Flexible Spending Accounts

You can contribute up to $3,050 in 2024 in pre-tax funds to pay for qualified expenses for you and your dependents, including:

• Deductibles, coinsurance, office copayments and prescription drug copayments
• Eyeglasses, contact lenses and prescription sunglasses
• Dental care, including orthodontia
• Immunizations/vaccinations

Keep in mind that your annual contribution will be divided equally across your paychecks. If you enroll mid-year, be sure to choose your contributions based on the pay periods left in the year.

Payment Card
The first time you enroll in a health care FSA, you will receive a prepaid FSA Visa card to be used for qualified expenses. Always remember to save your receipts.

Here are a few tips for using the health care FSA debit card:

• Standard copay amounts, like $25 or $50, can usually be paid for with the debit card without additional documentation.
• If you incur an expense that will be sent to your medical, dental, or vision plan first, it’s best to wait until you receive the statement from your plan before paying with the debit card. That way, you can easily forward the plan statement to Allegiance if they request documentation.
• If an expenses was incurred in a prior plan year, don’t pay for it with the debit card. Instead, submit a reimbursement request using the Allegiance website or mobile app.
• If a merchant asks you for a personal identification number (PIN), you can ask the merchant to transation as a credit instead. However, they may refuse your request.
• If you pay for an eligible service that isn’t covered by your medical, dental, or vision plan, request an itemized receipt or statement that you can send to Allegiance if they request documentation.

Contribute up to $5,000 in pre-tax funds per calendar year to pay for dependent care expenses such as day care, before and after school programs, nursery school or preschool, and adult day care.

Keep in mind that your annual contribution will be divided equally across your paychecks. If you enroll mid-year, be sure to choose your contributions based on the pay periods left in the year.

You can’t carry over unused funds so plan carefully. All unused funds at the end of the calendar year are forfeited per IRS rules.

You have until March 31 each year to file a claim for expenses you incurred during the previous year. Be sure to save your receipts.

3 easy ways to submit:

• Allegiance Advantage mobile app Download this free mobile app to take a photo of receipts and instantly submit them for payment.
• Pay My Provider Use your FSA card like a debit card to pay providers directly
• Pay Me Back File claims quickly and easily online with quick reimbursement by direct deposit or check. Allegiance processes claims in one to three business days.

If you don’t use all the money in your FSA by the end of the year, don’t worry. Depending on which FSA you have, there are a couple of options to use or keep any remaining funds.

Health Care FSA

• Runout Period: You have until March 31, 2024, to use the remaining funds in your 2023 FSA for claims incurred during the 2023 plan year.
• FSA Rollover: You can carry over up to $610 from 2023 to 2024. However, funds over $610 are forfeited as of March 31, 2024, per IRS rules.

Dependent Care FSA

• Runout Period: You have until March 31, 2024, to use the remaining funds in your 2023 FSA for claims incurred during the 2023 plan year.
• FSA Rollover: You can’t carry over unused funds so plan carefully. All unused funds are forfeited after the March 31 deadline per IRS rules.