Maximize Your Benefits: Pairing a Dependent Care or Limited Purpose Flexible Spending Account with a Health Savings Account

By Wesley Sebacher, CFP®

Managing healthcare and dependent care expenses can be a significant financial burden for many individuals and families. However, by leveraging the benefits of a Dependent Care Flexible Spending Account (DCFSA) or a Limited Purpose Flexible Spending Account (LPFSA) alongside a Health Savings Account (HSA), individuals can maximize their savings potential and may realize significant financial advantages. You will be limited to pairing a dependent care flexible spending account with a health savings account or pairing a limited purpose flexible spending account with a health savings account. We will explore the advantages of pairing these accounts and highlight the financial benefits from this strategy. 

Dependent Care Flexible Spending Account (DCFSA) 

A Dependent Care Flexible Spending Account (DCFSA) is a pre-tax benefit account that allows employees to set aside up to $5,000 per household in 2024 to cover eligible dependent care expenses. These expenses typically include child or elder care services, such as daycare, preschool, before and after-school programs, summer camps, and even certain in-home care expenses. 

Limited Purpose Flexible Spending Account (LPFSA) 

A Limited Purpose Flexible Spending Account (LPFSA) is a pre-tax benefit account that allows employees to set aside up to $3,050 in 2024 to cover eligible dental and vision expenses only. 

Health Savings Account (HSA) 

A Health Savings Account (HSA) is a tax-advantaged savings account designed to help individuals save up to $8,300 on family coverage in 2024, with a $1,000 catch-up for those age 55 and older, for qualified medical expenses. To qualify for an HSA, individuals must be enrolled in a high-deductible health plan (HDHP). Funds accumulated in an HSA can be used to pay for a wide range of qualified medical expenses, including doctor’s visits, prescription medications, medical procedures, dental, and vision care (subject to certain limitations). 

Benefits of pairing a DCFSA or LPFSA with an HSA 

Increased Tax Savings: By utilizing an DCFSA or LPFSA alongside an HSA, individuals can reduce their taxable income even further. Contributions made to any of these accounts are pre-tax and deducted from the individual’s taxable income, resulting in lower overall tax liability. 

Lower Out-of-Pocket Expenses: Dependent care expenses, such as daycare or after-school programs or dental and vision for growing families can be substantial. By using pre-tax dollars from a DCFSA to cover dependent care expenses or a LPFSA to cover dental and vision expenses, individuals can reduce their out-of-pocket costs, providing them with more disposable income for other expenses or savings. 

Long-Term Savings Potential: The unused funds in a DCFSA do not roll over from year to year and are subject to the “use-it-or-lose-it” rule. Up to $610 of the unused funds in an LPFSA are allowed to rollover to the following tax year in 2024, any remainder will be forfeited. However, any unused funds in an HSA can be carried forward indefinitely, allowing individuals to accumulate savings over time for future medical expenses. By allocating the necessary amount to the DCFSA or LPFSA and directing any surplus to the HSA, individuals can optimize their savings and prepare for potential healthcare costs in the future. 

Flexibility and Convenience: Both the DCFSA, LPFSA, and HSA offer flexibility in accessing funds for eligible expenses. Reimbursements for dependent care and limited purpose expenses can be requested throughout the year as the expenses are incurred. HSA funds can be accessed or reimbursed at any time to pay for qualified medical expenses, allowing individuals to address immediate healthcare needs or save for future healthcare costs.  

Potential Investment Growth: Health savings account providers may offer investment options, allowing individuals to potentially grow their health savings over time. By investing your contributions in a diversified portfolio, any growth will further increase your long-term savings. Any investment growth in a health savings account is withdrawn tax-free when used toward qualified medical expenses. 


Pairing a Dependent Care Flexible Spending Account (DCFSA) or a Limited Purpose Flexible Spending Account (LPFSA) with a Health Savings Account (HSA) can presents numerous financial benefits for individuals and families. By taking advantage of pre-tax contributions, reduced taxable income, and the ability to cover a variety of healthcare and dependent care expenses, individuals can optimize their savings potential. It is important to consult with a financial advisor or benefits specialist to understand the specific rules and guidelines governing dependent care flexible spending accounts, limited purpose flexible spending accounts, and health savings accounts to determine the best approach for your individual circumstances. 



©2023 Advisory services offered by Moneta Group Investment Advisors, LLC, (“MGIA”) an investment adviser registered with the Securities and Exchange Commission (“SEC”). MGIA is a wholly owned subsidiary of Moneta Group, LLC. Registration as an investment adviser does not imply a certain level of skill or training. The information contained herein is for informational purposes only, is not intended to be comprehensive or exclusive, and is based on materials deemed reliable, but the accuracy of which has not been verified. Examples contained herein are for illustrative purposes only based on generic assumptions. Given the dynamic nature of the subject matter and the environment in which this communication was written, the information contained herein is subject to change. This is not an offer to sell or buy securities, nor does it represent any specific recommendation. You should consult with an appropriately credentialed professional before making any financial, investment, tax or legal decision. An index is an unmanaged portfolio of specified securities and does not reflect any initial or ongoing expenses nor can it be invested in directly. Past performance is not indicative of future returns. All investments are subject to a risk of loss. Diversification and strategic asset allocation do not assure profit or protect against loss in declining markets. These materials do not take into consideration your personal circumstances, financial or otherwise. 

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