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Calculate Your Annual Premium


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Your annual premium is:

$1,568

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Personal HSA Contributions

It is recommended that your HSA contributions be equal to your deductible. This number has been displayed.

This information is not stored or shared.

55 or older

People 55 and older can contribute an additional $1,000 to HSAs each plan year.

This information is not stored or shared.

Estimated Tax Bracket

HSA contributions are tax-free on a federal level. Your estimated tax bracket helps calculate your savings comparison. The federal tax table is listed below for your reference.

  Single Married Head of Household Tax Rate
$ 0 – 9,524 0 – 19,049 0 – 13,599 10%
$ 9,525 – 38,699 19,050 – 77,399 13,600 – 51,799 12%
$ 38,700 – 82,499 77,400 – 164,999 51,800 – 82,499 22%
$ 82,500 – 157,499 165,000 – 231,449 82,500 – 157,499 24%
$ 157,500 – 199,999 315,000 – 399,999 157,500 – 199,999 32%
$ 200,000 – 499,999 400,000 – 599,999 200,000 – 499,999 35%
$ 500,000 – 600,000 – 500,000 – 37%

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Edit Medical Expenses

  Cost Frequency Amount  
Office visits

Not including preventive care, which is 100% covered.
Specialist visits

Labs / x-rays

 
Inpatient surgery

 
Outpatient surgery

 
Emergency room

 
Generic Rx

 
Brand Rx

 
  Update scenario

Subtotal