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Navigating Changes in Health Flexible Spending Arrangements for 2024


Content provided for general information. Talk to your advisor to learn about recent updates or other rules that may apply to your situation.

As we approach the new year, it's essential for employees and employers alike to stay informed about changes in tax regulations that may impact financial planning. One significant change to take note of for the taxable years beginning in 2024 is the adjustment to the dollar limitation for employee salary reductions for contributions to health flexible spending arrangements (FSAs). This modification aims to provide individuals with greater flexibility in managing their healthcare expenses. Let's delve into the details and understand the general rules surrounding this change.

The Dollar Limitation Increase:

Starting in 2024, the dollar limitation for employee salary reductions for contributions to health FSAs is set to increase to $3,200. This adjustment represents an acknowledgment of the rising costs associated with healthcare and aims to empower individuals to set aside more pre-tax dollars to cover eligible medical expenses. Employees participating in cafeteria plans offering health FSAs should take note of this change to optimize their healthcare budgeting.

Understanding Health Flexible Spending Arrangements:

Health FSAs are a valuable employee benefit that allows individuals to contribute a portion of their pre-tax salary to an account specifically designated for qualifying medical expenses. This not only reduces an individual's taxable income but also provides a financial cushion for healthcare-related costs, including deductibles, copayments, and other out-of-pocket expenses.

The Increased Maximum Carryover Amount:

For those participating in cafeteria plans that permit the carryover of unused amounts from the previous year, there's good news. The maximum carryover amount for taxable years beginning in 2024 is set at $640. This represents a $30 increase from the previous year (2023). The carryover feature enables individuals to retain a portion of their unused funds, reducing the risk of forfeiting hard-earned dollars at the end of the plan year.

General Rules to Keep in Mind:

  1. Contribution Limits: Employees should be aware of the revised contribution limit of $3,200 for health FSAs. It's essential to evaluate individual healthcare needs and contribute an amount that aligns with expected medical expenses.
  2. Use It or Lose It vs. Carryover: While some plans operate on a use-it-or-lose-it basis, forfeiting unused funds at the end of the plan year, others allow for a carryover of a limited amount. Understand the rules of your specific cafeteria plan to make the most informed decisions regarding contributions.
  3. Eligible Expenses: Familiarize yourself with the list of eligible expenses. Health FSAs typically cover a wide range of medical costs, including prescription medications, co-pays, and certain over-the-counter items.
  4. Plan Communication: Employers should effectively communicate these changes to their workforce. Clear communication ensures that employees are aware of the new limits and can make informed decisions about their contributions.


The adjustments to the dollar limitation for employee salary reductions and the maximum carryover amount for health FSAs in 2024 bring positive changes for individuals seeking to manage their healthcare expenses more efficiently. By staying informed about these modifications and adhering to the general rules outlined, both employees and employers can navigate the evolving landscape of healthcare benefits and make the most of their flexible spending arrangements.