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P. 10
Eligible Expenses
Healthcare FSA Flexible Spending Account (FSA)
X Doctor’s visit copays
X Prescription drug copays What is a Flexible Spending Account?
X Medical and dental
deductibles A lexible spending account (FSA) allows you to set aside pre-tax dollars from
X Over-the-counter your paycheck to cover qualiied expenses which you would normally pay out of
medications (with a written your pocket with after-tax dollars. We offer two types of lexible spending account
prescription) programs.
X Hearing aids
X Eye glasses Healthcare FSA
Limited Health FSA The healthcare FSA helps you pay for certain IRS-approved medical care expenses
X Hearing aids not covered by your insurance plan with pre-tax dollars. For example, cash which
X Eye glasses you now spend on deductibles, copayments, or other out-of-pocket medical expenses
X Dental cleanings can instead be placed in the healthcare FSA pre-tax, to pay for these expenses. The
X Eye exams
maximum contribution to the healthcare FSA is $2,550 per plan year.
Dependent Care FSA
X Cost of child or adult day Funds you elect to contribute are available to the healthcare FSA are available in
care* full on the irst day of the plan year. For example, if you elect to contribute $1,000,
X Nursery school full election is available on day one. You will continue to pay for the election pre-tax
X Preschool (excluding from your paycheck throughout the plan year.
kindergarten)
* An eligible dependent is a tax
dependent child under age 13, Dependent Care FSA
tax dependent spouse, parent,
or child unable to care for The dependent care FSA lets you set aside pre-tax dollars to use toward qualiied
themselves
dependent care. The maximum amount you may contribute to the dependent care
FSA is $5,000 (or $2,500 if married and iling separately) per plan year. Funds
you contribute to the dependent care FSA function like a debit card, you need to
accumulate the funds before you can use them.
10
Airport Terminal Services
Healthcare FSA Flexible Spending Account (FSA)
X Doctor’s visit copays
X Prescription drug copays What is a Flexible Spending Account?
X Medical and dental
deductibles A lexible spending account (FSA) allows you to set aside pre-tax dollars from
X Over-the-counter your paycheck to cover qualiied expenses which you would normally pay out of
medications (with a written your pocket with after-tax dollars. We offer two types of lexible spending account
prescription) programs.
X Hearing aids
X Eye glasses Healthcare FSA
Limited Health FSA The healthcare FSA helps you pay for certain IRS-approved medical care expenses
X Hearing aids not covered by your insurance plan with pre-tax dollars. For example, cash which
X Eye glasses you now spend on deductibles, copayments, or other out-of-pocket medical expenses
X Dental cleanings can instead be placed in the healthcare FSA pre-tax, to pay for these expenses. The
X Eye exams
maximum contribution to the healthcare FSA is $2,550 per plan year.
Dependent Care FSA
X Cost of child or adult day Funds you elect to contribute are available to the healthcare FSA are available in
care* full on the irst day of the plan year. For example, if you elect to contribute $1,000,
X Nursery school full election is available on day one. You will continue to pay for the election pre-tax
X Preschool (excluding from your paycheck throughout the plan year.
kindergarten)
* An eligible dependent is a tax
dependent child under age 13, Dependent Care FSA
tax dependent spouse, parent,
or child unable to care for The dependent care FSA lets you set aside pre-tax dollars to use toward qualiied
themselves
dependent care. The maximum amount you may contribute to the dependent care
FSA is $5,000 (or $2,500 if married and iling separately) per plan year. Funds
you contribute to the dependent care FSA function like a debit card, you need to
accumulate the funds before you can use them.
10
Airport Terminal Services
