21 21 F SA I Refer to your F SA documentation for more information. XYZ COMPANY is offering a Flexible Spending Account (FSA) for 2022. This is how an FSA works: • You set aside money for your FSA from your paycheck before taxes are taken out. • Then use your pre - tax FSA funds throughout the plan year to pay for eligible health care or dependent care expenses. • You save money on expenses you’re already paying for. You may also be able to carry over up to $500 of unused funds to the following plan year. Refer to your FSA documentation for more details. • Medical expenses: co - pays, co - insurance, and deductibles • Dental expenses: exams, cleanings, X - rays, and braces • Vision expenses: exams, contact lenses and supplies, eyeglasses, and laser eye surgery • Professional services: physical therapy, chiropractor, and acupuncture • Prescription drugs and insulin • Over - the - counter health care items: bandages, pregnancy test kits, blood pressure monitors, etc. • Care for your child who is under age 13 • Before and after - school care • Baby sitting and nanny expenses • Day care, nursery school, and preschool • Summer day camp • Care for a relative who is physically or mentally incapable of self - care and lives in your home HEALTH FSA ELIGIBLE EXPENSES DEPENDENT CARE FSA ELIGIBLE EXPENSES BENEFITS GUIDE F L E X I B L E S P E N D I N G A C C O U N T ( F S A )