FSA Calculator

This calculator will help you estimate your Flexible Spending Account contribution and potential annual tax savings.

Enter amounts in whole dollars (no decimal point, comma, or dollar sign). For example, enter 500 for $500.00.

Salary and Tax Information
Enter your annual income: $
Select your marital status: Single
Married
Select your number of federal tax exemptions:
0 1 2 3 4 5 6 7 8 9 10
Enter your number of pay periods per year:   

Health Care Reimbursement Account
Enter your plan's maximum contribution: $
Enter your plan's minimum contribution $

Enter the amount you expect to pay during the plan year for the following:
Remember, only expenses not covered by insurance are eligible for reimbursement with an FSA.

Medical plan deductible: $
Medical co-payment: $
Dental plan deductible: $
Dental co-payment: $
Medical, Dental, and/or Vision exams: $
Prescription drugs: $
Eyeglasses/contact lenses: $
Orthodontia: $
Other eligible health care expenses: $

Dependent Care Reimbursement Account
Enter your plan's maximum contribution: $
Enter your plan's minimum contribution: $
Enter the following:
Weekly day care expense: $
Other eligible expenses incurred weekly: $
Number of weeks expenses will be incurred:   

Estimated Annual Health Care Contribution

$
Estimated Annual Dependent Care Contribution $