To start, please enter the following information about yourself.
Enter your annual income. If you are married and filing your taxes jointly, enter your combined annual household income. This will be used to determine your federal income tax bracket, and calculate your annual savings.
State/Province
Enter the amount of money you expect to pay out-of-pocket (including copayments,
coinsurance and deductibles) for the following services over the next year.
Many Over-the-Counter (OTC) items are FSA-eligible. Our site, FSAstore.com, makes
it easy to figure out exactly which are covered, and easily buy them with your FSA
Debit Card - no paperwork required! Browse through our site, or check our handy
dynamic products list to see what types of items are covered.
Enter the amount of money you expect to pay out-of-pocket (including copayments,
coinsurance and deductibles) for the following services.
Enter the amount of money you expect to pay out-of-pocket (including copayments,
coinsurance and deductibles) for the following services.
Your Results
If you choose to contribute your total anticipated health expenses to an FSA*
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Your annual FSA contribution will be:
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Your estimated annual tax savings will be:
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Your monthly withholding will be:
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The difference in your after-tax monthly pay will be:
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You will break even if you spend at least this much out of your account:
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Without FSA
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With FSA
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| Annual Income
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| FSA Contribution
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| Taxable Income
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| Estimated Tax Withholding
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| Estimated Health Expenses
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| Net Pay
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| Estimated Tax Savings
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*The I.R.S. limits your maximum annual contribution to $2,650 in 2018. Be mindful that your employer may also set limits on your maximum annual contribution, as well as which products and services are FSA-eligible, so please check with your employer’s benefit representative before making a final decision. The estimated tax savings provided are for illustrative purposes only, and should not be construed as tax advice. Consult a licensed tax professional for appropriate advice given your individual situation. Plan your FSA contribution carefully, since any unused funds will be forfeited following the end of your plan year or any grace period thereafter.AA