2026 Open Enrollment Benefits Decision Guide
Comparison of Tax-Advantaged Medical Savings Accounts–Continued
HSA
Health Care FSA
Dependent Care FSA
Up to $4,400 per year for employee only coverage - up to $8,750 per year if you cover dependents These limits include NextGen Healthcare’s contributions If you’re age 55 or older in 2026, you can contribute an additional $1,000.
$7,500 per household ($3,750 if married and filing a separate tax return)
Annual Contribution
Up to $3,400
Change your Contribution Amount Anytime
Yes
No
No
How to Receive Reimbursement
Use your debit card or submit paper claims, along with your itemized receipt(s)
Access your entire annual contribution amount starting January 1 Access only funds that have been deposited Does the unused balance roll over to next year?
No
Yes
No
Yes
No
Yes
Yes, the money rolls over from year-to-year, and is yours to keep–even if you leave NextGen Healthcare Yes, once you balance reaches $1,000, you can invest the money in a variety of funds
No, all unused funds are forfeited after December 31, 2026
Can you invest the funds?
N/A
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