Why You Need It

• Save an average of 30% on eligible health care expenses

• Eligible employees can carry over up to $500 to the following plan year—there’s virtually no

risk of losing your hard-earned money if you re-enroll the following year

• Access the full amount of your account on day one of the plan year

You can save

every year!

$

765

See the estimated tax savings

How It Works

Simply decide how much to contribute, and funds are withdrawn from 

your paycheck for deposit into your FSAFEDS account before taxes are 

deducted. Your total annual election amount is available on day one of 

the plan year. 

The FSAFEDS Health Care FSA lets eligible employees carry over up 

to $500 in account balances from one plan year to the next if you reenroll during Open Season. With far less risk of “use or lose,” there’s no 

reason not to take advantage of the tax savings every year.

Flexible Spending Account

Health Care

with Carryover

Under the Federal Flexible Spending Account Program 

(FSAFEDS), a Health Care Flexible Spending Account (HCFSA) 

is a pre-tax benefit account used to pay for eligible medical, 

dental, and vision care expenses that aren’t covered 

by your health care plan. And with Carryover, 

there’s virtually no “lose or use” risk.

If you don’t 

use it, you 

won’t lose it!

Translator The

EXPLAINS:

*

* Savings is based on the

maximum election amount
Health Care FSA with Carryover

How You Manage It

With a variety of payment and reimbursement options, your Health Care FSA 

is easy to use. Your account can be used to pay for hundreds of eligible health 

care products and services for you, your spouse, and eligible dependents. 

Manage your account via a secure website on any computer or mobile device 

that’s connected to the Internet or via the FSAFEDS app.

How Much You Can Contribute To It

You can contribute a minimum of $100 or up to a maximum of $2,600 to 

your Health Care FSA.

How You Get It 

Ready to save? Sign up for a Health Care FSA during Open Season.

4138-FEDS (07/2016)

www.FSAFEDS.com

Learn more at

Without HCFSA with Carryover With HCFSA with Carryover

Gross annual pay (estimate) $60,000 Gross annual pay (estimate) $60,000

Estimated tax rate (30%) - $18,000 Maximum annual Health Care FSA contribution - $2,600

Net annual pay = $42,000 Adjusted gross pay = $57,400

Estimated annual health care expenses -$2,600 Estimated tax rate (30%) - $17,235

Final take-home pay = $39,400 Final take-home pay = $40,165

Savings Example

Take home this much more 

All figures in this table are estimates and based on an annual salary of of $60,000 

and maximum contribution limits to the benefit account. Your salary, tax rate, 

health care expenses and tax savings may be different.

$765

© 2014-2016 WageWorks, Inc. All rights reserved. WageWorks, Inc. is a third party administrator for FSAFEDS sponsored by the U.S. Office of 

Personnel Management. The term “savings” herein refers only to tax savings and actual savings are dependent on individual tax rates. No part of 

this document constitutes tax, financial, or legal advice. Please consult your advisor regarding your personal situation and whether this is the right 

program for you.