Flexible Savings Account Calculator How much would you like to save for your Health Flexible Spending Account (HFSA) and/or Dependent Care Flexible Spending Account (DCFSA)? Use our FSA Calculator to find out. Estimated Annual Tax Savings: $ HFSA Election Amount Maximum election allowed set by employer Itemized Listing DCFSA Election Amount Child and dependent care expenses Itemized Listing Total Pre-tax Election Estimated Household Income Estimated Tax Bracket* 10% 15% 25% 28% 33% 35% Find Tax Rate * The calculator automatically adds the FICA tax percent of 7.65% to your total tax liability. If a tax bracket is not selected, the calculator defaults to 25% plus the 7.65% FICA. The calculator does not consider State tax. If you live in a state with an income tax, your savings could be even greater. How to use the calculator: Step 1: Enter the amount of money you want to put in your HFSA account or click "Itemized Listing" to help determine your yearly uninsured health costs. Once complete, you must click the "Total" button to add that amount to the HFSA election box. Click "Go to Calculator". Step 2: Enter the amount of money you want to put in your Dependent Care FSA account or click "Itemized Listing" to calculate your yearly dependent care expenses. Once complete, you must click the "Total" button to add that amount to the HFSA election box. Click "Go to Calculator". Step 3: Once your total election amounts are entered, enter your estimated annual household income. Step 4: Select your tax bracket (the calculator defaults to 25%). To determine the correct tax bracket, click "Find Tax Rate". Not sure which expenses are eligible for a HFSA? View our Eligible Expense Listing or our Over-the-Counter Eligible Items for some ideas. This calculator was designed to give a general estimate and illustrate the potential savings of an Flexible Savings Account. It is not intended to replace the advice of a qualified tax professional.

Calculating your Healthcare Expenses Uninsured Health Costs per Year Health Insurance Deductibles $ Co-Insurance $ Office visit co-pays $ Vision care (eye exams, contacts, glasses) $ Routine exams (Ob-Gyn, physicals, etc.) $ Chiropractic services $ Over-the-counter items (view list) $ Other (list of eligible expenses) $ Uninsured Dental Costs per Year Examinations and cleanings $ Braces and retainers (see note below) $ Fillings, crowns and bridges $ Dentures (including replacements) $ Implants, inlays, x-rays $ Other $ Total: $    Go to Calculator Note: Orthodontia is reimbursed according to your contact with your orthodontists (ex. If your contract indicates monthly installments of $100 per month, you can only be reimbursed for each month's installment as it comes due). A copy of the contract is required with your first claim. Dependent Care Flexible Spending Accounts (DCFSA) The Dependent Care Flexible Spending Account is for child and dependent care expenses incurred to allow you (and your spouse if you are married) to work. The dependent on your income tax return must be under 13 (or incapable of self-care) and be claimed as a dependent. The rules for eligible expenses are the same as those for the Child and Dependent Care Credit which are outlined in IRS Publication 503. Calculating your Dependent Care Expenses January $ February $ March $ April $ May $ June $ July $ August $ September $ October $ November $ December $ Total: $    Go to Calculator Find your Tax RateGo to Calculator Marginal Tax Rate 10% 15% 25% 28% 33% 35% Single $0 -$7,825 $7,826 -$31,850 $31,851 -$31,850 $77,101 -$160,850 $160,851 -$349,700 $349,701+ Married/Jointly $0 -$15,650 $15,651 -$63,700 $63,701 -$128,500 $128,501 -$195,850 $195,851 -$349,700 $349,701+ Married/Separately $0 -$7,825 $7,826 -$31,850 $31,851 -$64,250 $64,251 -$97,925 $97,926 -$174,850 $174,851+ Head of Household $0 -$11,200 $11,201 -$42,650 $42,651 -$94,100 $94,101 -$178,350 $178,351 -$349,700 $349,701+

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