> From: Noelle <noelle> > Date: Thu, 14 Jan 2021 07:59:48 -0800 (PST) > > it's hiked up to $75!!! Looks like I'll have to omit: * eyeglasses * audiologist appointment and pay out-of-pocket for the flu shot and one ophthamologist visit to make up the short-fall. > From: http://dummy.us.eu.org/robert (Robert) > Date: Sat, 31 Oct 2020 17:14:58 -0700 > Subject: Re: Flex Spending Account enrollment and calculation > > Am I missing anything? > > ------------------------------------------------------------------------------- > > Flexible Spending Account > Deduction Worksheet > This worksheet will help you calculate your applicable expenses and how > much money would be in an FSA deduction each pay period. > > Medical/Dental/Vision Reimbursement Account > Annual Medical Expenses, such as: > Deductibles and co-pays $ _____________ > Routine physical exams $ _____________ > Prescriptions $ __________600 > Flu shot $ ___________30 > Chiropractic care $ _____________ > Gastroenterologist $ _____________ > Podiatrist $ _____________ > Ophthamologist $ __________120 > Audiologist $ ___________60 > Other $ _____________ > Annual Dental Expenses, such as: > Deductibles and co-pays $ _____________ > Routine check-ups $ _____________ > Orthodontia $ _____________ > Other $ _____________ > Annual Vision Care Expenses, such as: > Exams $ ___________60 > Eyeglasses $ __________180 > Contact lenses, solutions, cleaners $ _____________ > Other $ _____________ > Rolled Over from Last Year $ _____________ > Total Estimated $ _________1050