MPC
Make an informed decision!

The Medical Plan Comparison tool helps you identify which medical plan could be best for you based on your specific needs.

For 2023, you can choose between the Premium Medical Plan or the Platinum Medical Plan.

  • Both plans offer the same level of coverage but have different deductible amounts.
  • The Platinum Medical Plan is designed for associates willing to take on a higher deductible in exchange for a lower premium.

Take a few minutes to use the calculator to estimate your health care expenses for 2023 and determine which medical plan would be best for you based on your specific needs. Consider using your Health Savings Account (HSA) to help fund the difference in deductibles.


The calculator will assume:

  • You and your covered spouse/domestic partner will earn the full medical premium discounts in 2023 (up to $800 for yourself and $800 for your spouse/domestic partner).
  • You will use in-network providers.

This is not a prediction of your actual costs in 2023. Assumptions about the average cost of care have been used to calculate these estimates. Your actual level of required care, and the cost of that care, may be more or less than these averages.

Explore how your costs could change under different scenarios. Once you're finished, you can return to the calculator to change certain variables, such as who you enroll and how many services you use.

Note: You will be locked into the plan you elect for the entire 2023 calendar year. You cannot switch plans at any time during the year unless you experience a qualified life event change.

This calculator is a service of an Edward Jones' third-party partner.

About You — General Information

What medical plan coverage level do you plan to select for 2023?

Do you plan to use your existing Health Savings Account (HSA) dollars to pay your health care expenses in 2023?

Enter your current HSA balance for eligible health care expenses:

What is your position?

Are you or your enrolled adult dependent a tobacco user?

Myself Yes  No 
My Adult Dependent Yes  No 

Your Annual Health Care Use — Doctor Visits

Enter your best estimate of the number of visits you’ll make to the doctor in 2023. If a certain category does not apply to you, please leave it blank.

Note: Please enter a number of visits for yourself and if you cover one or more dependent(s) on the medical plan, a total number of visits for them in the second column. This helps determine how you and your family's deductibles would be applied.

Office Visits Quantity For You Quantity For Your Dependent(s)
Number of online virtual medical visits (e.g., LiveHealth Online)
Number of preventive care visits (e.g., screenings, immunizations)
Number of primary care physician visits (other than preventive)
Number of specialist visits
Number of maternity care visits (enter total number of visits for duration of pregnancy)
Number of visits to urgent care
Your Annual Health Care Use — Hospitalizations

Enter your best estimate in number of days of inpatient hospitalizations, number of outpatient procedures, or number of emergency room visits you may have in 2023. If a certain category does not apply to you, please leave it blank.


Hospitalizations Quantity For You Quantity For Your Dependent(s)
Total days of inpatient hospital stay
Number of procedures on outpatient basis
Number of visits to Emergency Room
Your Annual Health Care Use — Other Expenses

Other health care expenses may include mental health treatment or the purchase of durable medical equipment, such as a wheelchair. Enter your best estimate for each category below. If a certain category does not apply to you, please leave it blank.


Other Expenses Quantity For You Quantity For Your Dependent(s)
Mental Health / Substance Abuse
Inpatient (list number of days)
Individual outpatient (list number of visits)
Other
Durable medical equipment (e.g., C-pap machine, crutches, insulin pump)
Prescription Drugs – Retail Pharmacy

Your prescription drug costs will depend on certain variables, such as whether your drug is covered by your plan, whether you use Generic, Preferred Brand Name or Non-Preferred Brand Name medications, and whether you fill your prescriptions at a retail pharmacy or use the mail order service.

This section is divided between Retail Pharmacy and Mail Order Pharmacy. If a certain category does not apply to you, please leave it blank.

Remember, if you take prescription maintenance medications (those you take for a long-term health condition, such as high blood pressure, high cholesterol or diabetes), you may save money by moving your maintenance medications to Express Scripts mail order service.

Remember, you’ll pay more if you don’t switch to mail order after the third refill at a retail pharmacy. If you don't switch to mail order, before you met your deductible: You’ll pay the full cost of the drug, but only 20% of the cost will be applied toward your deductible and your out-of-pocket maximum. After you met your deductible, the Plan will pay only 80% of the cost of a generic or brand drug instead of 100% ($15 minimum).

See the Prescriptions page under Well-Being on the Investing in You website for more information.

Do you plan to fill any prescriptions at a retail pharmacy?

Annual Prescription

Purchases
Generic, Preferred Brand Name or Non-Preferred Brand Name? Number of Fills/ Refills
For You
Number of Fills/ Refills
For Your Dependent(s)
Retail Pharmacy (up to a 30-day supply)
Prescription 1
Prescription 2
Prescription 3
Prescription 4
Prescription 5
Prescription 6
Prescription 7
Prescription 8
Prescription 9
Prescription 10
Prescription Drugs – Mail Order Pharmacy

Your prescription drug costs will depend on certain variables, such as whether your drug is covered by the plan, whether you use Generic, Preferred Brand Name, Non-Preferred Brand Name or Specialty Prescription medications, and whether you fill your prescriptions at a retail pharmacy or use the mail order service. If a certain category does not apply to you, please leave it blank.

Specialty drug costs vary widely. A national average amount will be used (see assumptions). Please consider the actual costs of the specialty drug you use when identifying your overall out of pocket costs.

Do you plan to fill any prescriptions through a mail-order pharmacy?

Annual Prescription

Purchases
Generic, Preferred Brand Name, Non-Preferred Brand Name or Specialty Prescription * ? Number of Fills/ Refills
For You
Number of Fills/ Refills
For Your Dependent(s)
Mail Order Pharmacy (up to a 30-day supply)
Prescription 1
Prescription 2
Prescription 3
Prescription 4
Prescription 5
Prescription 6
Prescription 7
Prescription 8
Prescription 9
Prescription 10
Health Care Expenses Not Covered by the Plan

The plan does not cover certain expenses, such as cosmetic surgery or other care that is not medically necessary. If you incur expenses not covered by the plan, you will have to pay for those expenses out of your pocket. They will not count toward satisfying your deductible. Enter estimates of the dollar amounts you expect to spend on health care not covered by your plan. If this does not apply to you, please leave it blank. The tool assumes you will use your Health Savings Account (HSA) to pay for these expenses as they arise. Visit the Investing in You website to learn more about what services are covered under the plan.


Expenses Not Covered Estimated Dollar
Amount
Expense 1 $
Expense 2 $
Expense 3 $
Expense 4 $
Expense 5 $
Expense 6 $
Expense 7 $
Expense 8 $
Expense 9 $
Expense 10 $
Your Estimated Health Care Costs

Based on your input, here are the estimates of your out-of-pocket health care costs under the Premium Medical Plan and the Platinum Medical Plan. Both plans offer the same covered services. Therefore, estimates differ according to the lower premiums and higher deductible under the Platinum Medical Plan. By including the HSA balance you provided at the beginning of this calculation, you can make an informed decision about whether the higher deductible of the Platinum Medical Plan could be covered by your available HSA balance.

These are general estimates of ordinary health care costs and are based on the information you provided as well as other assumptions.Your costs under each plan will depend on your actual use of the health care benefit plan. As a reminder, you will be locked into whichever plan you elect for the entire 2023 calendar year. You may not switch plans any time during the year.


Plan
Annual Premium1
(fully discounted rate3)
Your Estimated
Employee Costs for
Medical Services
Your HSA Balance
Your Estimated Annual
Out-of-Pocket Expenses
Remaining HSA Funds2
(if applicable)
How Your Estimate Was
Calculated
Platinum Medical Plan
Your total Annual Premium costs (assuming you will earn the maximum premium discounts in 2023 ; $800 Associate; $1,600 Associate +Child(ren)/Associate +Spouse/Domestic Partner/Associate +family)
+ Cost of Medical Services
+ Expenses not covered
– Your HSA funds that can be applied**
= Total Estimated out-of-pocket medical expenses
Premium Medical Plan



1Note that HSA funds cannot be used for premium contributions
2Remaining HSA funds can be saved and/or invested for future use
3Based on maximum wellness discount earning for coverage election (Associate, Associate + Child(ren), Associate + Spouse/Domestic Partner, Associate + family)