WebLimited Purpose Flexible Spending Account (LPFSA) A Limited Purpose Flexible Spending Account is a type of plan usually offered with an HSA. It is similar to a regular Health FSA, but it limits the expenses that are reimbursable to comply with HSA requirements. Although a Health LPFSA account can only be used to pay for dental and … WebHealthEquity for the following account types: Health Care Assistance Program (HCAP), Health Care FSA (HCFSA), Limited Purpose FSA (LPFSA), Dependent Daycare FSA (DDFSA), Health Incentive Account (HIA) and the Post Deductible HRA (PDHRA), or the IRS if requested for the Health Savings Account (HSA).
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WebFor additional information, call HealthEquity at 866.346.5800. LPFSA_June_ 2024 Eligible expenses:1 • Contact lenses and related materials and equipment (i.e. saline solution, and cleaners) • Eye examinations eyeglasses and related materials and equipment prescribed by a physician for medical purposes • Laser eye surgery including Lasik WebApr 30, 2024 · LPFSA Reimbursement Form: Submit for reimbursement from your LPFSA for your vision and dental expenses. Orthodontia Reimbursement Form: Submit for reimbursement from your FSA or HRA for your orthodontia expenses. Note: Orthodontia contracts are typically required with the first submission of orthodontia claims. FSA … エクセル フォーマット コピー
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WebOct 13, 2024 · Limited-Purpose FSA (LPFSA): An LPFSA is designed to be used in conjunction with an HSA, and allows employees to contribute additional pre-tax dollars specifically for dental and vision expenses. Post-Deductible FSA: ... 2 HealthEquity and the FSA Store are separate, unaffiliated companies and are not responsible for each other’s … http://resources.healthequity.com/Forms/LPFSA_Reimbursement_Form_20130606.pdf WebLPFSA: Save on Dental and Vision Expenses. Watch. Individual Help. HSA Guide; FSA Guide; Member Portal; Help Center for paloalto cef