Nextep Employee Benefits

Health Savings Account (HSA)


Paired with a high-deductible health plan (HDHP), a health savings account (HSA) allows you to deduct a set amount of pre-tax money from each paycheck to pay for certain IRS-qualified out-of-pocket health expenses, such as copays, hospital stays, prescription drugs, and more.

Simply use your HSA debit card at the point of sale for services or file a reimbursement claim. Since the IRS governs this pre-tax benefit, you can only use your HSA funds for IRS-approved expenses.


Learn More: FSA & HSA 101
 

Eligible Expenses Include

See All Eligible Expenses

Here's a quick overview:

Nextep Benefits Guide Nextep Benefits Guide

Beginners: Start Here!

Are you taking advantage of your pre-tax savings accounts, such as FSA or HSA? Let’s break it down:

 

Answers to Your Questions

Determine how much you want to contribute through the year for out-of-pocket health expenses. We withhold that amount from your paycheck pre-tax in equal installments and deposit it into your HSA.

When you have an eligible expense, simply use your HSA debit card at the point of sale.

Alternately, you can pay with your own funds up front and submit a claim for reimbursement. Save your receipts; you may be required by the IRS to verify expenses

Use your HSA on co-pays, deductibles, co-insurance, materials such as glasses and braces, prescription medications, and certain medical supplies. See IRS Section 502 or visit the FSA Store for full, detailed lists of eligible items.

Nope. The HSA is not subject to the FSA's calendar year rules. All of your funds roll over each year and remain available. You will need to re-enroll each year to continue deductions.

To participate, you must be enrolled in a high-deductible health plan (HDHP). It helps offset the additional costs of having health insurance with a higher deductible.

Watch this video for more info on how much to save in your HSA:
 

Funds are available as they are deducted from your paychecks and deposited into your account. Unlike the FSA, funds are not available in a lump sum up front.

Watch this video for more info about the HSA debit card:
 

You'll receive a debit card that's automatically loaded with your available funds. Use the debit card to pay your provider directly at the point of sale.

Watch this video for more info about the HSA debit card:
 

Read more in-depth questions and answers specific to your HSA debit card:

Debit Card Info

Although IRS rules state you cannot have both an HSA and FSA in the same tax year, there are exceptions:
  Learn more about using an LPFSA concurrently with HSA to cover dental and vision and post-deductible expenses only. The LPFSA is subject to the same IRS and "use it or lose it" regulations as other FSA funds. Here's more info about holding an HSA and LPFSA concurrently:

HSA + LPFSA

Yes, changes may be made to HSA elections throughout the year as long as the total annual amount does not exceed the maximum allowed by IRS regulations.

If your employment terminates, you still have full, independent access to your funds. Your account remains yours and is available for use until you roll over, exhaust, or close the account. As your balance grows, you may wish to invest your funds. Here is more information on that:

INVESTMENT

The maximum adjusts each year for inflation. For the current maximum, see IRS Publication 969. There is no minimum.

You can also see maximums in the annual deferral limits section of this page:

Annual Deferral Limits

Yes. To claim mileage, show proof received necessary treatment at a qualifying provider, such as a physician, specialist, dentist, opthamologist, licensed therapist, licensed clinician, or others. Notate round-trip mileage.

No. Per IRS regulations, you must re-enroll each calendar year. Check out our annual FSA + HSA enrollment resources for more info on how that works:

FSA/HSA Annual Enrollment

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