I hope you are enjoying the holiday season!

I would like to alert you to two things of which you may not be aware:

  • Unspent money remaining in one type of medical savings account – a Flexible Spending Account/Arrangement (FSA) – can sometimes be lost at the end of the calendar year.
  • Several of my ADHD clients have been able to use FSA and other types of medical savings accounts to pay all or part of their coaching fees.

A year-end news article yesterday alerted me to the fact that money in FSA accounts at the end of the plan year – typically December 31 – often does not roll over into the next year, though some accounts do offer a grace period of a couple of months.

I prefer to approach ADHD as a “difference” rather than as a “disability,” but health insurance rules and tax laws seem to reflect the typical pathology-based perspective. So, until that changes, we need to work within the rules and laws as we find them.

IRS Publication 502 states, “Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness. They don’t include expenses that are merely beneficial to general health, such as vitamins or a vacation.” ADHD coaching, unlike regular life coaching, seems to be increasingly accepted as a “medical care expense.”

You will need to check with your employer to determine whether December 31 is a deadline for you to spend FSA funds. Whatever type of medical savings plan you may have, it is worth checking to see if ADHD coaching is an allowable expense.

If you I would like to explore combining 2023 savings with a 2024 fresh start using some of the powerful tools and perspectives my ADHD coaching can provide for you, I look forward to your scheduling a time for us to talk. Use this link to schedule a free Exploratory Conversation with me.

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