Use this work sheet to compare the costs of health insurance plans.
| Comparing Costs Of Health Insurance Plans |
Plan A |
Plan B |
Plan C |
| 1. What is the annual deductible? |
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| 2. What is the monthly premium?
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- For individual and spouse
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- For individual and child(ren)
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3. What is your co-payment each time you use a service?
(To estimate your annual cost, multiply the co-payment
by the number
of times you expect to use the service
during the plan year.)
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- Physician visit co-payment
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- Hospital visit co-payment
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- Other services co-payment
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4. What is the maximum amount you may pay out-of-pocket
each year?
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5. What percentage of the cost will you be responsible for after you reach
your deductible?
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6. What will you pay if you use providers outside the health plan’s
network?
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7. What is the lifetime benefit amount?
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