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Limited Expense Flexible Spending Accounts
For Enrollees with High Deductible Health Plans
with a Health Savings Account

What is a Limited Expense Health Care Flexible Savings Account?
A Limited Expense Health Care Flexible Savings Account (LEX HCFSA) is a new money saving option available to employees who are enrolled in a Federal Employees Health Benefits (FEHB) Program high deductible health plan (HDHP) with a health savings account (HSA). Go to www.opm.gov/hsa if you want to learn more about HDHPs and HSAs.

What kind of expenses does the FSAFEDS LEX HCFSA cover?
Expenses are limited to dental and vision care services/products that meet the IRS definition of medical care. Eligible expenses include your out-of-pocket costs for such services/products as:

Dental Care:
  • Cleanings
  • Fillings
  • Crowns
  • Orthodontics
Vision Care:
  • Contact lenses
  • Eyeglasses
  • Refractions
  • Vision correction procedures
along with any eligible dental or vision over-the-counter expenses, such as denture care products, contact lens cleaning and soaking solutions, etc.

Dental and vision care costs are the only reimbursable expenses covered under the FSAFEDS LEX HCFSA. Cosmetic services – whether dental or vision related - are not eligible expenses. All of the other expenses normally eligible under a “general” health care flexible spending account are NOT eligible under a LEX HCFSA.

For more information, please see the LEX HCFSA Frequently Asked Questions.


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