Health Care FSA Contribution
$0
Dependent Care FSA Contribution
$0
Estimated Tax
Savings
$0

Information About Me

By entering your income, filing status, etc. we can more accurately estimate your tax savings.

FSA Calculator

Information About Me

FSA Calculator by Cigna.com

  • *required
  • ( $100 - $2,700 )
    *The maximum amount you can contribute to the FSA
  • Tax Filing Status
    Single
    Married filing separately
    Married filing jointly
    Head of household
  • Do you plan to enroll in a HSA
    (Health Savings Account)? Why do we ask this?
    No
    Yes
  • Do you use dependent care or
    adult day care? Why do we ask this?
    No
    Yes

Information About Me

By entering your income, filing status, etc. we can more accurately estimate your tax savings.

FSA Calculator

Medical Expenses

Enter the amount you expect to pay out of pocket for:

  • Don't know what is allowed for reimbursement? Visit www.cigna.com/expenses for our very detailed list of eligible and in-eligible expenses.

 

FSA Calculator

Dental Expenses

Enter the amount you expect to pay out of pocket for:


  • Don't know what is allowed for reimbursement? Visit www.cigna.com/expenses for our very detailed list of eligible and in-eligible expenses.

 

FSA Calculator

Vision Expenses

Enter the amount you expect to pay out of pocket for:

 

FSA Calculator

Pharmacy Expenses

Enter the amount you expect to pay out of pocket for:

  • Over-the-Counter Item Expenses



  • Don't know what is allowed for reimbursement? Visit www.cigna.com/expenses for our very detailed list of eligible and in-eligible expenses.

 

FSA Calculator

Dependent Care Expenses

 

FSA Calculator

Now What?

If you choose to contribute the goal amounts to the FSA...

Your health care FSA contribution amount
$10,000
Your dependent care FSA contribution amount
$0

You will have:

  • Immediate access to your health care funds
  • Direct deposit for your FSA reimbursements
  • Estimated tax savings of $0
With FSA Without FSA
Income $0 $0
Pre-tax health care expenses $0 $0
Pre-tax dependent care expenses $0 $0
Taxable income $0 $0
Estimated federal income taxes $0 $0
FICA tax (Social Security & Medicare) $0 $0
Post-tax health care expenses $0 $0
Post-tax dependent care expenses $0 $0
Net Pay $0 $0
ESTIMATED TAX SAVINGS$0