Health Care Flexible Spending Account (FSA) Calculator

This calculator will help you estimate your annual out-of-pocket, uncovered health care expenses. It will also provide an estimated tax savings if you use a health care account.

Use the tab key to move between the fields.

Amount

Total deductibles for medical, dental, and vision:

Medical and dental co-payments. (Your share of expenses above the deductible--including orthodontic expenses):

Immunizations, injections, vaccinations:

Routine examinations:

Prescribed medicines and drugs:

Hearing exams and hearing aids:

Eye exams, glasses, contacts:

Other related expenses such as transportation:

This is your total estimated uncovered health care expense amount:

If you desire to deposit a different amount than your estimated uncovered health care expense amount, enter it here: Important, please refer to your plan document for the specific limit allowed by your plan

How many paychecks do you receive in one year?

This is the estimated amount that will be deducted from each paycheck for your health care FSA:

What is your adjusted gross income? (Before deduction for an FSA account):

What is your tax filing status?

This is your estimated tax savings:

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