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Healthcare Costs

Health Plan Cost Comparison Calculator

Compare two health plans’ total yearly cost in a light, expected and bad year of care.

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Compare total yearly cost

Your projection

Plan B costs less in an expected year

Light year · $800 of care

A $3,200 · B $1,130

Plan B saves $2,070.

Expected year · $4,000 of care

A $4,400 · B $3,850

Plan B saves $550.

Bad year · $30,000 of care

A $7,400 · B $7,330

Plan B saves $70.

Care amounts are the insurer's allowed charges, before your share. Copays are folded into coinsurance here; check each plan's drug tiers and network, which a cost comparison cannot see.

Premium is only part of the cost

A plan with lower premiums can cost more in a year with heavy care, and a plan with higher premiums can waste money in a healthy year. Testing three scenarios shows the range.

How the calculation works

Yearly cost = premiums − employer HSA money + min(out-of-pocket maximum, deductible + coinsurance × care above the deductible)

Plan A has $2,400 of premiums, a $1,500 deductible and a $5,000 maximum. Plan B has $1,080 of premiums, a $3,400 deductible, a $7,000 maximum and $750 of HSA money. In a light year ($800 of care) A costs $3,200 and B $1,130. In an expected year ($4,000) A costs $4,400 and B $3,850. In a bad year ($30,000) A costs $7,400 and B $7,330.

What the numbers cannot see

Networks, drug formularies and copays for specific services differ between plans. Check that your doctors and medicines are covered. HealthCare.gov explains how to compare total costs on Marketplace plans.

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Frequently asked questions

Is a high-deductible health plan worth it?
Often in light and moderate years, especially with employer HSA money. In a bad year, compare the out-of-pocket maximums.
What is an out-of-pocket maximum?
The most you pay for covered in-network care in a year, not counting premiums. After that, the plan pays 100%.
What care amount should I enter?
The allowed charges for care you expect: last year’s explanations of benefits are a good starting point.

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