Government Guidelines for Health Care Reimbursement Plans
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Health Savings Accounts
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According to the Internal Revenue Service (IRS), a health savings account (HSA) is a tax-exempt trust or custodial account that allows you to use funds contributed by you and your employer to reimburse your medical expenses. Any distributions you take are tax-free, as long as you use these funds to pay for a qualified medical expense.
Flexible Spending Arrangement
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The IRS states that a health flexible spending arrangement (FSA) is an employer-sponsored benefit your employer may offer along with other benefits. You can typically fund it through a voluntary salary reduction by selecting an amount to deduct from your paycheck. Your employer may also choose to contribute. No taxes are withheld from your FSA contributions.
Health Reimbursement Agreement
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Only an employer can fund a health reimbursement arrangement (HRA), according to the IRS; the employee may not contribute to this plan through a voluntary salary reduction. You can withdraw funds from this account tax-free if you use the distribution to pay for an eligible medical expense. The HRA can be used with other health reimbursement plans, including the HSA.
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