Health Care FSA
The Health Care Flexible Spending Account (HCFSA) helps you save money on medical, dental and vision expenses not covered by your health plan. Optum Bank is the administrator.
Eligibility
Associates eligible for the Full Benefit package, who do not have an HSA. If you’re enrolled in the HDHP w/ HSA or HDHP Basic option, you are eligible for a Limited Purpose HCFSA only.
What’s a Limited Purpose HCFSA?
The Limited Purpose HCFSA can be used to pay for dental and vision expenses before you’ve met your insurance deductible. After meeting the deductible, it can also cover regular qualified medical expenses.

Contributions
You can contribute up to $3,400; the minimum contribution is $100. Contributions are taken from your paycheck.
Can I change my HCFSA contribution?
No – unless you experience a life event. Otherwise, you can only make changes to your contribution amount during Annual Enrollment.

How It Works
There are three ways to pay for eligible expenses:
- Optum Bank will send you a debit card that you can use to pay for eligible expenses, as long as you have funds available.
- Pay out of your own pocket and request reimbursement later.
- Use Optum Bank’s mobile app or secure portal to send payments directly to your provider.
Eligible Expenses
Pay for medical, dental and vision expenses, including but not limited to over-the-counter medications and menstrual products. IRS Pub. 502 has a complete list of eligible and ineligible expenses.
Features
Tax Advantages
HCFSA contributions are deducted before-tax from your paycheck, which reduces your taxable income and increases your take-home pay. Plus, you pay no taxes when you use HCFSA funds to pay for eligible expenses.
Reimbursement Deadline
You must submit your expenses and any required documentation by the claim deadline of March 31 of the following year.
Unused Funds Carry Over
You may carry forward any remaining dollars for use in the following plan year, up to a maximum of $680.
Portability – When You Leave UNFI
If you leave UNFI or retire, your unused balance is forfeited. To submit claims incurred after your date of termination, you will have the option to elect COBRA continuation coverage through the end of the plan year.