Spending Accounts
We offer three types of tax-advantaged accounts that you can contribute to, to help you pay for out-of-pocket costs using pre-tax dollars. In addition, the HRA pairs with the HOP plan and only includes contributions from MGH.
Because these accounts are tied to specific health plans or life situations, review the eligibility rules of each account before you enroll:
Summary Plan Description (applies to all plans)
Important Notice: Do not print job aids for future use. They are updated occasionally to reflect changes in the Workday system. Revisit the Knowledge Center and use the links below to complete your actions
Health Savings Account (HSA)
Available exclusively to employees enrolled in the MAP (High Deductible) Plan. Funds roll over year-to-year and belong to you forever. The HSA is a powerful, triple-tax-advantaged savings tool available exclusively to those enrolled in the MAP Plan.
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Triple-Tax Advantage: Contributions are pre-tax, growth is tax-free, and withdrawals for qualified medical expenses are tax-free.
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Ownership: Unlike an FSA, this is your personal bank account. If you leave the company or retire, the money goes with you.
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Long-Term Growth: You can choose to invest your balance once it reaches a certain threshold, allowing your healthcare savings to grow over time.
2026 Contribution Limits
Changing HSA Contributions
MGH Contributions to Your HSA
Eligible Expenses
HealthEquity Website
Healthcare FSA
Available if you are enrolled in the HOP Plan or if you waive medical coverage entirely. This is a "use-it-or-lose-it" account for medical, dental, and vision expenses. The Healthcare FSA is designed for those enrolled in the HOP Plan or those who waived company coverage but still have out-of-pocket medical, dental, or vision costs.
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Immediate Access: Your full annual election is available to you on Day 1 of the plan year, regardless of how much you’ve contributed from your paycheck.
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"Use It or Lose It": This is a budget-carefully account. Most funds must be spent by the end of the plan year, or they will be forfeited back to the plan.
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Qualified Expenses: Use your FSA debit card for co-pays, prescriptions, eyeglasses, contact lenses, and even some over-the-counter items like sunscreen or first-aid kits.
2026 Contribution Limits
Reimbursement Request Form
Eligible Expenses
Direct Deposit Form
Dependent Care FSA
The Dependent Care FSA is often misunderstood—it is not for your children’s doctor visits or prescriptions. Instead, it is a way to pay for care that allows you (and your spouse) to work.
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Who it Covers: Children under age 13 or adult tax-dependents who are physically or mentally unable to care for themselves.
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Eligible Costs: Preschool, before/after school care, day camps, and elder daycare.
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Pay-as-you-go: Unlike the Healthcare FSA, you can only be reimbursed up to the amount currently sitting in your account balance.
Reimbursement Request Form
Direct Deposit Form
Health Reimbursement Account (HRA)
The HRA is a 100% employer-funded account designed to lower your out-of-pocket costs on the HOP plan. You do not contribute any of your own money to this account and you do not enroll in this account, it is automatically set up if you elect the HOP plan.
- Annual Contributions: The company automatically credits $500 for individual coverage or $1,000 for all other coverage levels (Member + Spouse, Family, etc.) at the start of the plan year.
- "First-Dollar" Coverage: This account pays first. When you go to the doctor or pick up a prescription, the HRA funds are used to pay those initial costs until the HRA balance is empty. Only then do you begin paying toward your deductible.
- Automatic Claims: In most cases, the HRA is integrated with your health plan, meaning it pays your provider directly or reimburses you automatically without you needing to file a separate claim.
- Tax-Free: Just like a health plan, these reimbursements are never taxed as income.
MGH Contributions to Your HRA
Summary Plan Description
