FSA Calculator

Please fill out the form below with an estimated dollar amount for each associated expense in order to determine your potential tax savings when enrolled in your company’s Flexible Spending Account program.

Estimated Health Care Expenses

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$
$
$
$
$
$
$
This year's maximum: $3,050

Estimated Dependant Care Expenses

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$
$
This year's maximum: $5,000

Estimated Individual Premium Expenses

(i.e. Dental, Vision and Accident policies)
$
*The cost for an individual’s health insurance policy (i.e., coverage for hospital, doctor and diagnostic services) is not eligible.
$
This year's maximum: $10,000

Estimated Adoption Expenses

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$
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$
This year's maximum: $15,950

Estimated Annual savings

1 Year = 52 Weeks
%
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$
$