Coverage Calculators

Turn plan numbers into a real annual estimate.

Two short tools — enter your own figures below. Results are planning estimates only, not a quote from any insurer.

Tool 1

Out-of-Pocket Cost Estimator

Enter your plan's key figures and your expected annual medical spending to estimate a total yearly cost.

Tool 2

Plan Risk Tool

Answer three quick questions about your expected healthcare usage to get a general usage-risk profile for comparing plan structures. This is a planning heuristic, not medical or financial advice.

Plan terms, decoded

The five numbers that drive your estimate.

Pull these figures from your Summary of Benefits before you run either tool. The estimate is only as accurate as the numbers you enter.

Premium

What you pay to keep the plan active, usually monthly. Enter the annual total in the estimator.

Deductible

What you pay toward covered care before most coinsurance or copay sharing begins.

Coinsurance

Your share of covered costs after the deductible, shown as a percentage such as 20%.

Out-of-pocket max

A yearly ceiling on what you pay for covered in-network care, not including the premium.

Expected costs

A rough total of visits, tests, and care you think you may need this year, before insurance.

Want the guidance to go with these numbers?

Pair your estimate with our care guidelines and patient-rights overviews.

Browse care guidelines