Health Insurance Calculator
Compare health insurance plans based on your expected usage
Expected Medical Costs (Before Insurance)$5,000.00
Best Plan for You
Bronze Plan
Total cost: $8,600.00
Potential Savings
$2,166.00
vs most expensive option
Plan Comparison
| Plan | Annual Premium | Est. Out-of-Pocket | Total Cost |
|---|---|---|---|
| Bronze PlanBest Value | $3,600.00 | $5,000.00 | $8,600.00 |
| Silver Plan | $5,400.00 | $4,454.00 | $9,854.00 |
| Gold Plan | $7,200.00 | $2,584.00 | $9,784.00 |
| Platinum Plan | $9,600.00 | $1,166.00 | $10,766.00 |
Plan Details
| Feature | Bronze | Silver | Gold | Platinum |
|---|---|---|---|---|
| Monthly Premium | $300.00 | $450.00 | $600.00 | $800.00 |
| Deductible | $6,500.00 | $3,500.00 | $1,500.00 | $500.00 |
| Out-of-Pocket Max | $8,700.00 | $7,500.00 | $6,000.00 | $4,000.00 |
| Coinsurance | 40% (you pay) | 30% (you pay) | 20% (you pay) | 10% (you pay) |
| Copay | $40.00 | $30.00 | $20.00 | $10.00 |
How to Choose
Bronze/Silver (Lower premiums)
- Best if you're young and healthy
- Few doctor visits expected
- Have savings for deductible
- Want lower monthly costs
Gold/Platinum (Lower deductibles)
- Regular medical care needed
- Chronic conditions or medications
- Expecting major procedures
- Want predictable costs
Understanding Key Terms
- Deductible
- Amount you pay before insurance starts covering costs
- Coinsurance
- Your share of costs after meeting deductible (e.g., you pay 20%, plan pays 80%)
- Out-of-Pocket Maximum
- Most you'll pay in a year; after this, plan pays 100%
- Copay
- Fixed amount for specific services (e.g., $30 for doctor visit)
Don't Forget
- Check if your doctors are in-network
- Review prescription drug coverage (formulary)
- Consider HSA-eligible plans for tax benefits
- Look for employer contributions if applicable
- Open enrollment is typically November 1 - January 15
Calculator Assumptions
- Sample plans: Metal tier examples; actual marketplace plans vary by region and provider
- Premiums: Individual coverage only; family plans cost more
- Cost sharing: Simplified model assumes all costs apply to deductible/coinsurance
- Subsidies: ACA premium tax credits not included; may significantly reduce costs based on income
- Network: Out-of-network costs not modeled; can be significantly higher
- Preventive care: Many services covered 100% before deductible (not reflected in estimates)