Want information about Health Savings Accounts, Flexible Spending Accounts, or Health Reimbursement Arrangements? Click on a tab below for answers to your most common questions.
*Contributions are tax-deductible on your Federal tax return. Some states do not recognize HSA contributions as a deduction. Your own HSA contributions are either tax-deductible or pre-tax (if made by payroll deduction). See IRS Publication 969. Consult a qualified tax adviser for advice.
As outlined in IRS Publication 969, under the “last month rule,” if you have HDHP coverage on the first day of the last month of your tax year (December 1 for most taxpayers), you are considered an eligible individual for the entire year. The maximum annual HSA contribution can be made for that tax year, regardless of when, during that year, the HSA was opened. For example, if an individual opens an HSA on June 1, the full contribution allowable by law can be made for that year. Penalties may apply if HDHP coverage does not continue for 12 months during the testing period. For the last-month rule, the testing period begins with the last month of your tax year (usually December 31) and ends on the last day on the 12th month following that month. If you fail to remain an eligible individual during the testing period, you may be subject to penalties. View IRS Publication 969 to read the entire requirement.
Contributions can be made:
Consistent with applicable IRS guidelines, HSA deductions reported on your W-2 in Box 12 includes contributions made by the employer and employee contributions made through a section 125 cafeteria plan as a pre-tax salary deferral. When you prepare your taxes at year-end, you are required to complete an additional tax form -- the IRS Form 8889.
Qualified medical expenses are expenses paid by the
accountholder for diagnosis, cure, mitigation, treatment, or
prevention of disease.
Examples of these expenses are prescription drugs, including
over-the-counter drugs that have been prescribed by a doctor,
transportation to care providers, qualified long-term care
expenses, and certain health insurance premiums
Such expenses are "qualified medical expenses" only if they are ineligible for insurance or any other type of coverage. For more information, view IRS Publication 502.
Yes, however, any amount of a distribution not used exclusively to pay for qualified medical expenses of the accountholder, spouse or dependents is includable in gross income of the accountholder. Such distributions are subject to an additional 20% tax on the amount includable, except in the case of distributions made after the accountholder's death, disability, or attaining age 65.
Medical services can be paid for with your U.S. Bank Payment Card, online Bill Pay, or distributing funds from the HSA to your personal bank account.
No PIN is required at checkout. Select Credit and sign for your purchase.
A Flexible Spending Account (FSA) is a tax-favored program offered by employers that allows their employees to pay for eligible out-of-pocket healthcare and dependent care expenses with pre-tax dollars. FSAs are exempt from federal taxes, Social Security (FICA) taxes and, in most cases, state income taxes.
The most common types of Flexible Spending Accounts are:
Medical Flexible Spending Account (Medical FSA): an account that provides pre-tax reimbursement of qualifying out-of-pocket medical expenses not covered by insurance. For a list of eligible Medical FSA expenses, please consult our 213(d) Eligible Expenses document .
Limited Purpose Medical Flexible Spending Account (LPFSA): an account that provides pre-tax reimbursement of qualifying out-of-pocket expenses related to preventative care, dental, and vision expenses not covered by insurance.
Dependent Care Reimbursement Account (DCRA): an account that provides pre-tax reimbursement of dependent care expenses (e.g. daycare) incurred by eligible dependents.
*Contributions are tax-deductible on your Federal tax return. Some states do not recognize FSA contributions as a deduction. Consult a qualified tax adviser for advice.
With an FSA, your out-of-pocket health and/or dependent care expenses are paid with tax-free dollars. You can save an average of 30% on all of your eligible expenses.
You can use your FSA to pay for eligible expenses incurred by any of the following individuals:
New rules allow a dependent to be eligible for the plan even when that dependent does not qualify to be claimed as your tax dependent on your tax return. U.S. Bank Healthcare Payment Solutions recommends that you check with your tax advisor before you make your election for the plan year.
The FSA and HSA Eligible Expenses List is a summary of common expenses claimed against Medical Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Due to frequent updates to the regulations governing FSAs and HSAs, this list does not guarantee reimbursement but instead is to be utilized as a guide for the submission of claims.
If you have any questions, please contact U.S. Bank Consumer Services at 877-470-1771 (Monday through Friday, 7:00 a.m. to 7:00 p.m. CT) or via e-mail at myusbank@hcbconsumerservices.com.
Certain qualifying events allow employees to increase/decrease their election or begin/cease participation in a plan. Common qualifying events can be found on the FSA Status Change Form and include marriage, divorce, birth, death, or a change in the cost of dependent care.
The adjustment to the election must be consistent with the event. For example, an increase in the cost of daycare would not allow you to decrease your election (although if the increase made the cost of care unaffordable, one could justify no longer participating in the plan).
Please refer to your employer's Plan Document for further guidance on qualifying status change events applicable to your plan.
To request an election change, complete and submit the FSA Status Change Form to your employer. To download the form, log into your account and visit the Forms tab.
Important Notes: Expenses are treated as having been incurred at the time the medical care was provided, not when you are formally billed, charged, or pay for the medical expenses. You cannot receive reimbursement for future or projected expenses. All submitted expenses are reviewed for eligibility according to Internal Revenue Code Section 125 guidelines.
Eligible expenses are daycare expenses for eligible dependents (see below) that are incurred so you and your spouse can work. To qualify, you and your spouse must be employed, or your spouse must be a full-time student.
If you're married and you file a joint return, or you file a single or head-of-household return, the annual IRS limit is $5,000. If you're married and file separate returns, you can each elect $2,500 for the calendar year.
Eligible dependents include:
Ineligible expenses:
Automatic dependent care enables participants to be automatically reimbursed for dependent care expenses by filling out one form instead of filing multiple claims throughout your plan year.
Automatic dependent care works in one of two ways:
If the cost of child care per month meets or exceeds your monthly payroll deduction, reimbursement will be issued as payroll deductions post to your Dependent Care Reimbursement Account.
If the cost of daycare is less than your monthly payroll deductions, reimbursement will be made once per month at the end of the month.
To set up automatic dependent care reimbursement, complete the FSA Automatic Dependent Care Request Form. To download the form, log into your account and visit the Forms tab.
The FSA Automatic Dependent Care Request Form needs to be completed each plan year. Changes can be made at any time by submitting an updated FSA Automatic Dependent Care Request Form.
Maybe. If you have two or more qualified dependents and pay more than $5,000 per calendar year in daycare expenses, you can take the remaining amount and apply it toward the tax credit maximum. Based on your family's income level, you'll receive a credit for a percentage of that amount. For example, if your family's income is $33,000 a year, you have two dependents, and you spent $7,000 in childcare expenses, you would be eligible to take an additional tax credit of $250 ($1,000 x 25% tax credit percentage based on income level).
U.S. Bank Payment Cards can be utilized at healthcare-related merchants, such as hospitals and vision, dental, and doctor's offices. It can also be used at drugstores, pharmacies, and grocery stores that have implemented the IIAS (Inventory Information Approval System) or certified 90% of their gross sales are FSA eligible (see "Useful Links & Resources" on our website).
As always, save itemized receipts, bills, or statements any time the Payment Card is utilized.
The Payment Card may also be used at daycare providers that accept MasterCard or Visa and have a valid merchant category code signifying they are a daycare provider. The Payment Card may not be used if you pre-pay daycare expenses, since the IRS requires the expense must be incurred before reimbursement can be made from your dependent care spending account.
If you do not use your U.S. Bank Payment Card, you may file claims for reimbursement in two ways:
| E-mail: | myusbank@hcbconsumerservices.com |
| Fax number: | 888-403-5029 |
| Mail: | U.S. Bank Healthcare Payment Solutions |
| c/o HCB CS | |
| P.O. Box 6122 Fargo, ND 58108-6122 |
Federal regulations require U.S. Bank Healthcare Payment Solutions to obtain itemized receipts for transactions that are not automatically substantiated at the point of sale.
Card transactions can be automatically substantiated without additional paperwork if they are:
In the event a charge does not meet these three criteria, U.S. Bank Healthcare Payment Solutions will send three requests for documentation. These requests are generally sent 5 days, 20 days, and 45 days after the date of purchase and will cease once documentation has been received.
Should a charge remain unsubstantiated 60 days after the date of the card transaction, the benefits payment card will be placed in a temporary hold status. The payment card will be re-activated as soon as the necessary documentation has been received to substantiate the expense.
Documentation for medical FSA expenses required by the IRS includes a third-party receipt or Explanation of Benefits containing the following information:
For example: an Explanation of Benefits from your insurance company or itemized statements from the provider is excellent documentation.
Documentation for Dependent Care Reimbursement Account (DCRA) expenses required by the IRS includes a third-party receipt containing the following information:
sIn the event the provider is unable to provide a receipt with this information, he or she may simply sign the FSA Reimbursement Request Form or the confirmation page (if the claim was filed online). To download the form, log into your account and visit the Forms tab
Commonly submitted documentation that results in denials includes:
When submitting a receipt for a co-payment amount, please be sure the co-payment description is on the receipt. In some cases, you will need to ask for a receipt at the point of service. If "co-payment" is not clearly identified, have the provider write "co-payment" on the receipt and sign it.
To ensure efficient processing, include the proper form or letter along with your documentation.
This can be submitted via e-mail, fax, or mail.
E-mail: myusbank@hcbconsumerservices.com
Fax number: 888-403-5029
Mail:
U.S. Bank Healthcare Payment Solutions
c/o HCB CS
P.O. Box 6122
Fargo, ND 58108-6122
Participation in the FSA ends if you terminate employment. This means only expenses incurred prior to the date your participation in the plan ends are eligible for reimbursement. Claims for expenses incurred prior to the plan termination date must be submitted within the "run out" period.
The "run out" is a specified period of time after the end of the plan year, or following your termination in the plan, in which you may continue to submit claims incurred during your period of coverage. This is not a period when you are able to continue to incur new expenses, but rather it allows you time to gather and submit expenses before forfeitures are applied. For example, if your plan has a 90 day "run out" period, you will have 90 days from your date of termination to submit expenses incurred prior to the termination date.
A service or expense must be incurred before it is eligible for reimbursement. An FSA expense is considered "incurred" when the service is performed, not when you pay for the service. In addition, the service must be performed during your participation in the plan. Services or expenses incurred before or after your plan participation dates do not qualify for reimbursement.
Please follow these steps to access your account online:
Due to HIPAA regulations, U.S. Bank Healthcare Payment Solutions cannot disclose your personal health information (PHI) to any unauthorized representatives.
To authorize an individual or entity to discuss your account detail, complete the Authorized Representative HIPAA Form. To download the form, log into your account and visit the Forms tab. Once authorized via the form, any authorized representatives can discuss account details for one year.
Federal law governing flexible spending accounts specifies that any money remaining in your account at the end of the plan year will be forfeited. This is more commonly known as the "use-it-or-lose-it" rule. Forfeitures may be used by your employer to offset the administrative costs of operating the plan.
A Health Reimbursement Arrangement (HRA) is an employer-sponsored plan that can be used to reimburse a portion of you and your eligible family member's out-of-pocket medical expenses, such as deductibles, coinsurance and/or copays. It is a financial reimbursement arrangement funded entirely by your employer that is paired with your medical plan.
Reimbursements made from your employer through the HRA are not considered part of your income and are not taxed.
The HRA plan benefits participants by allowing them to be reimbursed up to a specified amount each year for certain eligible healthcare expenses. Each dollar that goes into the plan is provided by the employer for the purpose of healthcare expenses, so the benefit is free from federal, state and Social Security taxes.
Contributions made to your HRA are 100 percent employer-funded, free of federal, state and FICA taxes. The distributions for medical expenses are also tax free. An HRA plan may save you money through lower premiums and tax-free medical reimbursements.
Your employer owns the arrangement and determines the scope of how it is set up and used – including the amount you and each employee will receive. The HRA is not portable; if you change jobs, the arrangement and any funds stay with the employer.
Only your employer can contribute pre-tax or tax-deductible dollars to your HRA.
Your employer may decide what types of medical expenses can be reimbursed through the HRA. Typically, reimbursable expenses can include deductibles, copays, coinsurance costs, prescription drugs, or other types of out-of-pocket costs. Contact your employer or check your Evidence of Coverage or summary plan description materials for details about your specific HRA.
Most HRA programs allow for payment card issuance to provide for a convenient way to pay for qualified expenses. In the event you can not use your payment card, you can file a claim in two ways:
Once you have filed your claim, you must agree to the terms and conditions and click the Submit button. To complete the reimbursement process, send your confirmation page along with your supporting documentation to us.
E-mail: myusbank@hcbconsumerservices.com
Fax number: 888-403-5029
Mail:
U.S. Bank Healthcare Payment Solutions
c/o HCB CS
P.O. Box 6122
Fargo, ND 58108-6122
We use a positive pay system to ensure only valid reimbursement checks are processed. A file is sent to U.S. Bank Healthcare Payment Solutions on a daily basis. Only checks that match the file are processed. Checks remain on the positive pay file for 180 days. An exceptions list is sent to U.S. Bank Healthcare Payment Solutions daily showing checks presented for payment that do not match the file.
If you leave the company or move to a different employer, your HRA does not go with you. Since your employer funds the HRA, your employer owns any amount that remains after you leave. An exception may be if you elect COBRA continuation coverage. Check your plan details for more information.
Yes. Throughout the year, you should keep your original receipts and documentation for prescriptions and health-related expenses for all transactions (including payment card transactions), so you'll have them if needed to verify a claim. The IRS requires that all transactions be validated, including the payment card transactions.
In most cases involving payment card transactions, the electronic data we already have will be sufficient to accommodate this requirement. If we need additional documentation, we'll contact you and you'll be asked to provide documentation with receipts. Failure to respond promptly to a request can result in the expense being labeled as 'ineligible', in which case, you would be obligated to reimburse your account. In addition, your payment card could become deactivated.