- Annual prescriptions
- Number of prescriptions you expect to fill annually.
- Annual doctor visits
- Number of times you expect to visit the doctor's office annually.
- Marginal income tax rate
- Use the table below to help you choose the appropriate federal marginal income tax rate.
| 10% |
$0 - 18,150 |
$0 - 9,075 |
$0 - 12,950 |
$0 - 9,075 |
| 15% |
$18,150 - 73,800 |
$9,075 - 36,900 |
$12,950 - 49,400 |
$9,075 - 36,900 |
| 25% |
$73,800 - 148,850 |
$36,900 - 89,350 |
$49,400 - 127,550 |
$36,900 - 74,425 |
| 28% |
$148,850 - 226,850 |
$89,350 - 186,350 |
$127,550 - 206,600 |
$74,425 - 113,425 |
| 33% |
$226,850 - 405,100 |
$186,350 - 405,100 |
$206,600 - 405,100 |
$113,425 - 202,550 |
| 35% |
$405,100 - 457,600 |
$405,100 - 406,750 |
$405,100 - 432,200 |
$202,500 - 228,800 |
| 39.6% |
over $457,600 |
over $406,750 |
over $432,200 |
over $228,800 |
Source: Revenue Procedure 2011-52 http://www.irs.gov
- Monthly premium
- Monthly premium for your proposed health insurance options.
- Annual deductible
- Annual deductible that you are required to pay before your health insurance begins coverage. We assume that after this threshold has been reached that your insurance covers 100% of your expenses. In 2014, for an HDHP, the minimum deductible amount is $1,250 for self-only coverage and $2,500 for family coverage.
- Maximum annual out-of-pocket
- Maximum out-of-pocket in a given year for your health insurance. This is the maximum total expense that you could incur in a given year with your proposed coverage. In 2014, for an HDHP, the highest annual out-of-pocket expense allowed is $6,350 for self only coverage and $12,700 for family coverage.
- Co–pay for doctor visits and prescriptions
- The fee you pay for each prescription and/or doctor's visit. These payments do not count toward your annual deductible or your maximum out of pocket expense.
- Co–insurance
- The percentage of your healthcare costs that your insurance will cover after your costs exceed your annual deductible. You are assumed to continue to pay this percentage of your healthcare costs until you reach your annual maximum out of pocket expense.
- Other expenses
- Any other expenses that would normally be covered by your health insurance. This would include lab fees and services other than prescriptions and doctor visits. Don't include medical expenses not normally covered by your insurance such as some elective surgery, contact lens solution or over the counter medications.
- HSA contributions
- Total you expect to contribute to an HSA account per year. All contributions to an HSA account are tax deductible and withdrawals for qualified medical expenses are not subject to income tax. For 2014, the maximum contribution to an HSA is $3,300 for self-only coverage and $6,550 for family coverage.
- HSA current balance
- Total amount you have in an existing HSA account. If you do not have an HSA plan at this time this amount should be $0.
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