For more information about the author, click to view their website: Edward Jones
Paying for health care can be
challenging — but are you taking full advantage of all the resources available
to you?
You
might have access to a Health Savings Account (HSA) or a Flexible Spending
Account (FSA), so let’s look at both.
An HSA
is a personal savings account used to pay health care costs. If you’re enrolled
in a high-deductible health plan, you also may be eligible to contribute to an
HSA. You aren’t taxed on the money you put into this account or on the earnings
generated from your contributions, as long as withdrawals are used for
qualified health care costs such as deductibles, copayments and coinsurance.
And there’s no “use it or lose it” provision with HSAs — the money stays in
your account until you use it. In fact, you can carry your HSA with you all the
way until retirement, when you can use the money to pay for qualified expenses
that Medicare or Medicare Supplement Insurance (Medigap) doesn’t cover. In
2023, you can contribute up to $3,850 to an HSA, or $4,850 if you’re 55 or
older; for family coverage, you can put in up to $7,750.
It’s important to keep in mind that your HSA’s tax
benefits only apply when your withdrawals are used for qualified heath care
costs. If you use the money for non-qualified expenses, it is considered
taxable income, and you may also face a penalty of 20% on the amount withdrawn.
However, once you turn 65, you can use your HSA funds for any purpose without a
penalty, though the withdrawals will still count as taxable income.
Now, let’s turn to the Flexible Savings Account. An FSA
may be available to you if you get health insurance through your employer. And
because you fund your FSA with pretax dollars, your contributions can reduce
your taxable income. (In 2023, you can contribute up to $3,050 to an FSA.) Your
employer may also choose to contribute to your FSA. Once your account is funded
and active, you submit claims with proof of your medical expenses, along with a
statement that these expenses aren’t covered by your plan, and you can be
reimbursed for your costs.
It’s helpful to
have a good estimate of your yearly medical expenses for a Flexible Savings
Account. That’s because an FSA generally needs to be spent before the end of
the plan year — if you don’t use all the money, you can only carry over some of
it and any remaining balance is forfeited. (You can carry over up to $610 from
2023 into 2024.)
You
can't contribute to an HSA and a traditional FSA in the same year. But if you
have an HSA, you might be able to use what’s known as a Limited Purpose
Flexible Spending Account (LPFSA) for dental and vision expenses. You’ll need
to check with your plan to see if this option is available.
Managing your health care expenses should be a key part of your overall financial strategy — so consider putting an HSA or FSA to work for you.
Chad Choate III, AAMS
828 3rd Avenue West
Bradenton, FL 34205
Phone: 941-462-2445
This article was written by Edward Jones for use by your local
Edward Jones Financial Advisor.
Edward Jones, Member SIPC
When an older adult needs help at home and sees several clinicians, a coverage decision can affect everything from prescription refills to rides. If youre considering TRU PACE in Lafayette, start by asking how enrollment would change the care and coverage you already use. How Medicare and Medicaid Fit Into PACEPACE is the Program of All-Inclusive Care for the Elderly. It coordinates healthcare and support for eligible adults who meet a state standard for nursing home-level care and can live safely in the community with PACE support at enrollment. Applicants must also be 55 or older and live in the programs service area. TRU PACE and Your Current CoveragePhone: 303-665-0115Medicare says people with Medicaid pay no monthly PACE premium. Medicare beneficiaries without Medicaid pay premiums for the long-term care portion and Medicare Part D drugs. Medicare also says participants owe no deductible, copayment, or coinsurance for drugs, services, or care approved by their PACE team. Ask TRU PACE for an estimate based on your individual coverage before enrolling. Doctors, Prescriptions, and Existing ServicesTRU PACE says it becomes the participants insurance provider at enrollment. Participants generally receive care through the programs provider network. Bring a list of your doctors, medications, and scheduled services. Ask which providers are in the network and how the team would coordinate any changes. Why This Matters in LafayetteIf you regularly see a clinician near home or have a specialist visit scheduled outside Lafayette, give the enrollment team the names and dates. Ask which appointments can continue and what to do about any refill due around the enrollment date. How to Get Started1. Gather Your Coverage InformationHave your Medicare and Medicaid information, if applicable, along with details of any current plan. List the appointments and prescriptions you rely on most.2. Ask for an Enrollment and Cost ReviewCall TRU PACE and ask for your expected monthly cost, when any coverage change would take effect, and who would help coordinate the transition. Related Seniors Blue Book CategoriesPACE Adult Day Services Care Management
After a death, families may have to make several decisions in a short time. Others prefer to talk through their wishes ahead of time. In either situation, it helps to separate the practical arrangements from the decisions about how to gather, remember, and say goodbye. What Funeral and Mortuary Services CoverA funeral home can help arrange transportation and care of the person who died, assist with paperwork, and coordinate burial or cremation. A family may also arrange a viewing, funeral, memorial, or private gathering. Ask which decisions need to be made immediately and which can wait. The Natural Funeral in LafayettePhone: 720-515-2344The Natural Funeral lists natural burial, flame cremation, water cremation, and terramation, also called natural organic reduction. Water cremation uses an alkaline water process, and terramation transforms remains into soil. If one of these options interests you, ask what the process involves, how long it typically takes, and what the family receives afterward. Planning a Gathering and Reviewing CostsThe Lafayette funeral home is at 102 W Chester Street in Old Town. Ask what can take place at the Lafayette location and which parts would involve another venue or a cemetery. Request a General Price List and a written breakdown of your choices so you can see which fees cover the funeral homes work and which come from outside providers. Why This Matters in LafayetteIf relatives are coming from out of town or some guests have limited mobility, ask about parking, step-free access, and how many people the gathering space can accommodate. If you plan to hold a service and burial at different locations, check how much time guests will need between them. How to Get Started1. Write Down the Persons WishesLook for written instructions and note any cultural or religious preferences. If youre planning ahead, tell a trusted person where you keep your instructions and whom to call.2. Ask for a Written PlanCall 720-515-2344 and ask what is needed on the first call. Once youve discussed options, request the expected timeline and itemized costs before approving arrangements. Related Seniors Blue Book CategoriesCounseling Hospice Advance Care Planning
When an older adult spends most weekdays alone, families may need more than a place for them to go. They may also be juggling transportation, appointments, and help at home. TRU PACE in Lafayette offers a day center as part of a program that coordinates those needs for eligible older adults. What Are Adult Day Services?Adult day services offer daytime support outside the home. Depending on the program, participants may spend time with peers, eat a meal, take part in activities, or receive help with daily needs. Some centers accept people directly. The Lafayette TRU PACE center serves people enrolled in its broader Program of All-Inclusive Care for the Elderly. TRU PACE in LafayettePhone: 303-665-0115TRU PACEs Lafayette center is at 2593 Park Lane. The program coordinates medical and social services and arranges transportation to the day center and medical visits as needed. Ask the enrollment team what a typical center day includes, how often a participant might attend, and how the team decides what support to arrange at home. Who May QualifyPACE applicants must be at least 55, live in the programs service area, meet the states standard for nursing home-level care, and be able to live safely in the community with PACE support at enrollment. Ask how enrollment would affect access to current doctors and prescription coverage before making a decision. Why This Matters in LafayetteWhen family members already drive someone to several appointments a week, a coordinated schedule can change who needs to be available and when. Ask how pickup would work at the persons Lafayette address and who to call if a ride or appointment changes. How to Get Started1. Ask for an Eligibility ReviewCall TRU PACE. Have the participants ZIP code, current coverage, and a short list of the help they need. 2. Ask to Visit the CenterFind out what the participant might do on a center day, how transportation works, and what changes to their current care arrangements enrollment would involve. Related Seniors Blue Book CategoriesCare Management Transportation Respite Care