DenialDesk

Reviewed Jul 26, 2026 · plan year 2026 · Method and sources

Choosing a plan · 2026

Health Plan Comparison Calculator

Premium is only one plan cost. Enter both options and an expected allowed-charge scenario to compare the simplified totals, then review services, networks, prescriptions, copays, exclusions, and employer contributions in the plan documents.

Estimate only. Based on published 2026 federal figures. Does not account for every plan term, state rule, or exclusion. Your plan documents and denial notice always govern. Not medical, legal, or insurance advice. Figures verified 2026-07-26.
Sources

Common questions

What should I use for expected medical charges?

Use the allowed amounts from last year’s EOBs, not what you paid. If you have a planned surgery or birth, add its allowed amount. If you genuinely do not know, run the comparison twice: once at zero and once at the worst case.

Why does the worst case matter more than the expected case?

The expected case is an input, while the in-network out-of-pocket maximum is a plan term. Premiums plus that maximum is a useful modeled stress case, but it can exclude noncovered services, many out-of-network charges, premium changes, and other costs outside the federal maximum.

Related

Understand the individual cap inside family coverage Guide Separate plan funding from the insurer on the card Guide What Will I Owe? Medical Bill Calculator Bills Insurance Appeal Deadline Calculator Appeals HDHP vs PPO Calculator Choosing a plan Family Out-of-Pocket Maximum Calculator Bills