Out-of-Pocket Cost Estimator
Estimate your total annual health care costs including premiums, deductible, copays, and coinsurance based on your expected medical usage.
Frequently Asked Questions
What are out-of-pocket costs in health insurance?
Out-of-pocket costs include your deductible, copays, and coinsurance -- the amounts you pay directly for healthcare beyond your monthly premium. The out-of-pocket maximum is the most you will pay in a year before your insurance covers 100% of costs.
What is the difference between deductible and out-of-pocket maximum?
Your deductible is the amount you pay before insurance starts covering costs. Your out-of-pocket maximum is the total maximum you will pay in a year (including deductible, copays, and coinsurance). Once you hit the OOP max, insurance covers 100%.
Is a higher premium or higher deductible plan better?
It depends on your health usage. If you rarely use healthcare, a high-deductible plan with lower premiums saves money. If you have regular medical needs, a lower-deductible plan with higher premiums often costs less overall.