Health Care Spending Account

Definition


Health Care Spending Account (HCSA): A Canada Revenue Agency–registered, employer-funded benefit arrangement that allocates a fixed dollar amount—determined annually by the employer—to each eligible employee for reimbursement of qualifying medical and dental expenses not covered (or only partially covered) by the provincial health plan or the company’s primary group benefits. Monies deposited are non-taxable to the employee, cannot be taken as cash, and must be used within the plan year or any specified carry-forward period; unused balances generally revert to the employer. Eligible expenses are defined by the Income Tax Act and include prescriptions, vision care, orthodontics, paramedical services, and certain medical devices. Claims are submitted with receipts and are paid from the employee’s individual account until the balance is exhausted.

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