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View/Edit Welcome:

Understanding your annual health care costs can be confusing. This tool makes it simple. In three easy steps, you can create a personalized report. The results will estimate the number of times you’re likely to visit the doctor, how many prescriptions you’ll fill, and the total cost for care you’ll receive in a year, based on information you enter. If your employer offers more that one plan option, use your results to help determine which plan may be right for you.

 

You will need the following information about your benefits in order to evaluate your plan options. You can get this information from a benefit highlight, summary of benefits, or your plan administrator.


In-network copays or coinsurance amounts for:

-  Primary care office visits

-  Specialist office visits

-  Emergency room visits

-  Prescription drug tiers (1-3)

In-network coinsurance amount

In-network deductible amount for:

-  Individual

-  Family

In-network Coinsurance Maximum or Total Out-of-Pocket Maximum for:

 

-  Individual

-  Family

ANNUAL employer HRA or HSA fund contribution for you and any dependents you want to cover

Employee portion of the medical premium for you and any dependents you want to cover

 

Please read: Important terms and conditions
I certify that I have read, understand, and agree to the above-referenced terms and conditions.

 


 

 
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