Page 16 - 11639_2019 Open EnrollmentGuidebook_interactive
P. 16

 MY HEALTH
Flexible Spending Account (FSA) and Health Savings Account (HSA)
Ways to Pay Expenses and Save on Taxes
Health Care FSA
Dependent Care FSA
*Based on the time of the publication
How to submit FSA Claim for Reimbursement Paper Form
Benny Card
How it Could Benefit You
You can set aside money each year for eligible healthcare expenses for yourself and all eligible dependents.
The Dependent Care FSA
can be used to pay for day care expenses for a dependent child or dependent adult, to allow you and your spouse to work or attend school full-time.
   2019 Contribution Limit*
      Min $100, Max $2,650
     Min $100, Max $5,000 (Single, or Married file jointly)
Min $100, Max $2,500
(Married and file tax separately)
Consider Health Care FSA if you are enrolled in the Gold or Silver Plan
       • FAX: 330.572.8125.
• EMAIL: admin@basicneo.com • ONLINE:
https://flexneoparticipant.lh1ondemand.com/Login
• MAIL: BASIC NEO
525 N. Cleveland-Massillon Road, Suite 204 Akron, OH 44333
     Expenses paid for with the card may require documentation to be submitted.
  Form:
https://www.flexneo.com/ how-to-submit-a-claim/
Benny Debit Card –
Medical Reimbursement Claim Form
        Health Savings Account (HSA)
A Health Savings Account (HSA) allows you to make pre-tax deposits into an HSA account if you are enrolled in the Bronze plan and not covered by Medicare Parts A, B or D.
  Consider Health Savings Account (HSA) if you are enrolled in the Bronze Plan
  You only
16 Applied Choices – 2019
RETURN TO INDEX
Flexible Spending Account (FSA)
   2019 Contribution Limit
  $3,500
   You + one or more Dependents
$7,000
   Catch-Up Contributions (Age 55 or older)
$1,000
 Why should you enroll in HSA?
• Pre-Tax Contribution through Applied ® payroll, if enrolled in Key Bank.
• Use your HSA to pay for eligible healthcare expenses, or save for future health care costs. Your money earns interest.
Talk to your provider about investment opportunities.
• The money is yours to keep for qualified expenses and there is no use it or lose it feature.
  




















































   14   15   16   17   18