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Use It or Lose It Money Is About to Vanish From Thousands of Accounts

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If you set aside money in a healthcare flexible spending account this year, the clock is running out faster than you might think.

Many employers give workers until December 31 to spend every dollar, and whatever is left over usually goes straight back to the company.

The catch is that these deadlines aren't all the same.

Some plans offer a grace period that pushes the cutoff into mid-March.

Others allow a small carryover, often a few hundred dollars, into the next year.

That means two coworkers with identical paychecks can face completely different rules based on fine print most people never read.

The average worker who uses one of these accounts sets aside somewhere in the low four figures, and surveys have repeatedly found that a chunk of account holders forfeit money each year.

The usual culprits are predictable: people overestimate how many appointments they'll actually attend, skip the dentist, or forget that glasses, contacts, and many over-the-counter items qualify.

You can't just buy anything and call it medical.

The rules shifted a few years back, and now things like sunscreen, bandages, and most pain relievers are eligible again without a prescription, but plenty of other items still aren't.

So what should you actually do before the deadline?

Start by logging into your account portal and finding your exact balance and cutoff date.

Don't trust memory or a coworker's guess.

New glasses or a backup pair, a dental cleaning you've been putting off, therapy sessions, allergy medication, feminine products, or a breast pump are all commonly covered.

If you have a dependent care account, that money can go toward daycare, after-school programs, or summer camp, though those rules differ.

If you're still sitting on a balance in the final weeks, some retailers and online stores let you stock up on eligible items and submit receipts later.

Just confirm your plan's deadline for filing claims, because spending the money and claiming it are two separate steps.

Miss the paperwork window and the purchase doesn't count.

One more thing worth checking: whether your plan lets you roll money into a spouse's account or transfer it after a life event.

Most don't, but it costs nothing to ask your benefits team.

The uncomfortable truth is that these accounts reward people who plan and quietly punish everyone else.

If your employer offers one, the math usually favors using it, since the money escapes income taxes.

The trick is treating the deadline like a real bill, not a suggestion.

Final Thoughts

Spend it, claim it, and if you keep missing the mark, consider setting aside less next year.

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