Nursing Home: FSA Eligibility

Nursing home expenses are eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited care flexible spending accounts (LCFSA).

What is a nursing home?

A nursing home, or a skilled nursing facility (SNF), is a residential place for people who need continual nursing care and assistance with daily living, but cannot be cared of at a home. They are not only for the elderly, but also anyone who needs 24-hour care. Nursing aides and skilled nurses are available 24 hours a day. Many nursing homes have visiting doctors who see their patients on site while other nursing homes have patients visit the doctor's office.

Nursing homes can be set up like a hospital with the staff providing medical care as well as physical, speech, and occupational therapy. Other nursing homes try to have more of a home and neighborhood feel with staff members that are encouraged to develop relationships with residents. The facilities have a more flexible day-to-day schedule, kitchens that are open to residents, and a generally more open and relaxed feeling to it.

What should you think about when deciding on the right nursing home?

Most hospitals have social workers who can help you with deciding on the nursing home that's right. A key thing to consider is whether the person you are finding a nursing home for has a chronic condition that requires a special care unit and particularly high quality care. If being located to family and friends is important, factor in location and visiting rules. Additional items that may matter are meals, physical therapy, religious connections, number of people, cost, etc.

What are some logistical considerations?

Each state is required by the Centers for Medicare and Medicaid Services (CMS) to inspect any nursing home that gets money from the government. Make sure to choose a home that passes inspection. Once you select a nursing home, carefully read the contract and ask questions before you sign it.

It is important to check with Medicare, Medicaid, and any private insurance provider you have to find out if any of the costs of long-term care are covered. Keep in mind that you will have to pay some out-of-pocket charges for supplies or personal care, such as hair appointments, laundry, and other services outside routine care.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

 


AZ-PROD-WEB02 11/24/2017 7:21:08 AM