Dependent Care: HSA Eligibility

Dependent Care: reimbursement is not eligible with a Health Savings Account (HSA)
Dependent care is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Dependent care is eligible for reimbursement with a dependent care flexible spending account (DCFSA). Dependent care is not eligible with a limited-purpose flexible spending account (LPFSA).

What is dependent care?

A dependent care FSA is a unique employee benefit that allows workers to set aside pretax dollars to pay for eligible care expenses for a child, disabled spouse, elderly parent or other individual listed as a dependent who is physically or mentally incapable of self-care. The minimum and maximum amounts allowed to be contributed to a DCFSA are set by the employer, and the maximum set forth by the IRS is $5,000 for individuals or married couples filing jointly, or $2,500 for a married person filing separately. As opposed to traditional medical FSAs, expenses can only be reimbursed under a DCFSA that fall within a current account balance, which may make it difficult to cover large claims early in a given fiscal year (FSAFEDS).

Qualified dependents under a DCFSA include children under the age of 13, dependents of any age who are physically or mentally incapable of self-care, and even adults in some cases if they are provided more than half of that person's maintenance costs in a given are incapable of self care and live with the accountholder for more than half the year. Most importantly, expenses for the care of these dependents is only eligible if these care services enable the account holders/spouses to work, look for work or go to school full-time. If an employee has a spouse that is a stay-at-home mother or father, he or she cannot participate in dependent care FSAs (WageWorks).

Expenses that are eligible for dependent care reimbursement include amounts paid for services like babysitters and nursery schools, fees for licensed day care or adult care facilities and placement fees for dependent care providers, such as au pairs. Additionally, eligible expenses for dependent care reimbursement include summer day camp for kids under 13, before and after school programs, payment to relatives (above age 19 who is not a dependent) who cares for a qualifying dependent or payment to a housekeeper whose duties also include daycare for a dependent. All of these expenses must give the account holders (or spouses) the ability to work, look for work or go to school full-time.

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