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Health care flexible spending account (FSA)

A health care FSA reimburses you for eligible health care expenses for you and your eligible dependents. Eligible expenses include medical, dental, vision, hearing and prescription drug expenses. You can also use FSA funds to pay for copays, coinsurance and certain over-the-counter (OTC) items. 

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You do the shopping. We make it easy.
Introducing the Optum Store.

Where everything is FSA- eligible. Skip the receipts when using your Optum Bank payment Mastercard® - purchases are automatically approved, hassle-free.* Plus, get free shipping.**

Shop FSA products

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Use it — don't lose it!

Find out ways you can use your funds so you don't lose them.

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Eligible expenses

Learn about eligible health care expenses for your Health Care FSA. 

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Learn how FSAs work

A Health Care FSA lets you cover eligible health expenses with before-tax dollars.

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What is a Health Care FSA?

A health care FSA reimburses you for eligible health care expenses for you and your eligible dependents. Eligible expenses include medical, dental, vision, hearing and prescription drug expenses. You can also use FSA funds to pay for copays, coinsurance and certain over-the-counter (OTC) items.

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Important information on the CARES Act

The Coronavirus Aid, Relief, and Economic Security (CARES) Act contains important changes in how you can use FSAs. Certain over-the-counter (OTC) drugs and medications, as well as menstrual care products, are now considered qualified medical expenses, without the need for a physician prescription. You may use your FSA funds to pay for these products.

Use your Optum Bank debit Mastercard® as you normally would for these purchases. Individual merchants, like pharmacies and convenience stores, must update their point of sale (POS) system to now recognize these products as eligible health care expenses for FSAs. If their system is not updated and the sale doesn’t process, you can pay out-of-pocket then reimburse yourself with account funds. As a reminder, keep your itemized receipt or explanations of benefits, which are needed to verify each purchase so you can be reimbursed. To submit a claim for reimbursement, sign into your account and select "File a Claim" from the "I want to" section.

Both provisions for OTC and menstrual products apply to amounts paid or expenses incurred on or after January 1, 2020, and do not have an expiration date. 

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Don't leave money behind

In most cases, your health care FSA funds are available as soon as they appear in your account. It’s important to understand that in most cases FSA have a “use it or lose it” rule. That means you may lose any money left in your account at the end of the plan year.

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Tax savings 

Your taxable income is reduced by the amounts you deposit into your FSA accounts, up to IRS limits.

2021 limits:

  • Health care FSA Max IRS Election: $2,750
  • Dependent care FSA Max IRS Election:
    • Individual: $2,500
    • Family: $5,000

2020 limits:

  • Health care FSA Max IRS Election: $2,750
  • Dependent care FSA Max IRS Election:
    • Individual: $2,500
    • Family: $5,000 

 

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Additional resources

Getting started with your FSA

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Common FSA eligible/ineligible expenses 

This document helps you determine which expenses may be eligible for reimbursement under your health care FSA.

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Tips for spending your FSA 

It’s important to understand the “use it or lose it” rule for FSAs. That means you may lose any money left in your account at the end of the plan year.

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Paying with your FSA

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FSA: How to upload a receipt

Learn how to upload a receipt for an Optum Bank debit Mastercard® purchase.

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FSA: How to file a claim

Watch this video for step-by-step instructions on how to file a claim.

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*Your FSA plan may exclude reimbursement for certain categories of items. Check your plan for specific coverage details.

**Free and expedited shipping offers are applicable through Dec. 31, 2020, and do not apply to shipping outside of the contiguous United States. Additional shipping restrictions may apply.

The Optum Store is an affiliate of the UnitedHealth Group family of companies.