Spending Accounts

Have a Flexible Spending Account (FSA), Dependent Care Account (DCA) and/or Health Reimbursement Account (HRA)? The Reimbursement Spending Account Comparison Chart compares the similarities and differences between FSA, DCA and HRA. If you have any of these accounts, you can visit Medcom and access your spending account to view account information including transactions, available balance, submit manual claims, and more. 2019SpendingAccountComparisonChart.pdf

A Medical Reimbursement Account FSA (Medical FSA) is used to pay for certain types of out-of-pocket medical expenses not covered under an insurance plan such as:

1. Co-pays
2. Calendar Year Deductibles (CYD)
3. Dental and vision expenses
4. Prescription drugs
5. Some over-the-counter (OTC) items – FSA Eligibility List

Tired of ALL of the paperwork involved in manually submitting Explanation of Benefits (EOB) or receipts for healthcare expenses? Those days are gone! Medcom can eliminate extra paperwork for verification of debit card payments and reimbursements.

Federal, State, and FICA taxes are not taken out on the amount you contribute to your Medical FSA and/or Dependent Day Care Account.

For Medical FSA’s, the maximum annual contribution allowed is $2,650. If your spouse also works for St. Johns County, you may both contribute to the FSA, up to the $2,650 annual limit.

Everyone is different, so it’s important to know how much you anticipate spending on eligible expenses before you set your contribution amount. Medcom provides an online savings calculator to help you decide how much to contribute. This quick and easy calculator will help you estimate how much your household is likely to spend on out-of-pocket healthcare costs next year, beyond what your plan will cover.

The entire annual election amount in your Medical FSA is available at the beginning of the plan year (Jan. 1), so you can use your FSA card or submit a claim before the regular contribution is withheld from your paycheck.

No. You must re-enroll during Annual Open Enrollment to participate. If you fail to complete your annual election for benefits during Annual Open Enrollment, your FSA will not be renewed for the next plan year.

It is very important to keep all receipts for FSA expenses. You may receive a substantiation request from Medcom either via email or postal mail. Medcom is making sure St. Johns County is compliant based on the regulations already in place by the Affordable Care Act (ACA) law from 2009.

If you elect to participate in the FSAs for the next plan year, you will receive a new debit card from Medcom. If you enroll in more than one FSA account, the same card will be used for all accounts.

You can request additional cards for IRS eligible family members by calling Medcom at 800-523-7542 or requesting a card through your online spending account. There is no fee for additional cards. Important Note: For your protection, only primary account holders may order replacement cards for themselves or their dependents who have previously been issued duplicate cards. Dependents may not order/reorder their own cards.

Per IRS regulation, any funds left in your FSA at the end of the year are forfeited – this is frequently referred to as the “use-it or lose-it” rule. However, you are allowed to roll over a minimum of $75 up to a maximum of $500 of available funds to use in the following year. Rollover funds are used after the current year funds have been exhausted. Any prior year funds in excess of the rollover amount not used by December 31st will be forfeited.