Estimate your yearly health cost from premium, deductible and coinsurance.
Uses your own plan numbers — calculated locally.
Understanding your result
Out-of-pocket is capped at the maximum you enter. Comparing plans this way reveals which is cheaper for your expected usage.
Formula and method
You pay bills up to the deductible, then coinsurance × the remainder — but never more than the out-of-pocket maximum. Total = premiums (×12) + that out-of-pocket amount.
Worked example
400/month + (2,000 deductible + 20% of the next 8,000 = 1,600) on 10,000 bills → 4,800 premiums + 3,600 out-of-pocket = 8,400 total.
How to use this tool
- Enter the monthly premium, deductible, coinsurance and out-of-pocket maximum.
- Enter your expected annual medical bills.
- Press Calculate.
Common mistakes to avoid
- Comparing premiums alone and ignoring deductible and coinsurance.
About the Health Insurance Cost Estimator
Estimate the true yearly cost of a health plan by combining premiums with what you would pay out of pocket on your expected medical bills.
Frequently asked questions
Does the deductible count toward the out-of-pocket max?
In most plans, yes — the tool caps total out-of-pocket spending at the maximum you enter.