The FSA Calculator will help you determine an appropriate Annual Health Care FSA Contribution Amount. And, it will automatically calculate estimated tax savings based on your Annual FSA Contributions.
Annual FSA expenses consist of all qualified expenses incurred by you, your spouse and your eligible dependents. FSA expenses are out-of-pocket expenses that are not covered by your benefit plan. Check out the IRS web site for a full list of all qualified expenses.
To Begin, please enter your Annual Household Income, Marital Status, Number of Exemptions, and select your number of annual Pay Periods. Then, enter the amount of out-of-pocket expenses you typically incur on a yearly basis for each of the qualified categories.
Enter amounts in whole dollars - no decimal points, or dollar signs (For example: 500).