Medical Plan Cost Estimator

Step 1: Tell us about you

Step 2: What are you and your family's medical needs for the coming year?

Use the dropdown box to select Low, Medium, or High health care usage for each family member. Click on "health care usage" below to learn more about the different levels of usage. To customize the comparison for you and your family's health care usage, select the "Customize for you" tab and enter the frequency by medical plan service.

Or, you can choose to enter this information from a list of common medical services and supplies. Click "My own scenario."

Step 3: See what you'll spend annually

New this year, the bar charts below show a side-by-side comparison of your total estimated expenses for 2016 and 2017 (split between your premium share and out-of-pocket expenses).

Important Note: Employee premium contribution share may vary depending on the employing agency or university. The premium contribution shares described below address most state agency employees. PEBB does not designate premium contributions. Contact your agency or university benefit office if you have additional questions about your premium contribution.

You pay either 1% or 5% of the total premium based on the medical plan you choose. Only full-time plans are available to full-time employees. When you enroll for either the PEBB Statewide Plan or the Kaiser HMO medical plans, you pay 5% premium contribution share. Enrollment in any of the other PEBB full-time plans will be a 1% premium contribution share.

The charts below don't account for items that are on the additional cost tier list which are not subject to the out of pocket maximum, but are subject to your plans maximum cost share. If you hover over the bars in the chart you can see the employee cost breakdown.


Step 4: Find out how you can save on taxes

When you finish estimating your medical costs, use the results to help you decide whether contributing to the FSA can help you save on taxes.

Go to Premium Calculator

Tax Calculator

Plan: Plan Name

Use the sliders on the right to estimate your eligible expenses not covered by the plan for the upcoming plan year.

Income tax filing status:
Income tax filing status:
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