Right FSA amount for tax savings

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For a married person with annual salary 100K (deductions = 5), what should be the ideal amount to be put in FSA (flexible spending account)?

Next year's premiums has increased considerably and am trying to see if by contributing to a FSA (employer sponsored) can save me some money.

Appreciate your thoughts!



Do you max out your 401k? If so, your should max out HSA next.


This will not completly answer your question, but I thought I would throw my experience out there. This is the first year that I did the HSA and wasn't sure how it would stack up to the PPO plan ($1500 deductable 90/10 plan) that my company offered ($400 / month = $4800 / year) . So I decided to contribute to my HSA the exact amount over thye year I would have paid for premimums which is $4800 for 2009. Note that with my HSA the deductable is $3000 for a family and prescription drugs and doctor visits (normally just a copay on a regular plan) all go toward the deductable first. But all preventative vists are no cost to me.

A little background, I have a wife that goes to the doctor for various issues and has 3 perscription drugs she refills every month. I also have a 14 month old daughter that goes to the doctor for various checkups and shots so we by no means avoid the doctor, which is key here since I have always been told that HSA's are for those that never get sick.

So as of 10/28/08 I still have $500 in my HSA account with no pending claims and another $800 that will be deposited in the next 2 months. I have hit the $3000 deductable so prescriptions and doctor visits are as they used to be with a regular PPO plan.

Baring anything major happening, I should end up paying less for the HSA than I would have with the PPO since the PPO has $4800 in premiums not including the $1500 deductable and standard copays and co-insurance I would have paid with all the medical stuff we have done so far this year. That balance in my HSA will just roll over for use next year which is sitting at Alliant Credit Union's HSA earning 3% APY.

So as a result I am definetly going to look at doing this again. Hope this helps. I am hoping that I can use next year to gage how much I should actually put into the HSA since $4800 is looking like it was too much, but I needed to do this as a comparison the HSA to the PPO plan.


You mention "HSA" and "flexible spending account" in the same sentence as if they're the same thing. They're not.

Health Savings Account (HSA) = account that accompanies a high-deductible insurance plan, where you can accrue money tax-deferred (tax-free if used for health purposes) for years.

Flexible Spending Account (FSA) = account that lets an employee, regardless of insurance plan, put pre-tax money in an account to pay out-of-pocket medical expenses. If not used up by the end of the year, you forfeit the balance.

If you mean an HSA, then the more you contribute, the more you'll save on taxes. Well, actually, the same thing is true for an FSA, although the tax savings aren't worth it if you won't use up the money.


ThePessimist said: You mention "HSA" and "flexible spending account" in the same sentence as if they're the same thing. They're not.

Health Savings Account (HSA) = account that accompanies a high-deductible insurance plan, where you can accrue money tax-deferred (tax-free if used for health purposes) for years.

Flexible Spending Account (FSA) = account that lets an employee, regardless of insurance plan, put pre-tax money in an account to pay out-of-pocket medical expenses. If not used up by the end of the year, you forfeit the balance.

If you mean an HSA, then the more you contribute, the more you'll save on taxes. Well, actually, the same thing is true for an FSA, although the tax savings aren't worth it if you won't use up the money.
I agree. For an FSA, put as much as you will spend in it and not a dollar more. For a HSA, max it out. Worse case, if you don't use the money for medical expenses ever (which would make the money free of income taxes completely), you can take it out during retirement where it functions like an IRA (or is tax free to the extent you have qualifying medical expenses).


My employeer puts in $500 into your HSA each year if you choose that option. Is this pretty standard or a real "perk" compared to most plans? (This $500 does count against your yearly max so I can only contribute $2550).


With the plans offered at my work, I could not find a single scenario where the high deductible plan with HSA would end up costing me more total than the traditional PPO and HMO plans. Plus, HSA's just kick ass.


cheezedawg said: With the plans offered at my work, I could not find a single scenario where the high deductible plan with HSA would end up costing me more total than the traditional PPO and HMO plans. Plus, HSA's just kick ass.

Same boat here. I had this girl at work add up her medical visits and it turns out she paid $700 more for the PPO plan than she would have with a HDHP


Thank you. Its the FSA that am talking about and not HSA.

If i spend 750 on prescriptions and roughly 200 on doctor visits, is it good to put 1000 as FSA?

what will be the savings if i dont put this 1000 in the FSA?

I'm sure to spend 750 on prescriptions next year.


quizzer25 said: Its the FSA that am talking about and not HSA.FSAs are great, FOR ME TO POOP ON.


quizzer25 said: Thank you. Its the FSA that am talking about and not HSA.

If i spend 750 on prescriptions and roughly 200 on doctor visits, is it good to put 1000 as FSA?

what will be the savings if i dont put this 1000 in the FSA?

I'm sure to spend 750 on prescriptions next year.
So your question is what your marginal tax rate is.

Please update the OP, still says HSA.


quizzer25 said: For a married person with annual salary 100K (deductions = 5), what should be the ideal amount to be put in HSA (flexible spending account)?

Next year's premiums has increased considerably and am trying to see if by contributing to a HSA (employer sponsored) can save me some money.

Appreciate your thoughts!

HSA does not equal flexible spending account.

HSA = health savings account. You can put money and NOT spend in current year, and roll over to future years, and spend in the future. Money sits in some kind of an yield earning account. Contributions are tax free, interest and yield is tax free, and you spend the money ONLY on medicate expenses, but tax free.

Flexible spending account sounds like one of those "use it or lose it" tax-deductible reimbursement plans.

If you have the means, you should max out the HSA. It is basically tax-free money, more or less.

On the other hand, if you have planned expenses, you might not want to get a high deductible plan at all. A high deductible plan is a requirement for HSA.


How do i update the title?


quizzer25 said: How do i update the title?Just click the Edit button in your original post and you'll see it.


daugenet said: cheezedawg said: With the plans offered at my work, I could not find a single scenario where the high deductible plan with HSA would end up costing me more total than the traditional PPO and HMO plans. Plus, HSA's just kick ass.
Same boat here. I had this girl at work add up her medical visits and it turns out she paid $700 more for the PPO plan than she would have with a HDHP
I did a spreadsheet last year confirming the same result. The important thing is with HDHP do not ration yourself out of necessary medical expenses now that they appear to be out of pocket expenses. Other than that, it seems like one of those "free lunches".


quizzer25 said: Thank you. Its the FSA that am talking about and not HSA.
.
Please edit the post since its very confusing to other readers


Check with your employer to determine if they permit a ten-week grace period at year's end to spend down the FSA account. For example, I have until mid-March 2010 to spend down my 2009 FSA account. The income tax reduction remains with 2009.


Anyone know where the thread went on suggested ways to use up your FSA balance (purchasing over the counter drugs, etc)? Having difficulty finding it through the search tool.


Smitty2000 said: Anyone know where the thread went on suggested ways to use up your FSA balance (purchasing over the counter drugs, etc)? Having difficulty finding it through the search tool.

query tool> http://www.fatwallet.com/forums/search/index.php?

archives>
Finance>
words>forfeit FSA unused

about the 15th entry down you'll see this thread.

Is that what you had in mind?


From this link (which was inside the previously linked FWthread)....


* Over-the-counter drugs. Thank you, IRS, for deciding back in 2003 that allergy medicine, pain relievers, antacids, and a host of other medical goods available without a prescription are eligible for FSA spending. If your FSA year is coming to a close, check the dates on everything in your medicine cabinet and make a trip to the drug store to replace the expired ones. Also, anti-fungal creams make great Christmas gifts for the entire family, so stock up! Unfortunately. there’s one item that’s “missing” from the list of covered medications: vitamins. That said…
* Vitamins … if your doctor says so. We’ve been told for years that a multi-vitamin as part of a balanced diet is good for us, and so millions of us take those vitamins without so much as a suggestion from a physician to do so. Instead, talk about vitamins with your doctor and convince him to give you a letter of medical necessity that will make those vitamins eligible for FSA coverage.
* Baby factories. If you’re trying to crank out the kids and you find that you might need a little help from modern medicine, these expenses can be covered by your FSA. All the bases from extraction to injection are eligible: embryo and sperm storage, in-vitro fertilization, and even sperm washing! (I don’t think I want to know what that last one is.) Of course, if you’ve got all the children you want, or you’re happy keeping the kid count at zero, there’s also…
* Condoms. While being a good Catholic boy keeps these out of my medicine cabinet, condoms and various other birth control implements are just screaming for your FSA dollars. Heck, I know a few people who could hit their employer’s FSA maximum every year with just this category! You can even get more permanent methods of birth control performed with FSA money.
* Contact lenses and eyeglasses. Tired of running into walls and the wrong bathroom at work? It might be time for a new pair of prescription glasses or some contact lenses. They’re fully eligible, and they can even be used to start fires if you’re ever stranded on a desert island. Me, I’d like to be stranded on a dessert island, so I might need the next item when I make it back to civilization…
* Weight loss programs. If your doctor tells you it’s time to lose that extra 600 pounds, you may be eligible to put FSA money toward the various costs associated with doing so.
* Counseling. Depressed? Insane? Underperforming in the bedroom? Many types of licensed counselors are FSA-eligible and waiting to talk to you about your childhood or your obsession with sniffing women’s shoes.
* Dancing lessons. Some doctors think dancing will help you recover from injuries faster, and they’ll sometimes even prescribe it! If they do, you’re in luck because you can use your FSA to pay for the lessons. Just please, don’t break a leg on purpose so you can learn to tango.
* Flu shots. The best tax-free dollars you’ll ever spend on your health.
* Laser eye surgery. I really wish this meant that you could get attachments to make lasers shoot out of your eyes, but being able to see better is nice, too. This can be pretty pricey and many insurance companies won’t foot the bill for it. Using your pre-tax FSA dollars is like a 10-30% discount for expensive elective procedures like this one.
* Transferring medical records. Sometimes you’ll have to pay a small fee to have your old doctor send medical records to your new one. It’s probably just a few bucks, but why not use your FSA dollars instead of the ones in your wallet?
* Orthodontia. If you’ve got four kids with crooked teeth and a big chunk of your weekly paycheck is going to paying for their braces or other orthodontia, use FSA dollars that might be forfeited at the end of the year on any such items you may have on an installment payment plan. Or just use FSA cash to pay for them in full at the time of purchase.
* Alcohol treatment. Give the gift that keeps on giving: send your drunken spouse to a rehab clinic, and pay for it with his or her FSA dollars.
* Swimming pool/spa. Remember how vitamins are eligible if your doctor gives you a note? So are swimming pools and spas! If you can convince your doctor (or your doctor convinces you) that a swimming pool or spa would be of benefit to your health, your FSA dollars can be used to pay for its installation and maintenance. I don’t think there’s a person alive who wouldn’t experience some health benefits from a swimming pool… well, maybe people with hydrophobia. Unfortunately, any “The government helped me pay for this pool” signs will have to come out of your own after-tax pocket.


A timing question. If my doctor prescribe me a massage chair on 12/29, and I buy it on 1/1. Can I use the FSA money from my 2010 contribution? I have used up my 2009 contribution.


Yes - it is when the expenses are incurred, not when the bill is actually paid.


Someone with an High Deductibles Health Plans(HDHP) is less likely to see a doctor for routine checkups and do routine work as each visit will be money taken out of the account. A traditional PPO, however, one feels that they are already paying for the service already and any routine work is already covered and money will be wasted because he or she doesn't obtain the service.

Let's not forget the real reason for insurance: it is not about co-pays and prescriptions, but is about how covered you are if something really bad happens to you. Hense the name insurance.


SSlacker said: Someone with an High Deductibles Health Plans(HDHP) is less likely to see a doctor for routine checkups and do routine work as each visit will be money taken out of the account. A traditional PPO, however, one feels that they are already paying for the service already and any routine work is already covered and money will be wasted because he or she doesn't obtain the service.

Let's not forget the real reason for insurance: it is not about co-pays and prescriptions, but is about how covered you are if something really bad happens to you. Hense the name insurance.
Way off topic. This thread is about determining the amount of money to put in an FSA.

Note that the election period has surely closed, but for purposes of future years, it should be noted that same FSA plans allow a grace period for expenses - so expenses incurred from 1/1 - 3/15 of the following year can also be paid out of the prior year's FSA. In that case, it makes sense to fund the FSA to that total amount (e.g. 1/1/10 -3/15/11)

That way, if there are unexpected expenses in 2010, you can still pay for them out of the 2010 FSA plan year. If not, you can use up the 2010 FSA plan during the first 10 weeks of 2011


ellory said: Way off topic.I was responding to an earlier comment that that said HDHP are cheaper than PPO, and did not want anyone choosing HDHP based solely on costs as there are other things to consider in a health insurance plan.

The IRS allows a grace period up to 3/31/2011, but companies that implement the FSA can choose to have a 0 day grace period up to 3/31/2011. Make sure you double check with your plan for the actual end date of the grace period. Also, remember you can usually change your elections due to life changes, such as having a baby (or suspect to have a baby).


SSlacker said: I was responding to an earlier comment that that said HDHP are cheaper than PPO, and did not want anyone choosing HDHP based solely on costs as there are other things to consider in a health insurance plan.
Again, OT, but it's often true that the HDHP plan is cheaper. We had the choice of a PPO, HDHP with employer-funded HRA, or HDHP with HSA, all of which used the same insurance company and provider network. I ran the numbers, and found that the two HDHPs were cheaper than the PPO as far as total costs under almost any scenario. (I say "almost," as there were some improbable scenarios with very high prescription spending and low spending on services where the PPO came out better, due to its use of prescription copayments.)

Someone with an High Deductibles Health Plans(HDHP) is less likely to see a doctor for routine checkups and do routine work as each visit will be money taken out of the account.
Federal rules allow a plan to qualify as a HDHP even if it doesn't apply the deductible to routine wellness care. Our HDHP covers annual exams, required vaccinations, etc. at 100% with no deductible. That wasn't true of some PPOs that we've had in the past. Coverage for such things is an important criterion, but one that is unrelated to the HDHP vs. PPO distinction.




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