I'm going to reduce the dentist since I'll try to have this done this year instead. BTW, I was reading that our new dental provider will be Delta Dental. They may cover less from Dr. Takeuchi. Oh, and, as you know, our revised PPO will have a higher deductible and higher premiums. And, next year will be the last year they offer PPO. After that, Health Savings Accounts will be the only option. > From: http://dummy.us.eu.org/robert (Robert) > Date: Sat, 10 Oct 2015 09:07:50 -0700 > > Anything else that needs to be covered? ------------------------------------------------------------------------------- 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 $ _____________ Chiropractic care $ _____________ Gastroenterologist $ ___________70 Podiatrist $ __________100 Other $ _____________ Annual Dental Expenses, such as: Deductibles and co-pays $ __________170 Routine check-ups $ __________280 Orthodontia $ _____________ Other $ _____________ Annual Vision Care Expenses, such as: Exams $ _____________ Eyeglasses $ __________300 Contact lenses, solutions, cleaners $ _____________ Other $ _____________ Slush $ __________400 Total Estimated $ _________1320 Medical/Dental/Vision Expenses $ _____________ + _________________ = $ __________ Annual Amount # of Pay Periods* Per Pay Period (cannot exceed company max.) *Weekly, 52 pay periods Biweekly, 26 pay periods Semimonthly, 24 pay periods Monthly, 12 pay periods