Estimate your savings and increased take-home pay by having a Flexible Spending Account
A. Healthcare Expenses
Medical
1. Deductibles / Co-Pays / Co-Insurance
$
2. Prescription Drugs
$
3. Mental Health Services
$
Dental
1. Deductibles / Co-Insurance
$
2. Orthodontia
$
Vision
1. Exams / Eye Glasses
$
2. Contacts / Contact Cleaning Solutions
$
Other Health Expenses
1. Chiropractic
$
2. Hearing Aids
$
3. Other - refer to health care list for eligible expenses
$
B. Income
Annual Income
(Include Spouse if Joint Filer)
Less Than $21,525
$21,526-$25,750
$25,751-$34,550
$34,551-$43,050
$43,051-$52,025
$52,026-$62,450
$62,451-$72,600
$72,601-$79,275
$79,276-$89,150
$89,151-$104,050
$104,051-$130,250
$130,251-$141,575
$141,576-$144,400
$144,401-$158,550
$158,551-$283,150
Greater Than $283,150
C. Taxes
Tax Filing Status
Single
Married Filing Joint
Married Filing Single
Head of Household
Total Expenses
$
TAX-FREE INCOME
Monthly Savings
$
Annual Savings
$
Pennsylvania does not exempt state withholding for dependent care benefits and New Jersey does not exempt state withholding for employee salary reductions.
Note:
This tool is for purposes of estimating. Please consult your tax advisor for more specific individual guidance. 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.
