FSA & DEPENDENT CARE ACCOUNTS
FLEXIBLE SPENDING ACCOUNT
What is a Healthcare Reimbursement Account?
Flexible Spending Accounts are a pre-tax benefit account that pays for eligible expenses not covered by insurance, including:
•Medical expenses
•Dental expenses
•Vision expenses
These accounts offer a smart, simple way to save money and keep you and your family healthy and protected. Your employer sponsors this program, to help you save on important health and dependent daycare expenses by using pre-tax dollars.
You can save an average of 30% on everyday eligible, out-of-pocket healthcare expenses. There are several easy payment and reimbursement options. You can access your full election amount starting on day one! Your employer might also offer a grace period or carry over option at the end of your Plan Year.
2021 Expense Limits
You may elect to participate in both the Healthcare Reimbursement
Account and the Dependent Care Account. The IRS contribution
limits for 2021 are:
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$2,750.00 annual maximum for FSA, and
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$5,000.00 annual maximum for Dependent Care.
DEPENDENT CARE
What is a Dependent Care Account?
Dependent Care Accounts allow you to set aside pre-tax dollars to help
offset the cost of childcare, or eldercare. Care must be for one or more
qualifying individuals who must be a dependent claimed on your taxes.
Expenses must be for you and your spouse to work, look for work or go
to school full-time.
Additional requirements include:
•Must be for children age 12 and under when care is provided
•Can also be used for adult child or spouse physically incapable of
caring for him/herself
•Amounts paid for “educational care” must be for pre-kindergarten or
younger ages
•Provider of care must report the income by providing employee name,
address and Tax ID or Social Security number
Getting Your Money Back
Submit your claim online at Northcoastadmin.wealthcareportal.com or mail or fax your claim form and receipts to us at:
24700 Center Ridge Road, Suite 260
Westlake, OH 44145
Fax: 440-835-1188
Check out our Claims page for more information!



What expenses are eligible?
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Doctor's office co-pays
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Chiropractic services
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Prescriptions
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Dental care (including extractions and braces)
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Vision care (including contacts, prescription sunglasses, and LASIK)
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Hearing aids
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Physical therapy
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Lab fees
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School physicals, including sports
Use the NCA Benefits card instead of your own credit card or cash to pay for eligible expenses. Swipe and go!