Estimate your health, dependent care and commuter expenses for the Plan Year. Include all health care expenses except insurance premiums for you, your spouse and all dependents claimed for taxes.

Select Your Filing Status

Select Your Annual Income (Include Spouse if Filing Joint)

Select Your Pay Cycle

NOTE: Your total expenses and tax savings will appear at the bottom of this page as you enter your information. In some instances, you may be required to use your "tab" key to scroll through the calculator.

 

Health Care Expenses (Click here for "IRS Covered" list)
  Medical
Office visits and co-pays $
Deductibles $
Physicals/Drugs/Hearing [includes OTC Drugs] $
Vision
Eye exams & co-pays $
Glasses/contacts/supplies $
Dental
Deductibles $
Co-payments/crowns $
Other Health Expenses
1. Travel [$.15 a mile for 2005] $
2. Lodging [to $50 per night per individual] $
Other-refer to health care list [Medical Equipment & Supplies] $

Dependent Care Expenses
  [Up to $5,000 per household, per calendar year, for adults of any age and children to age 13]  $

Commuter Benefits

  1. Parking [up to $200/mo. - $2400/calendar year for 2005] $

2. Mass Transit [up to $105/mo. - $1260/calendar year 2005]

 $

Your Estimated Annual Expenses and Tax Savings Are:
  Total Health Care Expenses $
Total Dependent Care Expenses $
Total Commuter Expenses $

Total Annual Expenses

 $

Annual Tax Savings

 $

Estimated Savings Amount Per Paycheck

 $
 
Note: Your tax savings is based on marginal federal rates and FICA. For extra tax savings, multiply State income tax rates of 3% to 9% by the Total Expenses noted above. The amount calculated is an estimate. Your savings may differ based on exemptions, contributions to retirement plans, etc.