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PriorityFSA Limited for HSA owners

PriorityFSASM Limited, a limited health flexible spending arrangement (FSA), is a pretax, money-saving option that can be used with a health savings account (HSA).

People with an HSA are not eligible for a traditional health FSA.

PriorityFSA Limited features & advantages

  • Allows employees to set aside even more tax-free dollars to pay for health care expenses
  • Money is immediately available for reimbursement of covered expenses.
  • We take care of all administrative duties.
  • Covered expenses are limited to:
    • Dental: cleanings, fillings, crowns, orthodontics
    • Vision: contact lenses, eyeglasses, refractions, vision correction procedures
    • Coinsurances, copays, and other medical expenses incurred after the HDHP deductible is met
  • You set the contribution limits.
  • Funds must be used in the plan year. They are "use-it or lose-it" funds.
  • Is a limited FSA right for you?

    • Available only for employees contributing to an HSA.
    • If you already have a traditional FSA in place and are looking to transfer to an HSA and limited FSA combination in the middle of a plan year, you will have to make some changes. Learn more about your options.

    PriorityFSA Limited plan administration

    Basically here's how the limited FSA works:
    1. First it reimburses employees for dental, vision and preventive care services until the deductible has been satisfied.
    2. When the deductible is met, the limited FSA turns into a traditional FSA, so the employee can use FSA funds to reimburse any qualified expense.

    Reimbursement

    Employees must fill out a PriorityFSA Limited withdrawal request form when they want to be reimbursed for qualified expenses. Automatic reimbursement is not available with a limited FSA. 
    Download the PriorityFSA Limited withdrawal request form (157KB PDF). 

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Get a quote

Contact your account representative or independent agent for more information. Find your account representative.
 
Last modified: 11/3/2011
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