Plan B Cost

Plan B

Enter the plan name, type of plan, plan costs, and coinsurance or copay amounts for the second plan that you want to compare.

Plan Name

Plan TypeHelp

Employer Annual HSA ContributionsHelp

Total HSA contributions exceed 2023 limit. Adjust to $X,XXX or less.

Individual Annual HSA ContributionsHelp

Monthly Health Plan PremiumHelp

Annual DeductibleHelp

Annual Out-of-Pocket MaximumHelp

Office Visit Coverage
Counts towards deductible
Routine Preventative Care
%
Specialist Office Visit
%
Diagnostic Coverage
Diagnostic CostsHelp
%
Lab & Radiology
Imaging testsHelp
%
Hospital Coverage
Inpatient VisitsHelp
%
Outpatient VisitsHelp
%
Emergency Room Care
%
Prescription Drug Coverage
Generic
%
Brand
%
Other Costs
Other
%