Limited Purpose FSA
This page provides information on the Limited Purpose FSA.
Who Can Participate? High Deductible Health Plan (HDHP) Enrollees Only
Maximum Annual Contribution: $2,850/calendar year per Household
Account Overview: If you or your spouse participate in an HDHP Health Savings Account (HSA) plan, you are eligible for the Limited Purpose FSA, which you can use for qualified dental and vision expenses only (not medical).
What is a Limited Purpose FSA (LPFSA)?
A Limited Purpose FSA is a flexible spending account that allows you to set aside pre-tax dollars for dental and vision expenses for you and your dependents, even if they are not covered under your primary health plan. You are eligible to open a limited purpose FSA if you are enrolled in a health savings account (HSA).
Understanding Eligible Expenses for Reimbursement
Your Limited Purpose FSA is meant to be utilized to assist with dental and vision expenses. See below for some examples of eligible and ineligible expenses.
Eligible and Ineligible Limited Purpose FSA Expenses
- Dental exams
- Dental x-rays, fillings, crowns, orthodontia
- Vision exams
- Eye glass frames
- Contact lenses, contact lens solution
- Laser vision correction
- Expenses incurred in a prior plan year
- Dental products for general health
- Any medical expense
A comprehensive list of eligible expenses can be found at the My SmartCare portal.
Using Your Limited Purpose FSA
The easiest way to pay for an FSA eligible expense is to use your FSA Benefits Debit Card. Simply swipe it at the register and keep your receipt should claim documentation be required. Visit the Debit Card Registration webpage for information on how to get started with your FSA Debit card. Otherwise, you can file a claim through the MySmartCare online portal or mobile app, or by mail, fax, or e-mail (including the receipt documenting the service type, amount, and date). Once approved, your reimbursement check will be mailed or you will receive a direct deposit into your designated bank account. For instructions on how to file a claim, visit the Submit a Claim webpage.
Important Limited Purpose FSA Information
- Your full election amount is available on the first day of the plan year
- You cannot change your election amount during the plan year, unless you experience a change in status or qualifying event
- Keep you receipts, you will need an itemized invoice for all reimbursement requests.
- Any unused funds that remain in your account at the end of the year will be forfeited. Plan carefully and use all the money in your Limited Purpose FSA by the end of the plan year.
BCC is the third-party administrator for all FSA accounts
Phone: (800) 685-6100
Email: [email protected]
Customer Service Center Hours
Monday - Thursday: 5:00am - 5:00pm PT
Friday: 5:00am - 3:00pm PT
The Call Center can assist with questions regarding account balance, claim status, substantiation, debit cards, check reimbursement, eligible expenses, My SmartCare registration, and other general FSA questions.
A LPFSA allows you to set aside pre-tax dollars for dental and vision expenses. You are eligible to open a LPFSA if you are enrolled in an HSA. By using your LPFSA for dental and vision expenses, you can preserve your HSA funds for growth and maximize your long-term savings.