Flexible Spending Accounts

Welcome to the Los Alamos Medical Center's Flexible Spending Account Estimator

A healthcare flexible spending account (FSA) allows you to set aside pre-tax dollars to pay for projected medical expenses and to meet deductible limits as defined by your plan.

Below are two IRS links for more information on FlexSpending.

http://www.irs.gov/pub/irs-pdf/p969.pdf

http://www.irs.gov/pub/irs-pdf/p502.pdf

First Name Last Name

Medical
Item Description	Amount
Physicals
Immunizations
Prescriptions
Surgery
Physical Therapy
Durable Medical Equipment
Radiology Services
Audiology Exams
Hearing Aids

Dental
Item Description	Amount
Cleanings
X-Rays
Fillings
Crowns & Bridges
Orthodontia
Implants

Vision
Item Description	Amount
Exams
Glasses & Frames
Contact Lenses
Corrective Surgery

Complimentary & Alternative Medicine
Item Description	Amount
Chiropractic
Therapeutic Massage
Over-the-counter drugs & supplies