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Getting started with your dental & vision FSA

How do flexible spending accounts for dental & vision expenses work?

Written by Dave Stehler

A Dental & Vision FSA is also known as a Limited Purpose FSA or LP-FSA. It's an employer arrangement that lets you pay for eligible dental and vision expenses with tax-free dollars. At the employer's discretion, eligible medical expenses incurred after the deductible is met may also be reimbursable.

Eligibility

It's simple to have a Dental & Vision FSA; your employer just needs to offer it!

Note: You can have a Dental & Vision FSA with an HSA.

Limits

Total Maximum Contribution

Employer Contributions

Maximum Rollover Limit

2025

$3,300/yr

Up to $500 → $1:$1

$660

2026

$3,400/yr

Up to $500 → $1:$1

$680

While there is a general maximum rollover limit for Dental & Vision FSAs, it is up to your employer to decide if they will allow rollovers. Some employers may choose to allow up to a two-month and fifteen day extension to the FSA spending deadline instead of allowing rollovers.

If they do not allow either, check out what you can spend on and plan ahead!

Eligible LP-FSA Expenses

Insurance premiums or costs for temporary continuation of coverage (TCC) cannot be paid with FSA funds.

Dental

Vision

Dental (Co-insurance, Co-Payment, and Deductible)

Vision (Co-insurance, Co-Payment and Deductible)

Semi-annual cleaning

Optometrist / Ophthalmologist visit

Sealants

Contact lenses

Bridge

Contact lens solution

Denture

OTC eye drops and treatments

Implants

Prescription Eyeglasses/Sunglasses

Adhesive

OTC Reading Glasses

Invisalign or clear aligners

Lasik

Occlusal guards

Keratotomy

Orthodontia

OTC toothache and teething pain reliever

*OTC = over-the-counter

Other

Mileage (for travel to/from eligible dental or vision care)

Transportation: Bus, Train, Taxi, Parking expenses (for eligible care/expenses)

Payment Processing Fees (for eligible expenses)

Sales tax, shipping, and handling fees (for eligible expenses)

Limited Eligibility

Requirements/Limitations

Dental Veneers

  • Letter of Medical Necessity

  • Detailed receipt

Medicated Toothpaste

  • Letter of Medical Necessity

  • Documentation of cost difference from regular toothpaste

  • Reimbursement is limited to the cost difference between medicated and regular toothpaste

Waterpik flosser

  • Letter of Medical Necessity

Lodging

  • Reimbursement is limited to $50 per night for the patient to receive dental or vision care and $50 per night for one caregiver

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