Health Insurance Arithmetic

Designed for healthcare professionals. Used by savvy consumers and employers. Health Insurance Arithmetic crunches the numbers to provide patients with a good faith estimate of their cost.

Providers collect copays, deductibles and coinsurance at the time of service. And savvy consumers get to their bottom-line cost. Just hand your Apple iPhone to the billing person and say: “I’d like to know my cost. Could you fill this out?"

Enter any combination of allowable, copay, deductible, out-of-pocket maximum, coinsurance and non-covered services to see how the cost is shared - between the patient and the Plan.

FEEDBACK
If you experience issues with Health Insurance Arithmetic or have suggestions, we’d love to hear from you: [email protected]

LIMITATIONS
Health Insurance Arithmetic produces a good faith estimate using the inputs below. It may not be representative of every health insurance product and cannot predict how a health insurance claim will be adjudicated.

Health Plan Allowable or Approved Amount
- The price established between a Health Plan and a provider for covered services.
Copay
- A fixed amount that depends on type of service and place of service that does not apply toward annual deductible.
Deductible
- A specific amount paid in addition to copays that must be met before a health plan contributes to the cost of care.
Coinsurance
- A percentage of the cost paid by the patient after the annual deductible has been met but before the out-of-pocket maximum has been reached.
Annual Out-of-pocket Maximum
- The amount of copays, deductible, and coinsurance a patient must pay before the Health Plan pays 100% for covered services.
Non-Covered Services
- Monies owed by the patient to the provider for services not covered by the Health Plan.