The Flexible Spending Account (FSA) program administered by WageWorks allows you to contribute tax free dollars from your wages to a Health Care FSA (HC FSA) to pay for qualified health care expenses and/or a Dependent Care FSA (DC FSA) for dependent (daycare) expenses.
Employees save money because they are paying for these qualified expenses with pre-tax dollars.
All permanent full-time and part-time employees are eligible to enroll. You do not need to be enrolled in the medical plans to participate in the FSA accounts.
Over the counter drugs may ONLY be reimbursed with FSA funds with a doctor’s prescription. It is important that you read the detailed information on the changes.
Health Care Reform impacts to Flexible Spending Account
Important Notice for HSA Participants ONLY:
Due to IRS requirements, your HSA Account is used for qualifying tax-free medical expenses. The Health FSA, if you elect to participate, will be a limited purpose FSA for dental and vision expenses only. |
 When you incur a health care expense (medical, dental, vision, qualified over-the-counter expenses), you may either pay it with cash, check or credit card and request reimbursement from WageWorks (Pay Me Back), or you may use the FSA Card, which acts as a debit card, to immediately pay the expense at point of service.
 Your FSA contributions and expense payments and reimbursements are never taxed! This is why the program saves you money. The card is only applicable for the HC FSA (not DC FSA) and expires when your account balance is zero. The card is convenient because it pays your expenses up front; however, because of IRS regulations, WageWorks may need to request itemized receipts from time to time
to substantiate your expense, so save those receipts!
 Check out the Wageworks webinar  explaining how claims are processed and when and why receipts are requested!
To learn more about saving money through the FSA, visit the Wage Works website at wageworks.com or call toll free 1-877-924-3967.
Minimum/Maximum Election for January 1 through December 31
Health Care FSA (HC FSA)
The Health Care FSA helps employees save money on out-of-pocket health care expenses for eligible medical, dental and vision services that are not fully covered under the health care plan, such as copays, deductibles, and coinsurance.
| Minimum |
$260 |
| Maximum |
$5000 |
Dependent Care FSA (DC FSA)
The Dependent Care FSA helps employees pay for child care services that make it possible for the employee and spouse (if applicable) to work. Under certain circumstances, it also may be used to help pay for the care of elderly parents, or a disabled spouse or dependent.
| Minimum |
$260 |
| Maximum |
$5000 |
 Use the worksheet below to calculate your twelve months’ of health care expenses from January 1 through December 31. You could save up to 25% by participating in the FSA Health Care Account. Include only predictable expenses because if your expenses do not total your election amount at the end of the year, the account balance will not be returned to you.
FSA Healthcare Expense Savings Worksheet 
Frequently Asked Questions…
Should I enroll just because I am eligible?
No. Only employees who will have predictable expenses of at least $260 in the plan year should enroll. It is important to be aware that according to IRS rules, if the amount in the account exceeds actual expenses and claims at the end of the plan year, the excess will not be reimbursed to you.
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How do I know if my expenses qualify for reimbursement?
A list of eligible expenses can be viewed at www.wageworks.com  or you may also contact WageWorks toll-free at 1-877-924-3967 to find out if an expense qualifies.
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When do I submit receipts for my expenses?
You may pay for your expense by cash, check, or credit card and submit your receipt for reimbursement. Go to www.wageworks.com to print a Reimbursement Form.
You may also use your WageWorks debit card to pay for your health care expense. Over 90% of WageWorks debit card payments are autosubstantiated, meaning you do not have to submit a receipt. However, retain your receipts should they be requested by WageWorks to subsequently substantiate an FSA debit card payment.
Finally, you may arrange to have WageWorks pay your provider on a regular basis.
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Why would I want to have money deducted from my paycheck at the same time I'm incurring an expense and then submit receipts just to get that money back again?
For only one reason - You save money on your out-of-pocket expenses by paying for them with pre-tax dollars.
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Do I have to complete an enrollment form for each plan year if I want to participate?
YES. Because needs can change from year to year, during Annual Enrollment, employees who wish to participate in the FSA must complete a new enrollment form. Elections do not roll over from year to year.
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What will I find on WageWorks' FSA Website?
At www.wageworks.com you will be able to manage your own account. You will find:
- Current claim status information
- Which reimbursements have been made and when they were paid.
- How much money is left in your account(s)
- Claim form for faxing or mailing receipts for reimbursement
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