Asked if and how they plan to encourage patients to use end-of-year flex-spending account dollars, 67 percent say they will e-blast, mail and post reminders to use FSA dollars, but will offer no related special discounts or promotions. Eleven percent say they will offer special promotions such as discounts on purchasing if using FSA dollars, while another 22 percent say they won’t do anything at all–no reminders and no special offers.