Enter your estimated income for the calendar year. If uncertain, enter your income for the prior calendar year.
Annual Health Care Expenses Instructions
Enter the amount you expect to spend on health care expenses for the current calendar year. Be sure to include all out of pocket expenditures for you and your dependents including prescription drugs, fees to licensed medical practitioners (doctor, dentist, chiropractor, etc.), prescription glasses, assistive devices (dentures, hearing aid, cane, wheelchair, etc.), premiums for private health insurance plans, nursing services, nursing homes (if related to a medical disability) and institutional or training fees.
Net Income $
Health Care Expenses $
Your Total Annual HSA Savings $0
|Health Care Expenses|
|HSA Fees (10%)|
|Applicable Taxes on HSA Fees|
|Savings before HSA Costs|
|Your Total Annual HSA Savings|
|Your HSA Savings over 10 Years|
- Tax Savings based on Personal Tax Rates.
- This calculator is designed to estimate the savings from having a Health Spending Account for individuals who are self-employed and/or are business owners.