The 2023 contribution limit for Healthcare Flexible Spending Accounts (FSAs) is increasing to $3,050, an increase of $200 from 2022. The maximum carryover amount that employers may implement also increases to $610 (20% of the contribution limit).

You have many choices when selecting a health insurance plan, which can make the process feel overwhelming. Health plans vary and have their own benefits and drawbacks related to coverage, primary care providers (PCPs), copays, premiums and more.

There are a lot of details related to the Affordable Care Act (ACA) that impact many employers. Attached is our ACA Client Guide, a ready reference to help you understand rules, considerations and what your company may need to do.

The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in- • network facilities and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.

Starting in 2022, there are new protections that prevent surprise medical bills. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front before your visit. If you disagree with your bill, you may be able to dispute the charges.

Here’s what you need to know about your new rights.

• Services were provided at an in-network facility by an out-of-network provider
• Emergency services were performed out-of-network

• Review invoices for any billing errors
• Contact the billing department to correct and issue a new bill
• Contact your Client Manager

Have you heard of J codes?  They are the coding used by doctor’s offices, hospitals and other providers to bill for specialty medications that are usually not taken by mouth, like injectables. They are called “J codes” because of the way they are billed.

The medications dispensed can be expensive as they are often specialty medications, chemotherapy and immunosuppressants. They are billed through the medical plan and not the pharmacy plan, so they can be difficult to identify and address.

The IRS has reminded taxpayers that the cost of home testing for COVID-19 is an eligible medical expense that can be paid or reimbursed under health flexible spending arrangements (health FSAs), health savings accounts (HSAs), and some health reimbursement arrangements (HRAs). The cost to diagnose COVID-19 is an eligible medical expense for tax purposes.

In addition, the costs of personal protective equipment, such as masks, hand sanitizer and sanitizing wipes, for the primary purpose of preventing the spread of COVID-19 are eligible medical expenses.