Enter Medical Expenses
Anticipated Medical Expense this Year
Enter the entire cost of the type of medical expense and how many times you expect to incur it. We’ll then use this to calculate the amount you will be responsible for by applying your copays or coinsurance.
Anticipated cost
Frequency
Amount
Routine Preventative Care
$
0
Specialist Office Visit
$
0
Diagnostics
$
0
Lab & Radiology
$
0
Inpatient visits
$
0
Outpatient visits
$
0
Emergency Room Care
$
0
Generic Rx
$
0
Brand Rx
$
0
Other medical expenses
$
0