One of the ways Costco helps employees save money is through reimbursement accounts from Inspira Financial™.
Watch this video or see the chart below for a quick overview and to see what’s changing. Remember, you must enroll or re-enroll if you want to participate in 2026.
Narrator: Your health and the health of your family is a top priority at Costco. That’s why we are committed to providing you and your family with affordable benefits that help you receive quality care whenever needed. One of those benefits are the reimbursement accounts available through Inspira Financial. Here’s everything you need to know about reimbursement accounts.
There are two types of reimbursement accounts available to you as a Costco employee: the HCRA and the DCAP. The HCRA, or Health Care Reimbursement Account, allows you to set aside pre-tax dollars to reimburse yourself for eligible medical expenses such as co-pays, deductibles and co-insurance, dental and vision expenses, prescriptions, and over-the-counter items. Annual enrollment is the only time you can enroll in an HCRA account, and the HCRA must be reelected every year if you want to continue your account.
The DCAP, or Dependent Care Assistance Plan, allows you to set aside pre-tax dollars to reimburse yourself for qualified child and elder care expenses necessary for you and your spouse to work. Funds can be used to pay for child care for your dependents age 12 and younger, or for a spouse, parent, or dependent incapable of self-care. Examples of DCAP expenses are things like daycare, before and after school care, nursery and preschool, and in-home aides. Please note that the DCAP cannot be used for dependent health care expenses.
You need to enroll in the DCAP every year to continue your account. However, you can enroll, change, or stop your enrollment whenever there is a qualifying change to your dependent care needs throughout the year. Both types of accounts are funded by automatic pre-tax payroll deductions from every paycheck. If you choose to enroll in one or both of the reimbursement accounts during annual enrollment, you’ll be prompted to choose how much money you would like to contribute for the plan year up to the annual limit. Each account has an annual funding limit set by the IRS.
Funds will then be deducted pre-tax from your paychecks and deposited into these reimbursement accounts. While you can access the full amount of your annual HCRA election beginning January 1, with the DCAP, you can only access the amount currently in your account at the time of your reimbursement request. If you enroll in the HCRA, you’ll have a few different ways to access your account. The default reimbursement method is autopay.
The HCRA autopay feature will automatically pay your portion of medical, dental, and vision claims, including co-pays, deductibles, and coinsurance. If you have specific plans for your HCRA funds, like paying for braces, be sure to turn off autopay at the start of each year on the Inspira website or app.
You’ll also receive a debit card you can use to pay for eligible expenses at these locations— Costco Pharmacy, Costco Online Pharmacy, Costco Optical, and the Costco Hearing Aid Center. You can check your available account balance on your Aetna member website. For the DCAP, you can submit a claim for reimbursement as soon as you have an eligible expense through the Inspira website or app. You’ll be reimbursed up to the current balance in your account.
Before you enroll, take a look at your health care and dependent care expenses for the previous year, and think about needs in the coming year to get a sense of how much you would like to contribute. Keep in mind that if you are currently enrolled in an HCRA, you’ll want to think about whether you’ll have funds left in your account at the end of this year that you can roll over into next year. It is important to remember that funds in both accounts are “use it or lose it” per IRS rules. Only a small portion of your HCRA balance can roll over into the next plan year. This amount is determined annually by the IRS.
Only participants who have an active HCRA as of December 31 are eligible for this rollover. Any funds beyond the rollover amount are forfeited after the claim filing deadline. This is why it’s so important to consider your anticipated expenses for the coming year before selecting a contribution amount for each account. If you have a larger amount in your DCAP account than you expected as the end of the plan year approaches, you can take advantage of the grace period. The DCAP offers a grace period at the beginning of the following year, where funds from the previous year can still be used.
Don’t forget to submit all your reimbursement claims by the filing deadline, as any funds left over after this period will be forfeited. Be sure to calculate your contributions carefully. And that’s the basics. If you have any questions or need more information, just visit Costcobenefits.com.
Thanks for watching. And remember, we’re in this together.
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Here’s a reimbursement accounts overview
Health Care Reimbursement Account (HCRA)
Dependent Care Assistance Plan (DCAP)
What it’s for
Out-of-pocket health care expenses for you, your spouse and eligible dependents —
Copays, deductibles and coinsurance, plus dental, vision, hearing aid and pharmacy expenses.
Dependent care expenses for you and your spouse —
Eligible elder or childcare costs so you and your spouse can work.
It can’t be used for dependent health care costs — that’s the HCRA.
2026 contribution limits
$120 up to $3,400
Up to $7,500 (or $3,750 if married and filing separately)
When funds are available
Your full annual election amount is available January 1.
Funds are available as they’re deducted from your paycheck.
How reimbursement works
Autopay — Your HCRA is set to automatically reimburse you for eligible copays, deductibles or coinsurance for medical, dental and vision expenses.
If you plan to use your funds for things like braces, be sure to turn off autopay at the start of the year on the Inspira website or app.
Debit card — Use it at a Costco Pharmacy, Costco Optical Department, Costco Hearing Aid Center and at the Costco Online Pharmacy.
Inspira website or app — You can submit a claim for reimbursement when you have an eligible expense.
Inspira website or app — You can submit a claim for reimbursement when you have an eligible expense.
You’ll be reimbursed up to the current balance in your account.
When to enroll
Enroll during Annual Enrollment.
Enroll during Annual Enrollment or during the year as your childcare needs change.
Election changes
Election changes are not allowed — so you won’t be able to start, stop or change your contributions after Annual Enrollment.
Start, change or stop your contributions as your qualifying childcare needs change.
Rollover
Unused funds that carry over to the next year (total amount is determined by the IRS each year)
Remaining balance of up to $660 automatically rolls over from 2025 to 2026.
No rollover
Grace period
When you can use leftover funds to pay for new expenses
No grace period
Use funds leftover at the end of the year on expenses during the grace period (January 1–March 15 of the following year).
Claim filing deadline
Last day to file claims for the previous year’s expenses
April 30 of the following year
April 30 of the following year
HCRA and DCAP funds are USE IT OR LOSE IT!
This means you forfeit any money left in your account after the claim filing deadline of April 30 of the following year. (Except for your HCRA rollover up to the IRS rollover maximum.)
Not sure how much to contribute?
If you usually meet your annual deductible, you could start with that amount. You won’t pay taxes on what you put in. HCRA funds can help cover your out-of-pockets costs for doctors’ visits, X-rays, lab work and more, while DCAP funds can pay for in-home aid and daycare.
Keep in mind that both HCRA and DCAP funds are “use it or lose it,” though a portion may roll over to the next year.
Autopay uses your HCRA funds automatically, unless you turn it off. You can adjust your contribution during Annual Enrollment each year. DCAP funds are a little different — you can change your contribution amount throughout the year, and you need to submit a claim for reimbursement. While you can enroll or make changes to your DCAP contribution amount during Annual Enrollment, you can also do so if your child- or eldercare needs change.