estimate my costs

Putting Patients First®

ESTIMATE MY COSTS

Think about your health and how often you typically use health care services. Make your best estimate below of how many times you might use each of these different types of health care services next year. If you sometimes have unexpected health care needs, you can use this page again to enter different information to see how your costs could change.

Basic Information
My age is
I Live in
Expected Use of Medical Services in the Coming Year
Health Care Provider Visits
Primary Care
Specialist Care
Mental Health Care
Emergency Room Care
Overnight Hospitalizations
Hospitalizations with Surgery
Hospitalizations without Surgery
Outpatient Surgeries
Simple Outpatient Surgeries
Complex Outpatient Surgeries
EXPECTED USE OF PRESCRIPTIONS IN THE COMING YEAR
Enter all of the prescription medications that you currently take and expect to take in the coming year. Please include those medicines that you take on a regular basis and those that you take from time to time, as needed.
    Medication Name
    Frequency
    Quantity