To help you plan the amount of your HCSAccount contribution, use this worksheet. You may want to look at what you spent on health care last year before making your decision. Include annual estimated expenses for health care services anticipated for the upcoming plan year that will not be reimbursed by your medical, dental, or other benefit plans.
If you are enrolling during the open enrollment period, use the chart below to estimate your expenses for the 2017 calendar year. If you are joining the program during the year (that is, after the open enrollment period is over), use the chart to estimate your expenses for the remainder of the calendar year. If you are a new employee, your HCSAccount coverage won't begin until your 61st consecutive calendar day of employment.