Health Insurance Cost Calculator
Estimate your total yearly health cost from premiums, deductible, and coinsurance.
This is an estimate, not insurance advice. Your actual coverage needs, plan costs, and payouts depend on your policy, insurer, and personal situation.
How it works
Your real health cost isn't just the premium — it's the premium plus whatever the plan makes you pay when you actually use care. This tool stitches both together so you can see the full yearly bill for a given level of medical spending.
First it annualizes your premium by multiplying the monthly figure by twelve. Then it layers on your medical costs: you pay the full amount until you hit your deductible, and after that you pay only your coinsurance percentage of anything more.
Crucially, it caps your medical spending at the plan's out-of-pocket maximum. Once your deductible and coinsurance payments reach that ceiling, the plan covers 100% of covered care — so a catastrophic year costs you the max, not an unlimited amount.
Frequently asked questions
What counts as expected medical costs?
Enter the total amount you expect providers to bill in a year for covered care — doctor visits, prescriptions, procedures. The tool then splits that between what you owe under the deductible and coinsurance and what the plan picks up.
How does the out-of-pocket maximum protect me?
It's a hard ceiling on what you'll pay for covered care in a year. Once your deductible plus coinsurance reaches it, you pay nothing more and the plan covers the rest. That's what turns a scary hospital bill into a known worst case.
Are premiums included in the out-of-pocket maximum?
No, and that's a common trap. Premiums never count toward the out-of-pocket max — only deductibles, copays, and coinsurance do. This tool keeps premiums separate and adds them on top, which is why the total can exceed the max.