Health Plan Field Guide
Tool

Plan comparison

Last reviewed · Educational use only

The cheapest plan depends on how much care you use. This tool adds a year of premiums to the cost-sharing you would pay at every level of medical spending, and shows where the plans cross.

The three plans loaded below are made-up examples. Replace them with the numbers from the plans you are comparing.

Plan 1Plan 2Plan 3
$3,000
$0$2,500$5,000$7,500$0$10,000$20,000$30,000$40,000Allowed medical costs in the year
Example PPOExample HDHP + HSAExample HMO

At your expected spending

PlanPremiumsEmployer HSA/HRAYour cost-sharingTotalWorst case
Example PPO$2,520−$0$1,400$3,920$7,520
Example HDHP + HSA$1,140−$750$2,600$2,990$6,890
Example HMO lowest$1,800−$0$750$2,550$5,800

At $3,000 of care, Example HMO costs $440 less than the next option. Worst case = a year of premiums, minus the employer contribution, plus the full out-of-pocket maximum.

Patients

Things this doesn't capture: whether your doctors and drugs are in each network and formulary, copays for routine visits, tax savings on your own HSA contributions, and how much risk you can absorb in a bad year. Look at the right end of the chart: that is your worst case.