Using FSAs with HSAs
If you're enrolled in a Health Savings Account (HSA), you are generally not eligible for a traditional Medical Flexible Spending Account (FSA). However, you can participate in a Limited Purpose Flexible Spending Account (LPFSA). An LPFSA functions similarly to a regular FSA but is specifically for dental and vision care expenses. This allows you to pay for routine dental and vision costs with pre-tax dollars, while preserving your HSA funds for other medical needs or long-term savings and investments. The IRS sets annual contribution and carryover limits, which you can find in the current Benefits Guide on the Benefits & Wellness myBucknell page.
The full amount is available at the start of the plan year. Unlike traditional "use-it-or-lose-it" accounts, the Medical FSA includes a carryover provision, allowing you to roll over a limited amount of unused funds into the next plan year. Any funds above this limit are forfeited. Claims for eligible dependent care expenses must be filed within 90 days following the close of the plan year or 180 days following termination of employment, if earlier.
You must re-enroll and elect your contribution amount each year during open enrollment. Choose your amount carefully, as changes are generally only permitted with a qualifying life event.
For general information about Limited Purpose FSAs, explore our Benefits Video Library and check out the 'Limited Purpose FSA' video.
ABOVE CONTENT LAST REVIEWED AND UPDATED FOR COMPLETENESS AND ACCURACY JULY 11, 2025.