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Tax-Favored Programs: Medical Spending Account

[1]Reaching the halfway point of the tax-favored programs, we have two more sets of documents to add before completion. 🙂 Filed in this category are the Health Savings Account [2] and Pre-tax Group Insurance Premium [3]. With only the spending accounts remaining, I will begin with the medical spending account.

Medical Spending Account

Defined

A Medical Spending Account allows you to pay for medical expenses with pre-tax dollars, up to $5,000 per year. For our medical spending account, we estimate our eligible medical expenses (doctor’s visits, prescriptions, glasses, contacts, etc.) for the year. The total amount chosen gets divided into equal installments that get deducted from Paul’s paycheck. The deducted amounts get paid into our account for these medical services.

For our plan, we chose the debit cards. This option allows us to pay for the medical expenses with this card. Without the debit card, I would pay out-of-pocket and then send copies of my receipts for reimbursement. As long as I pay with the debit card and the services are eligible, then I do not have to fill out any forms for reimbursement.

One benefit to this program is that the entire amount allotted for the year becomes available on the first day of the plan year. If we estimated our expenses to be $1,000 for the year and we have an emergency surgery on January 2, then we can use our debit card to pay $1,000 of that bill on January 3. The chosen amount would still get deducted from Paul’s paycheck all year, but the funds are available for use immediately.

Cost

Possible Fees

To use the Medical Spending Account, we pay a $5 annual enrollment fee, and then a $2.50 monthly administrative fee along with our $.12 pre-tax group insurance premium (since these fees get paid with pre-tax dollars).

For the year, we spend $36.44 for the benefit of using pre-tax dollars for our medical expenses. This cost is worth the savings for our family since we do not pay enough in medical expenses to claim on our taxes.

Losing your Allotment

Another cost to consider is losing the money in your account. If you estimate your medical expenses to be $2,000 and you only use $1,000 by the end of the plan year, then you lose $1,000. Ouch! To be wise stewards of our finances, we underestimate our expenses to prevent losing money.

Though our plan allows until March 31 of the next year to use those funds, we spend all the allotted money by December 31 of the plan year. If you have a medical spending account, plan wisely to maximize your savings.

Spending your Time

Other costs are your time. Due to federal regulations, I receive a monthly statement indicating all the charges on the issued debit card. To verify these charges, I must fill out a form documenting the provider, patient, dates of service, and amounts and then fax that form with itemized receipts to our medical spending account provider. Though the cost savings is worth the extra effort, you will spend time providing documentation.

With all my documents filed, this process does not take long. However, it will take more time if you do not have the proper documentation. I am not trying to dissuade you from a medical spending account because I love it and use it every year. However, I want you know the ramifications of enrolling before taking the plunge.

Documents

The paperwork I keep for our medical spending account in this file includes the following:

    1. Notice of our enrollment with amounts chosen

2. Benefits guide explaining the program with instructions for submitting forms

3. Photocopies of the front and back of our debit cards

4. Correspondence from provider

Other items already in the file from other programs:

These documents stay together in this sixth file opening with our tax-favored program paperwork. The receipts and forms for this account are kept in our insurance files. These files are separate from our important documents system. My current important documents filing system could not hold the annual paperwork of our medical spending account. So, to keep the insurance documentation separate from the receipts, reports, and prescriptions, I keep different files.

As you continue using time wisely to organize your important documents, remember that your file may or may not have these similar types of insurance. Just adjust your file to your needs. I am not a financial planner, doctor, lawyer, or advisor. I am a mom, who researches and helps choose options that will benefit my family while using time wisely. Happy organizing after celebrating this joyous Easter Day [4]!

Question: Do you have a medical spending account option?