Health Insurance Budget Calculator

How much should you spend on health insurance?

A common guideline is to aim for health insurance costs (premium plus estimated out-of-pocket) at roughly 10–15% of gross income. Actual marketplace premiums vary widely by state, age and plan tier. This calculator gives you a sensible planning range based on your income and household size.

Beyond the premium: out-of-pocket costs

• Deductible — what you pay before coverage kicks in.
• Copays — fixed amounts for doctor visits and prescriptions.
• Coinsurance — your share of covered services after the deductible.
• Out-of-pocket maximum — the most you'll pay in a year.

Frequently asked questions

Can I get help paying for health insurance?

Marketplace premium tax credits are available to many households with income between 100% and 400% of the federal poverty level. Subsidies can dramatically reduce your monthly premium. Check your eligibility during open enrollment.

What's the difference between a high-deductible plan and a PPO?

High-deductible health plans (HDHPs) have lower premiums but higher deductibles, and pair with tax-advantaged HSAs. PPOs offer more flexibility and lower out-of-pocket costs but charge higher premiums. The right choice depends on your health needs and savings.