IRS Reminds Eligible Employees to Plan Now for Health FSAs in 2019

Eligible employees should take advantage of the health flexible spending arrangement in 2019.

The Internal Revenue Service is reminding eligible employees that now is the time to begin planning to take full advantage of their employer’s health flexible spending arrangement (FSA) during 2019.

FSAs allow employees to use tax-free dollars to pay medical expenses not covered by other health plans. Eligible employees need to decide how much to contribute through payroll deductions before the plan year begins, so many employers are offering their employees the option to sign up now for participation during the 2019 plan year.

Employees who want to contribute to an FSA must make that choice for 2019, even if they contributed in 2018. Self-employed individuals are not eligible.

Employees may contribute up to $2,700 during the 2019 plan year, which is a $50 increase over 2018. Amounts contributed are not subject to federal income tax, Social Security tax or Medicare tax. If the plan allows, the employer may also contribute to an employee’s FSA.

Throughout the year, employees can use the FSA funds to pay qualified medical expenses not covered by their health plan, including co-pays, deductibles and a variety of medical products and services ranging from dental and vision care to eyeglasses and hearing aids. Interested employees should check with their employer for details on eligible expenses and claim procedures.

Under the use-or-lose provision, participating employees must incur eligible expenses by the end of the plan year, or forfeit any unspent amounts. However, employers may choose to offer participating employees more time through either the carryover option or the grace period option:

  • Under the carryover option, an employee can carry over up to $500 of unused funds to the following plan year — for example, an employee with $500 of unspent funds at the end of 2019 would still have those funds available to use in 2020.
  • Under the grace period option, an employee has two and a half months after the end of the plan year to incur eligible expenses — for example, with a plan year ending on December 31, 2019, an employee would have until March 15, 2020 to use funds.

Employers can offer one of these two options, or none at all.

Employers are not required to offer FSAs. Interested employees should check with their employer to see if the employer offers an FSA. More information about FSAs can be found in Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, available on

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