A Limited Purpose Flexible Spending Account (LPFSA) is a pre-tax benefit used to pay for eligible dental, vision care and post-deductible medical expenses for participants enrolled in a High Deductible Health Plan (HDHP). You may use these funds to pay for eligible expenses incurred by you, your spouse and your qualified dependents.

What are the benefits?

  • The LPFSA is used to pay for eligible vision and dental expenses that are not covered by your insurance.
  • It can also be used to pay for eligible post-deductible medical expenses.
  • Pre-tax contributions reduce your taxable income.
  • Easiest way to pay for everyday out-of-pocket eligible dental, vision and post-deductible medical expenses, with tax-free money.
  • Your total annual LPFSA contribution amount is available immediately at the start of the plan year .
  • You can carry over up to $500 remaining in your account from one plan year to the next, so there is minimal “use-it or lose-it” risk.
  • Multiple self-service tools available to easily manage your LPFSA and payment card transactions.

How does it work?

  • The LPFSA is similar to the regular Health Care FSA but is designed to work in conjunction with your HDHP and Health Savings Account (HSA).
  • Use the tax-savings calculator or annual expense estimate worksheet to help determine how much you should contribute per year.
  • Your annual contribution is deducted pre-tax from your paycheck in equal amounts throughout the plan year and deposited into your LPFSA.
  • As eligible expenses are incurred, you can either use your payment card to pay at the point of purchase or submit a request for reimbursement.
  • Manage your account 24/7 via the myCYC mobile app or CYC Online account

Enrollment Eligibility

To be eligible , you must be enrolled in a High Deductible Health Plan (HDHP) and participate in a Health Savings Account (HSA).

Ineligible employees:

  • Employees who are not enrolled in the HDHP.
  • Employees who are classified as fellows, scholars and research assistants in the University of Wisconsin System, as well as limited term employees, student hourlies, per diems and other temporary employees.
  • If you are not enrolled in an HDHP, see the regular Health Care Flexible Spending Account for benefit options.

Annual Limits

 

2020

2019

Contribution*

$2,700

$2,650

Carryover

$500

$500

*The $2,700 contribution limit applies on an employee-by-employee basis. Thus, $2,700 is the limit each employee may make per plan year , regardless of the number of other individuals (spouse, dependent , etc.) whose medical expenses are reimbursable under the employee’s Limited Purpose FSA (LPFSA). If two spouses are eligible for a LPFSA, each spouse may elect to make contributions of up to $2,700 to his or her LPFSA, even if both participate in the same LPFSA sponsored by the same employer.

Deadlines

Expenses:

  • For 2019 benefit period, you must incur all eligible expenses by December 31, 2019.
  • For 2020 benefit period, you must incur all eligible expenses by December 31, 2020.

Claims:

  • For 2019 benefit period, you must submit all reimbursement requests by March 31, 2020.
  • For 2020 benefit period, you must submit all reimbursement requests by March 31, 2021.

Review all claims and provide any required substantiation by December 31.

2019 Limited Purpose FSA Changes

  • You may want to consider spending down your account as much as possible in 2019. 
  • Any remaining 2019 balances (up to $500) will be carried over in April 2020 and available for use after May 1, 2020 with ConnectYourCare. 
  • TASC debit cards will be deactivated for these benefits effective January 1, 2020. 
     

Eligible Expenses

An eligible expense is a dental or vision service, treatment or item the IRS states can be paid for without taxes.

After you meet your health plan ’s deductible , you may be reimbursed for all eligible medical expenses, such as copayments, physical exams and vaccinations. To pay for post-deductible medical expenses using the payment card, you must meet your deductible and complete an attestation agreement. 

Eligible expenses can be incurred by you, your spouse or qualified dependents.

See the LPFSA Eligible Expenses flyer for a partial list of eligible expenses. For the complete list of eligible and ineligible expenses, visit www.IRS.gov and see IRS Publications 502 and 969.

How should I keep track of my eligible expenses?

You should keep all your receipts and pertinent documentation to prove your LPFSA was used for eligible dental, vision or post-deductible medical expenses. 

If you pay for anything other than eligible expenses with your LPFSA, the amount will be taxable, and you will be required to repay the amount or pay an additional tax penalty.

Enrollment Information

Learn how to enroll in an a pre-tax savings/employee reimbursement account, whether you are enrolling during open enrollment, as a new hire or when you have experienced a qualifying life event.

Read More about Enrollment Information

Following Enrollment

You will receive a welcome brochure and payment card from ConnectYourCare.

Read More about Following Enrollment
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