Family Health Budget
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Health Insurance Basics  Compare Accounts
Health care spending accounts are all designed to pay for health care costs your plan doesn't cover. Each one each works in a different way. Here's a quick comparison of the key features of three popular health care spending account types.

The Basics
Flexible Spending Accounts | Health Savings Accounts | Health Reimbursement Accounts
What is it? An account that allows you to set aside pre-tax dollars for health expenses

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A tax-free, interest-bearing account for health care expenses now and in future years

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An employer-funded account to help you pay for health care expenses

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Who can have it? • Employees
• Retirees
• Employees
• Self-employed
• Retirees with a High Deductible Health Plan
• Employees
• Retirees
Do I have to get a certain kind of health plan?  You can have any type of health plan, including an HMO plan
 To contribute, you need to have a High Deductible Health Plan and meet other eligibility rules
 • Your employer decides
• Usually a PPO plan with a high deductible
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The Details
Flexible Spending Accounts | Health Savings Accounts | Health Reimbursement Accounts
Who can put money in it? You or your employer
You, your employer, and anyone else
Employer only
Is there a limit on how much I can put in the account? Your employer sets a minimum and maximum annual contribution
The maximum HSA contribution is based on your health plan deductible and other regulations
You can't put money into the account
When can I use the money?  Entire amount available at the beginning of the plan year
 You can spend money contributed to-date
 Entire amount usually available at the start of the plan year
What's an eligible expense? Items on employer's list of approved expenses (usually medical, dental, pharmacy, and vision expenses)
Items on the IRS list of approved expenses (medical, dental, pharmacy, and vision expenses)
Items on employer's list of approved expenses (usually medical, dental, pharmacy, and vision expenses)
What if I don't spend all my funds during the plan year?  They don't stay in your account – use ‘em or lose ‘em
 Unspent funds stay in your account
 It's your employer's call, but the funds typically stay in your account for the following year
Can I take it with me if I leave my current employer? No
Yes, including any money your employer put in your account
Usually no

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