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Benefit overview

The Defense Department offers service members the option to set aside pretax earnings to help pay for health care costs. The health care flexible spending account is available to:

  • Members of the regular (active) component
  • Members of the reserve component performing Active Guard Reserve duty
  • Members of the National Guard performing Active Guard Reserve duty
  • DOD civilians

What is an HCFSA?

Service members enroll and elect to have a portion of their paycheck set aside in a benefit account on FSAFEDS.gov. Each month, pay is deducted from your paycheck prior to taxes being taken out and placed in your HCFSA.

The funds can be used to pay for eligible health care costs that aren’t covered by your health care plan. This includes copays, over-the-counter medications and products, vision and dental care, braces, glasses, contact lenses, chiropractic care and more.

Service members may contribute from $100 to $3,300 per year (Households where both earners are eligible for an HCFSA through their employer can maintain two separate accounts and contribute between $200 to $6,600 total per year).

How this benefit helps

An HCFSA can help service members in a number of ways:

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Tax savings

When you enroll in a health care flexible spending account, you elect to have a portion of your earnings deducted before taxes are taken out. This means the money you contribute is not subject to federal income tax, state income tax (in most states) or Social Security and Medicare taxes. By contributing to an HCFSA, your taxable income is reduced, this can lower the amount of income tax you owe.

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Budgeting for known expenses

Health care flexible spending account contributions are deducted automatically from your paycheck before taxes, making it a convenient way to set aside funds for health care expenses that aren’t covered by your health care plan. You can plan and budget for these expenses by contributing a specific amount to the HCFSA each pay period.

Frequently asked questions

In future years, participants will enroll online at FSAFEDS.gov during the Open Season enrollment period, mid-November through mid-December. You can enroll outside of Open Season if you have a qualifying life event, such as a PCS or the birth/adoption of a child.

You will have access to your full election amount once your account is established. Your payroll deductions will continue until you have funded your HCFSA with your full election. If you enroll through a qualifying life event, your full election will be available in the first pay period following your enrollment.

You can carry up to $660 from one plan year to the next if you reenroll. You have until April 30 of the following plan year to submit claims for eligible expenses incurred between Jan. 1 and Dec. 31 of the plan year.

How to access this benefit

Connect with a DOD personal financial professional or MilTax consultant to discuss the HCFSA benefit and how it might affect your financial and tax situation.

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