Benefit Services of Hawaii Inc. – sol(u)tions

Our Products › Tax Savings Calculator

Example

Please enter values in whole amounts with no decimal points.

Annual Household Income
   Gross: $ 
   Net: $ 
Marital Status:
Number of Exemptions:
Number of Pay Periods per Year:

Annual Flexible Spending Account Expenses

Please enter your annual FSA eligible medical expenses.

1. Medical - Deductibles, Copayments, Coinsurance, Routine Exams

Physician/Doctor $ 
Osteopathic Physician $ 
Chiropractor $ 
Podiatrist $ 
Other Health Practitioner $ 

2. Prescription - Drugs, Copayments, Coinsurance

Pharmacy $ 
Over the Counter (OTC) $ 

3. Hospital - Deductibles, Copayments, Coinsurance

Hospital $ 

4. Dental/Orthodontist - Deductibles, Copayments, Coinsurance, Routine Exams

Dentist/Orthodontist $ 

5. Vision - Prescription Eyeglasses & Contact Lenses, Deductibles, Copayments, Coinsurance

Optometrist $ 
Ophthalmologist $ 

6. Supplies - Contact Lens Supplies, Medical & Dental Supplies

Medical/Dental/Vision $ 
Orthopedic Goods $ 
Hearing Aids $ 

7. Laboratory - X-Ray, Lab Fees

Medical/Dental Laboratory $ 

8. Dependent Care

Preschool $ 
After-School Care $ 
Babysitter Fee $ 

9. Transportation

Parking Fee - Annual $