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InsureMax

Private plan comparison

Compare health insurance plan costs

Compare two actual U.S. plan offers using their monthly premiums, in-network out-of-pocket maximums, and what you expect to spend on covered in-network services. Your figures stay in this browser.

Plan A

Use a written benefit summary for this plan. The starting numbers are fictional examples.

Plan B

Use a written benefit summary for this plan. The starting numbers are fictional examples.

Your scenario

Annual total cost comparison

Plan A

$6,840

Your scenario: $5,040 annual premium + $1,800 assumed covered in-network costs.

Premium + stated out-of-pocket maximum: $13,740

Plan B

$7,780

Your scenario: $6,780 annual premium + $1,000 assumed covered in-network costs.

Premium + stated out-of-pocket maximum: $12,880

Plan A is $940 less expensive under these specific assumptions.

This is arithmetic using your figures, not a forecast of medical spending or a judgment about plan quality. It does not account for noncovered services, out-of-network charges, balance billing, tax treatment, subsidies that change or provider availability. The maximum scenario does not mean your expenses can never exceed that amount.

Questions before enrolling

  • Are your doctors, hospitals and prescriptions in the plan network or formulary?
  • What are the deductible, copayments and coinsurance for common services?
  • Are there referral, prior authorization, waiting or other eligibility rules?
  • Does the plan have a separate out-of-network deductible or maximum?

Verified consumer guidance

HealthCare.gov explains how premiums and out-of-pocket costs work and the differences among plan networks. Check the actual benefit documents before making decisions.

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