FSA vs. HSA: Using Pre-Tax Dollars for Your Vision Care

What is a Flexible Spending Account (FSA)?

As the name suggests, a flexible spending account, or FSA, gives you flexibility in how you pay for healthcare expenses. An FSA is an employer-sponsored benefit that allows you to set aside pre-tax money to use on eligible medical costs. Many employers offer FSAs alongside their health insurance plans, and in some cases, you may be able to participate in an FSA even if you are not enrolled in the employer’s health plan. Contributions are usually deducted directly from your paycheck, and you can use these funds for qualified health expenses, including vision care.

Once you decide how much to contribute to your FSA, that amount generally stays the same for the entire plan year unless you experience a qualifying life event that allows you to adjust it. For 2026, the IRS allows employees to contribute up to $3,400 to a health FSA, though your employer may choose a lower maximum. Some employers also allow you to carry over a portion of unused funds into the next plan year. In 2026, the maximum permitted health FSA carryover is $680, if your employer offers this feature.

What Can an FSA Be Used for in Vision Care?

An FSA can be a convenient way to plan for both routine and specialized vision needs. In many cases, you can use FSA dollars for the same services and products you receive at The EyeDoctors Optometrists. Common FSA-eligible eye care expenses include:

• Comprehensive eye exams 

• Glasses, including lenses and frames 

• Prescription sunglasses 

• Contact lenses, solution, cleaners, and cases 

• Certain eye drops prescribed or recommended by your eye doctor 

• Eligible eye surgeries like LASIK or cataract surgery 

The EyeDoctors Optometrists offers a wide range of eye care services, glasses, and contact lenses that can often be purchased with FSA funds. If you are unsure whether a specific service or product is covered under your plan, our team can help you review your options and understand your choices before you pay.

What is a Health Savings Account (HSA)?

A health savings account (HSA) is another type of tax-advantaged account that can be used to pay for qualified medical expenses, including many vision-related services. Like FSAs, HSAs are funded with pre-tax dollars, which can lower your taxable income and help you stretch your healthcare budget. However, HSAs follow a different set of rules and can offer additional long-term benefits. 

One of the biggest differences from an FSA is eligibility. To contribute to an HSA, you must be enrolled in a high-deductible health plan (HDHP) that meets IRS requirements. For 2026, an HSA-qualified HDHP must include at least:

• A minimum deductible of $1,700 for individual coverage or $3,400 for family coverage 

• A maximum out-of-pocket limit (including deductibles, copays, and coinsurance) of $8,500 for individuals or $17,000 for families 

Ownership is another key distinction. An HSA belongs to you, not your employer. Any money you do not spend stays in your account and rolls over from year to year. The account remains yours even if you change jobs or switch health plans in the future—you simply cannot continue contributing if you are no longer enrolled in an HSA-eligible plan.

What Can an HSA Be Used for in Vision Care?

HSA funds can generally be used for many of the same vision expenses as FSA dollars. Medically necessary vision care received at The EyeDoctors Optometrists is typically considered a qualified medical expense. In most cases, HSA funds can be used for the same types of costs as FSAs, including comprehensive eye exams and prescription eyewear.

Because HSA dollars do not expire at the end of the year, some patients prefer to save these funds for larger or less frequent expenses. You might choose to use your HSA savings for laser vision correction, premium lens options, or future eye care needs as your vision changes with age. This long-term flexibility can make an HSA a powerful tool for managing both current and future vision care costs.

Comparing Tax-Free Accounts: The Differences for Vision Care

Both FSAs and HSAs can help you save money on eye care, but they work differently behind the scenes. Here is a side-by-side comparison focused on vision care:

Who can have the account?

• FSA: Only if your employer offers one. 

• HSA: Only if you are enrolled in an HSA-eligible HDHP. 

Who owns the account?

• FSA: The employer owns the account and unused funds may be forfeited or subject to grace period/carryover rules. 

• HSA: You own the account, meaning funds roll over year to year and move with you if you change jobs. 

Use it or lose it?

• FSA: Usually yes, except for limited grace periods or carryovers (up to the IRS limit if your employer allows it). 

• HSA: No. Funds remain in your account until you use them. 

Contribution limits for 2026?

• FSA: Up to $3,400 per year if your employer allows the maximum. 

• HSA: Up to $4,400 for self-only coverage or $8,750 for family coverage, plus a $1,000 catch-up contribution if you are 55 or older. 

How to Pay for Eye Care with an FSA

If you have an FSA and want to use it for vision care at The EyeDoctors Optometrists, you can follow a few simple steps:

1. Check Your FSA Balance and Deadlines: Log into your FSA account portal or speak with your HR or benefits team to see how much money you have available and when your plan year ends. Ask whether your plan includes a carryover option or grace period and make sure you understand those rules so you do not accidentally leave funds unused. 

2. Schedule Your Eye Exam: Book a comprehensive eye exam at your nearest The EyeDoctors Optometrists location. Routine eye exams help keep your prescription accurate and give your eye doctor the chance to spot potential issues early, when treatment is often easier and more effective. 

3. Use FSA Funds at Your Appointment: In many cases, you can use FSA dollars to pay for exam copays, glasses, contact lenses, and other eligible eye care services. Bring your FSA card if you have one or keep your itemized receipts and submit them to your FSA administrator for reimbursement. 

4. Plan Ahead for Year-End: If your FSA follows a calendar year, consider using any remaining funds before December 31, or before your plan’s specific end date. Many patients choose to put extra FSA dollars toward a backup pair of glasses, prescription sunglasses, lens upgrades, or an additional supply of contact lenses. 

How to Pay for Eye Care with an HSA

Health Savings Accounts provide added flexibility for timing and long-term budgeting. Here is how you can use an HSA for your eye care at The EyeDoctors Optometrists:

1. Confirm That Your Expense is HSA-Eligible: Most medically necessary vision expenses, including comprehensive eye exams, prescription glasses or contact lenses, and many eye surgeries, qualify as eligible costs. If you are unsure, review your HSA administrator’s list of covered expenses or contact them with any questions. 

2. Pay Directly with Your HSA Debit Card: At checkout, you can often pay for eligible services and products using your HSA debit card. This allows you to use pre-tax dollars immediately for exam copays, glasses, contact lenses, and approved procedures. 

3. Pay Out-of-Pocket and Reimburse Yourself Later: Some patients prefer to pay with personal funds and then reimburse themselves from their HSA later on. This approach can help you keep more money invested in your HSA for potential long-term growth. Just remember to save your receipts and follow your HSA administrator’s reimbursement process. 

4. Use Your HSA for Larger Vision Expenses: Because HSA funds roll over from year to year, many people set aside part of their balance for bigger procedures or premium lens options. This can be especially helpful when planning for laser vision correction, cataract surgery, or other age-related eye care needs.