Home FSA Calculator

FSA Calculator

FSA information and tools are provided for our members who participate in Great-West Healthcare, now part of CIGNA, Flexible Spending Account plans. Your employer may not offer FSA. To find out whether you are enrolled in an FSA plan, sign in to MyGreatWest.com.

Not sure how much money to set aside for your Flexible Spending Account? Use the FSA Calculator to determine your potential tax savings by entering your expected medical or dependent care costs for the plan year.

Step 1 - Enter Eligible Health Care Expenses

Next to each expense, estimate your out-of-pocket costs for the plan year. The maximum amount of money you can contribute to your FSA for health care expenses is set by your employer, so check with your benefits administrator to confirm your maximum.

Amount (in US Dollars)
Deductibles
Copayments
Eye Exams
Eyeglasses/Contacts
Laser Eye Surgery
Chiropractic Treatment
Prescribed Medicines
Routine Physicals
Hearing Exams/Aids
Dental Exams
Orthodontia Services
Psychiatric Treatment
Maternity Expenses
Other Eligible Expenses
Total Estimated Health Care Expenses

Go to Step 2 >>