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Out of Pocket Expenses Calculator

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In 2007, the average American family spent $12,016* on insurance premiums. We've set up this handy Out of Pocket Expenses Calculator to help you, the informed patient/shopper, better assess your own family's true medical expenses.

Fill in the fields below to calculate your real out-of-pocket expenses based on your current or proposed insurance plan. You'll be able to see a breakdown of your true out of pocket expenses and compare them to potential discounts you could receive by paying cash up front for your medical needs.

*$12,016 figure based on employer sponsored family health insurance coverage. Amount does not include co-pays, coinsurance, or deductible amounts.

Calculate Your True Out of Pocket Expenses

Monthly Premium: The monthly premium is the amount you pay each month to have insurance.

Instructions

For the best results, fill in the fields to the left with average amounts from the past three years and press the Calculate button to see your results.

Remember, the calculated results are only estimates and should not be used for anything other than general research.

Annual Premium =
Total Deductible Paid =
Total Copay =
Total Out of Pocket Expenses =
Total Medical Bills =

Annual Co-Pay Amount: The annual co-pay amount covers co-pays paid to medical service providers at time of service.

Your Coinsurance %: The coinsurance percent is the percent of medical expenses you are responsible to pay after the deductible is met. If you have an HMO, most likely this will be 0.

Insurance Percent: (%) The insurance percent is the percent of medical expenses that the insurance company will cover after the deductible is met. If you have an HMO, most likely this will be 100.

Deductible Limit: The Deductible Limit is usually the maximum amount you pay before coinsurance kicks in.

Annual Medical Bills: The Annual Medical Bills cover the total amount of expenses incurred. This does not include co-pays or any insurance premium amounts.

Patient Deals (Beta)

Out of Pocket Expenses Calculator

Resources Navigation

Calculate Your True Out of Pocket Expenses

Instructions

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