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We had a baby last month. At the beginning of the year we knew we would, so we set up a health savings account through dh's work. We asked around, and put in about half what we thought our total cost would be.

 

Everything was much cheaper than we had anticipated. As happy as that would normally make us, it's caused a little problem. Now it looks like we'll have about $2,000 left in the health savings account that must be spent by the end of the year or we'll lose it!

 

So what do we spend it on? It has to either be prescription, or actual visits to a medical professional. We can't just go buy a lifetime's supply of diapers/vitamins/bandaids/etc.

 

So far our ideas include:

Dental check-ups for dh and I (we keep up on the kids, but it's been years since either of us have seen a dentist)

Good quality contact lenses for me

Prescription sunglasses for dh

 

All of those would not come close to $2,000.

 

One possible option would be lasik for dh (I'm nursing right now, so no lasik for me), but that would likely take a lot more than the $2,000. We'll be looking into it to find out.

 

So how would you use up $2,000 worth of health care?

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Do you have health insurance? Even if you do, the first year of a baby's life seem to involved several well-care visits and immunizations (if you do that sort of thing.) Even with co-pays, this will take some of that money.

 

Any specialist appointments you've been putting off? Dermatologist? Allergy doctor? Any of the kids need speech therapy? (Is that covered?)

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Is there any specialized testing that you might consider? I don't know the name of the test, but my doc ran a genetic test on me and found that I have a gene mutation that commonly causes cardiac issues. Because we know I have it, I take a prescription folic acid. She ran the test on a hunch, because I don't detox well (and I do actually lack the necessary genetic pathway, it turns out, and this explains some near-death experiences with certain meds in the past). But knowing I have this gene (or lack of it) is useful, and makes a lot of sense, given my family history.

 

I would love to have DH get some testing like that, since we don't know much about his family health history. He is adopted, but his adoption has recently opened (!!!!) so we are getting a bit more info now, at least.

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We thought we were going to be in the same boat last year, but then wound up with some unexpected expenses and had nothing left. Before the unexpected expense, we were considering having one of us get Lasik. I have a flexible spending account, which is a little different than a health savings account, but in the past you could buy certain OTC things with it. For example, contact lens cleaner/solution, alleve, allergy meds, etc. I would check the rules for your plan though before buying anything.

 

Lisa

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So what do we spend it on? It has to either be prescription, or actual visits to a medical professional. We can't just go buy a lifetime's supply of diapers/vitamins/bandaids/etc.

 

So far our ideas include:

Dental check-ups for dh and I (we keep up on the kids, but it's been years since either of us have seen a dentist)

Good quality contact lenses for me

Prescription sunglasses for dh

 

All of those would not come close to $2,000.

 

One possible option would be lasik for dh (I'm nursing right now, so no lasik for me), but that would likely take a lot more than the $2,000. We'll be looking into it to find out.

 

So how would you use up $2,000 worth of health care?

 

Are you sure with what it has to be and that you can't carry it over? Unless you aren't using the same terminology they use around here, a health savings account can be carried over year to year. The flexible spending account is what must be spent or it's lost.

 

And if I remember my list correctly, we can use ours for lots of things - vitamins, advil, tylenol, OTC stuff and yes even bandaids. But it all has to be documented.

 

That aside, when we ran into the same issue, we bought a lot of meds ahead. Between 3 of us we are on several maintenance drugs. We just got Rx filled even though we didn't need them and insurance wouldn't cover them. We just paid out of pocket for a couple months' worth and used the flex account. It helped us out the next year without having to buy so many. That really bit into the amount left! Glasses, Rx sunglasses. We actually went to the chiropractor. There may have been a massage in there too.

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Here's the list from IRS for Flexible Spending Accounts:

http://www.irs.gov/pub/irs-pdf/p502.pdf

 

I guess you are already familiar with it, since the items you raised all qualify (contact lenses, lasik). Someone asked about LDs, there's a section on Special Education.

 

This year the dentist took a big chunk of our FSA.. especially orthodontics (for me, not the dc in case you're checking my kids' ages! :) ).

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You can still get ibuprofen, allegra, vitamins, and almost all over the counter meds with your FSA account, but you MUST have a dr's rx for them. Just make a list of stuff you want and have your dr write out an rx for each one.

 

The items will be slightly more expensive than if purchased otc (without the fsa) but since you need to use the money, that would be a good way to go.

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I guess what we have is an FSA - not a health savings account.

 

Thanks for all the ideas!

 

I honestly can't think of any extra tests that'd be applicable to us.

 

Our health insurance covers all preventative care completely - so the kids' well-child visits and vaccinations are all free for us.

 

We have dental insurance and healthy teeth (neither of us has ever had a cavity), but I guess there's no knowing how much dental work would cost until we actually go see a dentist.

 

I guess with our ideas, plus some creative prescriptions for OTC stuff, we could spend the money. My doctor is a good friend, and I'm sure she'll play along. (I wonder if we could get a prescription for diapers.) I'm almost positive we have to have a prescription though. Through a different company dh used to work for we had the option to buy stuff like contact solution and bandaids, but we were under the impression that we couldn't with this plan. We'll look into it though.

 

Lasik would be awesome if it falls into the realm of affordability.

 

Thanks again for the help.

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And if I remember my list correctly, we can use ours for lots of things - vitamins, advil, tylenol, OTC stuff and yes even bandaids. But it all has to be documented.

 

 

 

It used to be that way, but they changed it. We have a flexible spending account as well.

 

OP- If it were me, I'd be going to the chiropractor every other day!

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I'd probably get orthodontic treatment for myself (DH has had it, the kids are too young for it, but I never had it and could use it). If that wasn't necessary, I'd get prescription sunglasses and prescription safety glasses for DH. If there was still money left over, I'd stock up on prescription meds as much as possible and get any bloodwork (including vitamin D tests) that insurance didn't cover. Or any specialist visits that we might have ever considered.

 

Another option might be pre-paying for a bunch of chiropractor visits. I know one of the ones we saw had an option where you could pre-pay for a chunk of visits that anyone in the family could use, and for paying up front, you got a discount per visit.

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Here's the list from IRS for Flexible Spending Accounts:

http://www.irs.gov/pub/irs-pdf/p502.pdf

 

I guess you are already familiar with it, since the items you raised all qualify (contact lenses, lasik). Someone asked about LDs, there's a section on Special Education.

 

This year the dentist took a big chunk of our FSA.. especially orthodontics (for me, not the dc in case you're checking my kids' ages! :) ).

 

Does it really say that this is the list for FSAs? It looks to me like it's the list for deductible medical expenses.

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Are you positive that you need to spend it? Health Saving Accounts do NOT have to be used up by the end of the year. They roll over to the next year. FLEX savings accounts DO need to be empty, as you will lose whatever is left. The first thing you need to do is find out if you have an HSA or an FSA. That will make all the difference.

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A nice thermometer

 

I cannot think of anything others have not already mentioned

 

I had to laugh at this. We have been in the hospital so many times that we have about 20 good thermometers floating around our house. If it weren't unsanitary I would be trying to give them away!

 

We used part of our money one year for a really good electric toothbrush. We got it from our dentist so it was covered.

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We had a baby last month. At the beginning of the year we knew we would, so we set up a health savings account through dh's work. We asked around, and put in about half what we thought our total cost would be.

 

Everything was much cheaper than we had anticipated. As happy as that would normally make us, it's caused a little problem. Now it looks like we'll have about $2,000 left in the health savings account that must be spent by the end of the year or we'll lose it!

 

So what do we spend it on? It has to either be prescription, or actual visits to a medical professional. We can't just go buy a lifetime's supply of diapers/vitamins/bandaids/etc.

 

So far our ideas include:

Dental check-ups for dh and I (we keep up on the kids, but it's been years since either of us have seen a dentist)

Good quality contact lenses for me

Prescription sunglasses for dh

 

All of those would not come close to $2,000.

 

If you need dental work done you could come closer to $2K than you think!

 

(My root canal + crowns are costing $1660 each!)

Edited by vonfirmath
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  • 3 months later...

We are trying to use up a few hundred dollars now before the 31st. We had planned to pay for dd braces but it was too much set aside.

 

Does anyone have any more suggestions for last minute purchases? We have already done as many dental and optical appointments as we can.

 

Is it true you need a presciption for bandages?

 

Anyone bought a SAD lamp from their flex money?

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If anyone in your family is asthmatic, stock up on the albuterol as much as the pharmacy will allow, or other prescription drugs. Sometimes insurance will only let you get a certain amount of a drug at a time, but maybe you can get more if you pay for it using your set-aside money instead of insurance coverage.

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