Please wait — the Medical Plan Cost Estimator is loading.

Use this tool to estimate your annual costs and make an informed decision about which medical plan to choose.

Tell us about you
Coverage level selected:
Coverage level selected:
Enter your expected plan usage

Think about the amount of healthcare that you and any covered family members may need in the coming year. Use the menu(s) below to select from a variety of "Quick Scenarios". For definitions of the different usage levels, please see the healthcare usage assumptions. For definitions of the different usage levels, please see the medical usage assumptions and the prescription usage assumptions. Or, you can create your own scenario under the "My own scenario" tab by customizing the frequency of each type of service. You can also view the cost assumptions for each service.

Compare how much you'll spend
Coverage level: See plan provisions

Compare how much you'll spend (continued)

Click on a plan column in the chart for information about monthly amounts.

See the impact of using your HSA

A Health Savings Account can help you save on taxes when paying for care and planning ahead for future expenses.

I am age 55 or older and qualify for the increased HSA contribution limit.

HSA:
My desired HSA contribution: .
HSA contribution changed. Scroll up to see updated chart.
FSA:
My desired FSA contribution: .
FSA contribution changed. Scroll up to see updated chart.

Slide the bar above to see how savings account contributions can help you cover your out-of-pocket healthcare costs.

Unused account funds you could carry over from 2023, if any:
Funds carried over from 2023: .
Carryover amount changed. Scroll up to see updated chart.

Funding to apply toward the cost of care:

Funding sources to apply toward the cost of care: .

Cost of care
Before claims
Claim reimbursements
After claims
 
Company funding
Team Member funding*
Contribution limit
Company match
Company funding
Carried over from 2023
Total funding
Applied to cost of care
Forfeited excess rollover
Potential rollover amount
*Subject to applicable plan limits.
Team Member plan premiums by pay period:
 
Paid weekly
Paid monthly
View your potential tax savings

Use this tax calculator to see the benefits of contributing to a plan's tax-advantaged savings account.

Select a plan in the dropdown menu below and then click "Show the tax calculator".

Tax Calculator
Plan: Plan Name

Tax Calculator (continued)

(Exclude you and your spouse)

Use the sliders above to estimate your eligible out‑of‑pocket medical expenses for the upcoming plan year.

Income tax filing status:
Number of dependents:

Sorry, but this tool will not work in Internet Explore version 9 or earlier.

Please access the tool again using a more recent browser version.

:
Copays
Deductibles+
Coinsurance+
Not covered+
 
Funds used
 
Team Member's base annual premiums
Tobacco use surcharge
Spouse/DP surcharge
Company wellness rewards
Team Member's net annual premiums
Company's base annual premiums
Company wellness rewards
Company's net annual premiums
: