Co-Payments: HSA Eligibility

Medical, dental and vision co-payments are all eligible for reimbursement with a flexible spending account (FSA) and health savings account (HSA), as well as a health reimbursement arrangement (HRA) if the plan allows for this coverage. Co-payment reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What is a co-payment?

Insurance plans can be structured in countless ways in terms of their deductibles, spending limits, co-insurance payments and other factors, but one of the most recognizable financial facets of most insurance plans is the co-payment that is paid out as medical services are rendered by healthcare professionals from a wide range of disciplines. In addition to appointments and consultations with medical professionals, co-payments can also be required for prescriptions, as well as urgent care visits to some facilities.

Co-payments are largely tied to the structure of the insurance plan, and alongside co-insurance payments and deductibles, co-payments are designed to help limit out-of-pocket medical expenses and protect the finances of account holders. While some plans may require a co-payment before each doctor visit, some plans may require co-payments for a series of visits before giving way to an annual deductible and co-insurance payment plan for all successive medical expenditures.

Co-payments, co-insurance and deductibles are all extremely important factors to keep in mind when choosing a healthcare plan, as individuals must weigh their medical history, prospective premiums and regular care costs to find the appropriate plan that works for their needs.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

 


AZ-PROD-WEB02 11/18/2017 2:02:28 PM