Keep an eye out for a savings opportunity at work in the form of a Flexible Savings Account (FSA) for next year. These accounts allow you to set aside funds for medical care and dependent care - and in many cases, the costs of public transportation and parking.
See also: Need Cash for Health Care?
Your contribution is pretax, which means that no federal and generally no state income, Social Security or Medicare tax is owed on what you set aside. This makes the FSA a much better option than taking an itemized deduction for medical expenses on your tax return.
Employers offering medical FSAs usually have an annual open enrollment period in November or December. In 2013, the minimum annual contribution is $240 and the maximum is $2,500 (although your employer may have a smaller maximum). Once you determine your annual contribution amount, your employer will divide that by the number of pay periods per year and withhold that amount from each check.
As you incur eligible medical expenses during the year, you submit them to the plan administrator for reimbursement. Some plans also provide debit cards just for this purpose. The plan covers medical expenses for you, your spouse and eligible dependents.
Depending on where you live and your employer's plan, the plan may also cover a registered domestic partner (RDP) and/or spouse of the same sex - although the tax implications will be different.
It is important to note that FSAs have a use-it or lose-it penalty. If you contribute more than you actually use, the excess contribution is forfeited and kept by the employer.
See IRS Pub 502 for details on eligible medical expenses (the same as 1040 Schedule A). Most employers give you until March 31 to submit your request for reimbursement for expenses you paid in the previous plan year. Tax law also allows your employer to add a grace period that may extend the plan year to March 15 of the next year. If so, you may request reimbursement for any expense you incur during the 14 ½ month period.
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