HSA: Choosing a HSA Plan | National Benefit Services

This calculator will assist you in comparing an HSA Plan (High Deductible Health Plan with an HSA) against another deductible or non-deductible based plan. This tool should take you less than 5 minutes to complete and will provide you with a monthly & annual comparison of your estimated out of pocket costs for each option. You can update your entered information as much as you like.

Health Plan Info
Healthcare Profile
Savings with HSAs, FSAs, or HRAs
Results

Start by providing your health plan information below.

This tool will help you estimate potential savings when selecting your health plan. You can input the amount you might spend with a high-deductible health plan (HDHP) and a traditional (PPO or HMO) health plan to see which option might save you more money.

Fill in the blanks below. Have a question? Click the question mark icons for more information.

HDHP

Non-HDHP

Insurance Premium

Enter your monthly premium amount

Dollars per month

Deductible Amount

Enter the annual plan deductible amounts

Dollars per year

Out of Pocket Limit

Enter the annual out-of-pocket limits for covered expenses.

Dollars per year

Office Visit Coverage

Enter the annual out-of-pocket limits for covered expenses.

HDHP

Non-HDHP

Copays or Coinsurance

Select coinsurance or copays

Average Office Visit Copay

Enter the percent OR dollar amount you pay for prescriptions after the deductible is paid.

Average copay dollar amount for office visits

Office Visit Coinsurance after Deductible is Met

Percent you pay after office visits deductible is met

Are office Visits Subject to the Deductible?

Select yes or no

Prescription Drug Coverage

HDHP

Non-HDHP

Copays or Coinsurance

Select coinsurance or copays

Average Prescription Copay

Average copay dollar amount for prescriptions

Prescription Coinsurance after deductible is met

Percent of prescription you pay after deductible is met

Are prescriptions Subject to the Deductible?

Select yes or no.

Other Services Coverage (Lab, X-ray, Hospital, Skilled Nursing, etc.)

HDHP

Non-HDHP

Are other services subject to the Deductible?

Select yes or no

Other Services Coinsurance

Percent of other services you pay after deductible

We're not done quite yet...move onto the next step by clicking next.

Next, fill out your healthcare profile below.

Value

Number of Office Visits

Estimate the total number of doctor office visits made each year. Do not include preventive care visits if covered 100%

Visits per year, at an average of $150 per visit. Do not include preventive care visits if covered at 100%

Number of Prescriptions

Estimate the average number of prescriptions filled each year

Prescriptions filled per year, at an average of $75 per prescription

Other Healthcare Expenses (Lab, X-ray, Hospital, Skilled Nursing, Etc.)

Estimate the dollar amount your providers will bill annually for all other services. For example, if you expect to a have at least one ER visit at a cost of $400 and an outpatient procedure at a cost of $1,500 then enter $1,900. We'll apply your coinsurance to this amount.

Annual dollar amount for other healthcare expenses

We're not done quite yet...move onto the next step by clicking next.

Fill out your HSA, FSA, or HRA information below.

Value

Federal Tax Filing Status

Select your federal tax filing status from the drop down list

Year

Tax Rate

Enter your Federal tax rate. This can be found on pages 13-19 of IRS Publication 919. Access Publication 919 Here »

Include total of Federal, State, and FICA

HSA Contributions

Value

Total of your Annual HSA Contributions

Enter the total HSA contributions for the selected filing status. The total cannot exceed the limits shown in the table to the right for your type of coverage.

Enter Annual Amount

Total of your Employer's Annual HSA Contributions

Enter the total of your Employer's annual HSA contributions

Enter Annual Amount

Total HSA Contributions

Other Benefit Account Information for your Non-HDHP

Value

If you have a healthcare FSA, how much are you contributing annually?

An FSA can be used for medical, dental, prescription and vision expenses. Remember, any unused amounts at the end of the year are returned to your employer, so it is important to carefully decide how much to contribute.

Enter Annual Amount

Is your employer contributing money to an HRA? If Yes, enter the annual HRA amount.

Enter Annual Amount

We're Done! Here are your results.

Annual Summary HDHP/HSA vs. Non-HDHP Costs

HDHP

Non-HDHP

Your Insurance Premium

PlusYour Actual Out-of Pocket Healthcare Costs

LessTotal Paid for by Employer HSA Contributions

LessYour HSA Contribution Tax Savings

LessYour HealthCare FSA Tax Savings

LessTotal Paid for by employer with your HRA

EqualsEstimated Annual Out-of-Pocket Costs

Estimated Monthly Out-of-Pocket Costs

HDHP

Non-HDHP

Benefit Account Balance Summary

HSA

FSA

HRA

Contributions (You and Employer)

Amount Spent From your Account

Estimated Balance at end of Plan Year

Office Visits

HDHP

Non-HDHP

Estimated Total Office Visit Incurred Costs

You PayOffice Visits Amount Applied to Deductible

Deductible Remaining after Office Visits applied

Number of Visits After Deductible is Met

You PayOffice Visit Copay/Coinsurance

Your Insurance Pays

Total Office Visits Out-of-Pocket

Prescriptions

HDHP

Non-HDHP

Estimated Prescription Incurred Costs

You PayPrescriptions Applied to Deductible

Deductible Remaining after Prescriptions applied

Number of Prescriptions After Deductible is Met

You PayPrescriptions Copay/Coinsurance

Your Insurance Pays

Total Prescriptions Out-of-Pocket

Other Services

HDHP

Non-HDHP

Estimated Other Annual Healthcare Incurred Costs

You PayOther Services Applied to Deductible

Deductible Remaining after Other Services applied

You PayOther Services Coinsurance

Your Insurance Pays

Total Other Services Out-of-Pocket

Total Out-of-Pocket

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