Your healthcare flex account (also called cafeteria account) can be used for all types of "health" care. The term Health is outlined by your insurance company, but mostly includes braces, dental, other orthedontal work, whitening, massages (yup - seriously), accupunture, laser eye surgery, laser hair removal, surgeries, lyposuction, and any over the counter or perscription medicines you can think of - from hers to Viagra! Your deductibles, or any premiums not fully covered by your insurance are also eligible.
Your insurance company will have claim forms that you have to fill out and submit with receipts. The best part about most Healthcare Flex Spending Accounts is that they are fully funded on January 1st. Which means if you plan to put $1,200 in the account over the full year ($100 a month, $50 bi weekly or $25 a week) - and you have your healthcare "enhancement" on January 1, you can submit the claim immediately (even before you have any money - or very little - in the account!) and it will get fully paid out to you. If you leave the company (and insurance company) before the end of the year, you don't need to pay into that account any more and the insurance company loses out.
The bad news? If you don't spend all of these monies (on any of the flex accounts) by the end of the year (usually December 31st) then you lose it. Yup - gone.
This one is pretty self explanatory - any daycare, fees for daycare, after schooling, home nannies, third party watching of your kids is valid (most of the time) as long as you provide the companies Tax ID Number or Social Security Number for an individual.
The bad news is that this is limited to $5,000 a year, and yes, you lose any funds that are not spent by the end of the year. You still need a receipt to submit these charges for reimbursement.
More bad news is that unlike the healthcare flex account, this is not automatically funded - you only can get reimbursed for what you have put into the account - this limits the exposure to the insurance company.
I don't know much about this one, but I think you can put money into this account for public transportation and parking to and from work. This is more useful in large cities and encourages the use of public transportation.
Example:
Let me give you a real life example. In 2004 I got LASIK on my eyes on January 20th. I elected to put $2,000 in my healthcare flexible spending account during open enrollment for my benefitd (usually in October of the prior year). The surgery cost me $1,950. I had the receipt that day and submitted it with the paperwork to my insurance company within a few days. Within 2 weeks the funds were depositted in my checking account. It was that easy.
How much did I save? It varies for every person, but I will simplify. A single person is usually taxed at a lower rate as long as they don't make a lot of money for the year. Married couples get good breaks too, as long as they don't make a lot of money. I was married, and was in a low tax rate, let's say I was in the 15% tax bracket. The $2,000 was depositted into a special account pre-tax - which means that saved me $2,000 X 15% = $300.
If I had paid that $2,000 out of pocket after tax, it would have cost me $2,000, but that would be $2,000 divided by 85% (my earning rate) = $2,352 because I would have had to earn $2,352 X 85% (my take home pay after taxes amount) = $2,000.
As you can see that is a good chunk of change. Use your flex accounts smartly - put a little in and use it for the things you are going to buy anyways. It makes money sense!