Healthcare FSA

Eligible employees can set aside up to $3,200 per calendar year (2024) in a Healthcare Flexible Spending Account (FSA) to cover eligible out-of-pocket medical, dental, and vision care expenses for themselves and their eligible dependents.  Qualifying expenses include costs for out-of-pocket costs for your medical and dental care, such as co-pays and deductibles; expenses not covered by the health or dental plans; vision care expenses; and prescription drugs.

Participants in these accounts may pay any out-of-pocket expenses (doctor visits, prescription co-pays, mail-order prescriptions, eyeglasses, etc.) at the point of sale by using their Flex Debit Card. The card is pre-programmed for your annual election amount and pre-approved for vendors such as doctors, prescriptions, etc.

Because the IRS governs these accounts, you must make a new election each year if you want to participate.

  • 2024 Healthcare FSA Accounts: To be reimbursable, you must incur eligible expenses between January 1 and December 31, 2024. You have until March 31, 2025, to submit your 2024 account claims. Under the Healthcare FSA, you may carry over up to $640 in account balances from one plan year to the next; so up to $640 of your remaining 2024 plan balance will carry over into the 2025 plan year. Per IRS rules, you will forfeit any remaining balance above $640.


Some expenses may require substantiation, so it is important that participants save all receipts. Paper claims may also be filed for reimbursement of eligible expenses. Reimbursement is made by check or by direct deposit. 

For a list of eligible expenses see FSA List of Eligible Expenses.

If you participate in the Harvard Pilgrim High Deductible PPO Health Plan, you may participate in a "Limited Purpose" Healthcare FSA. 

If an employee terminates their employment with the College, only services rendered prior to the employee's last day may be eligible for reimbursement under the reimbursement plans. Any unused money will be forfeited.

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