact lenses
  • Dental expenses, such as fillings and braces

When you have eligible expenses, you can use your Health Care FSA debit card to pay for them. Or, you can submit receipts and file a claim for reimbursement.

You set up and manage your FSA on the HSA Bank website or via the mobile app. Then, you can upload receipts and submit claims, pay providers, and track your account balance and transactions.

You have until March 31 of the following year to submit receipts for reimbursement.

How to Submit a Health Care FSA Claim

The best way to submit a claim is to simply upload your Explanation of Benefits (EOB) from the insurance carrier to HSA Bank’s portal or via their Mobile App. If you don’t submit an EOB, the IRS requires that you include the following information to submit a claim:

  1. Patient Name
  2. Date of Service
  3. Provider Information
  4. Description of Service(s)
  5. Amount Due (Patient Responsibility)

If you will incur a recurring medical expense for the same amount due, such as physical therapy, chiropractic services:
When you submit your first claim for this service, write “Setup as Recurring” on the claim form. This will alert the team at HSA Bank to expect additional claims from you for the same service and they will not ask you to substantiate the claim each time. For recurring orthodontic charges, you can use the “Automatic Orthodontia Request Form.”

You can find the FSA claim forms on the HSA Bank website. Just click the Resources tab.

Save two ways when you enroll in an FSA

This short video shows you how.

If you enroll in an HDHP

If you enroll in an HDHP, you are not able to participate in a Health Care FSA because you have the HSA to use as a tax savings vehicle to pay for qualified medical expenses. However, you can contribute to a Limited Purpose Health Care FSA, which you can use to pay for eligible dental and vision expenses. You can contribute up to the same amount to a Limited Purpose Health Care FSA as you can under the Health Care FSA.

Ready to Enroll?

To enroll or make changes to your benefits, visit bswift, our secure, online enrollment website. You’ll be prompted to enter your YNHHS username and password. If you are enrolling before your hire date, use this link to visit bswift and follow the temporary username and password instructions there. If you run into problems, call HRConnect at 844-543-2147. Need more info first? You’ll find details at HRConnect.