FSA Contribution Forecaster

Estimate your anticipated Flexible Spending Account (FSA) eligible expenses for the year to help decide your contribution amount.

Remember, FSA funds are often "use it or lose it" within the plan year. Consult your specific plan details.

Estimate Annual Eligible Expenses

Enter your best guess for annual spending in each category.

Doctor Visit Co-pays

Prescription Co-pays/Costs

Dental Expenses (Cleanings, Fillings, etc.)

Vision Expenses (Exams, Glasses, Contacts)

Over-the-Counter Health Items

Other Eligible Expenses (e.g., Therapy, Orthodontics)

Estimated Total & Suggested Contribution

Total Estimated Annual Expenses:: $0

Consider contributing this amount to your FSA, but verify your plan's annual contribution limit and eligible expense list. Under-contributing means losing tax savings, while over-contributing may mean forfeiting unused funds.