Health Insurance Plan Comparison

Compare two health plans at different medical spending levels. Find which plan wins when.

By Konstantin Iakovlev · Updated April 2026 · Source: CDC

Plan A
$
$
%
$
Plan B
$
$
%
$

Low ($1,000)

Plan B wins

Medium ($5,000)

Plan B wins

High ($20,000)

Plan A wins

Total Annual Cost Comparison

Low ($1,000) - Plan A$6,400.00
Low ($1,000) - Plan B$4,600.00
Medium ($5,000) - Plan A$7,600.00
Medium ($5,000) - Plan B$7,200.00
High ($20,000) - Plan A$10,600.00
High ($20,000) - Plan B$11,600.00

Use the Health Insurance Plan Comparison above to calculate your results. Enter your values and see instant results — all calculations run in your browser.

Disclaimer: This calculator is for informational purposes only and does not constitute tax, financial, or legal advice. Results are estimates based on the information you provide and current rates. Always consult a qualified tax professional or financial advisor for advice specific to your situation.

How It Works

Two health plans can look similar on paper yet cost wildly different amounts once you actually use them. This 2026 comparison weighs two plans against each other across a range of medical spending levels so you can see which one delivers better financial value. Premiums tell only part of the story; the real difference shows up in out-of-pocket costs at low, moderate, and heavy usage, and that gap can run into hundreds or thousands of dollars a year.

Each plan's total annual cost is built by adding the annual premium to the out-of-pocket expenses you would face, namely deductibles, co-pays, and co-insurance, with the whole amount capped at the plan's out-of-pocket maximum. Co-insurance is handled by applying its percentage only to the medical costs that remain after the deductible has been satisfied.

A few real-world expenses are easy to miss. Prescription drug costs and specialist co-pays do not always fall under the general medical deductible, so build them in separately. Projecting your spending too low is a frequent error, and your family history and lifestyle are useful guides to how much care you might actually need. Finally, check each plan's provider network before committing.

Example: Comparing two 2026 plans with $3,000 in medical expenses

  1. 1 Plan A: Premium = $4,800/year, Deductible = $2,000, Co-insurance = 20%, Out-of-Pocket Max = $7,000. Plan B: Premium = $6,000/year, Deductible = $500, Co-insurance = 10%, Out-of-Pocket Max = $8,500. Medical Expenses = $3,000.
  2. 2 Plan A: Total Cost = $4,800 (Premium) + $2,000 (Deductible) + (( $3,000 - $2,000 ) * 0.20) (Co-insurance) = $4,800 + $2,000 + $200. Plan B: Total Cost = $6,000 (Premium) + $500 (Deductible) + (( $3,000 - $500 ) * 0.10) (Co-insurance) = $6,000 + $500 + $250.
  3. 3 Plan A: Total Cost = $7,000. Plan B: Total Cost = $6,750.
  4. 4 At $3,000 in medical expenses, Plan B is the more financially advantageous choice, costing $6,750 compared to Plan A's $7,000, saving you $250 annually.

Source: CDC · Last updated: April 2026

Frequently Asked Questions

How do I compare health insurance plans?
Look beyond the monthly premium. Calculate total annual cost at your expected level of medical spending: premiums plus deductible plus copays plus coinsurance. A cheaper premium with a high deductible may cost more overall if you use healthcare frequently.
What is the difference between an HMO and a PPO?
An HMO requires you to choose a primary care physician and get referrals for specialists. A PPO lets you see any provider without referrals but costs more. PPOs offer out-of-network coverage; HMOs typically do not except for emergencies.
Is a high deductible health plan worth it?
HDHPs work well for healthy individuals who rarely use healthcare. The lower premiums save money, and you can open an HSA for triple-tax-advantaged savings. If you have ongoing medical needs, a traditional plan with lower deductible and copays often costs less overall.