Page 12 - Fontbonne 2020 Benefits
P. 12
Eligibility
Requirements How to Spend Your HSA
Because there are so many tax
advantages with the HSA, there This is a list of eligible expenses you can pay for using your HSA savings.
are a few eligibility requirements
which you must meet in order to Medical deductibles and coinsurance payments
open and contribute to an HSA.
To contribute to an HSA, you Medical, dental, and vision care services
must meet the following criteria. Medical, dental, and vision care services for your spouse or
You must be enrolled dependents, even if they are not covered under the same plan as you
in a Qualiied High Medicare premiums and COBRA coverage
Deductible Health Plan, like
Fontbonne’s HSA Plan Over-the-counter medications with a written prescription
You must not be covered As the HSA owner, you are responsible for determining whether a
by any other health plan healthcare expense is eligible for reimbursement from your HSA. For a
which is not a Qualiied more comprehensive list of eligible and non-eligible HSA expenses please
High Deductible Health Plan visit www.irs.gov and view Section 213(d) of the IRS Tax Code.
You must not be covered
by a Healthcare FSA for the
tax year in which you will
claim your HSA deposits as
tax deductions, unless it is Oice Visits
a Limited FSA
You must not be eligible to
be claimed as a dependent Prescriptions
on someone else’s
tax return
You must not be enrolled Lab Work
in Medicare, TRICARE, or
TRICARE for Life Eligible Healthcare
You must not have received Expenses
Veterans Administration
Beneits within the past You can use your HSA to pay for
3 months (exception for Vision eligible healthcare expenses such as...
service related disabilities)
Dental and Ortho
Radiology
12
Requirements How to Spend Your HSA
Because there are so many tax
advantages with the HSA, there This is a list of eligible expenses you can pay for using your HSA savings.
are a few eligibility requirements
which you must meet in order to Medical deductibles and coinsurance payments
open and contribute to an HSA.
To contribute to an HSA, you Medical, dental, and vision care services
must meet the following criteria. Medical, dental, and vision care services for your spouse or
You must be enrolled dependents, even if they are not covered under the same plan as you
in a Qualiied High Medicare premiums and COBRA coverage
Deductible Health Plan, like
Fontbonne’s HSA Plan Over-the-counter medications with a written prescription
You must not be covered As the HSA owner, you are responsible for determining whether a
by any other health plan healthcare expense is eligible for reimbursement from your HSA. For a
which is not a Qualiied more comprehensive list of eligible and non-eligible HSA expenses please
High Deductible Health Plan visit www.irs.gov and view Section 213(d) of the IRS Tax Code.
You must not be covered
by a Healthcare FSA for the
tax year in which you will
claim your HSA deposits as
tax deductions, unless it is Oice Visits
a Limited FSA
You must not be eligible to
be claimed as a dependent Prescriptions
on someone else’s
tax return
You must not be enrolled Lab Work
in Medicare, TRICARE, or
TRICARE for Life Eligible Healthcare
You must not have received Expenses
Veterans Administration
Beneits within the past You can use your HSA to pay for
3 months (exception for Vision eligible healthcare expenses such as...
service related disabilities)
Dental and Ortho
Radiology
12
