Out of Pocket Cost Calculator

Calculate Out of Pocket Cost



Formula

To calculate the Out of Pocket Cost:

\[ \text{OPC} = D + CI \]

Where:

What is Out of Pocket Cost?

The Out of Pocket Cost refers to the total amount an individual must pay for covered services after the insurance company has made its payments. This includes the deductible and any coinsurance amounts. Understanding this cost helps in budgeting and planning for healthcare expenses.

Example Calculation 1

Let's assume the following values:

Use the formula:

\[ \text{OPC} = 500 + 200 = 700 \]

The Out of Pocket Cost is $700.

Example Calculation 2

Let's assume the following values:

Use the formula:

\[ \text{OPC} = 1000 + 300 = 1300 \]

The Out of Pocket Cost is $1300.