The U.S. Internal Revenue Service (IRS) allows flexible spending account (FSA) funds to be used for qualified medical expenses incurred by an account owner and his spouse. Additionally, the IRS allows FSA funds to be used by any person claimed as a dependent on the FSA owner's tax return, with certain qualifications.

What Is an FSA?

An FSA is a tax-free account that is available to salaried employees; it can be sponsored and maintained by eligible employers. Contributions to an FSA account have an annual limit, which is adjusted for changes in the cost of living by the IRS every year. In 2019, the contribution cap for FSAs is $2,700. Contributions are exempt from federal income tax, federal unemployment tax, Social Security and Medicare taxes. To qualify for tax-free status, distributions from an FSA must not exceed contributions in a particular calendar year, and the funds must be spent on qualified medical expenses.

These are costs incurred to treat or alleviate a medical condition. Most cosmetic procedures such as teeth whitening, a face-lift or liposuction are not allowed. However, certain cosmetic surgery is allowed, as long as it used to remove body disfigurement due to an illness or accident.

Who Can Use FSA Funds?

In addition to the FSA owner, the owner's spouse can incur qualified medical expenses that can be covered by FSA funds. Distributions from FSAs can also be used by dependents who are claimed on the owner's tax return. If a dependent earns gross income in excess of $4,050, files a joint return or can be claimed as a dependent on somebody else's return, he is not eligible.