Healthcare

Health-plan comparison — HDHP+HSA vs PPO total cost

Compares the total annual cost of a high-deductible health plan with an HSA against a traditional PPO, for an expected level of medical spending. Each plan's cost is its premium plus the member's cost-sharing (spend up to the deductible, then coinsurance, capped at the out-of-pocket max); the HDHP nets out the employer HSA seed and the tax saving on the HSA contribution, and the PPO nets any health-FSA tax saving. Returns each plan's cost breakdown, the recommendation, and the difference. Deterministic; not insurance advice.

post/v1/benefits/health-plan

Request

  • Base URL: https://api.numeratica.com
  • URL: https://api.numeratica.com/v1/benefits/health-plan
  • Auth: one of:
    • HTTP bearer
    • API key in header X-API-Key

Request body

expected_medical_spendnumber required

Expected covered claims for the year.

marginal_tax_ratenumber required

For pre-tax HSA/FSA savings (income + FICA).

employer_hsa_seednumber

Employer's HSA contribution (free money; HDHP).

hsa_contributionnumber

Employee HSA contribution (its tax saving reduces net cost).

ppo_fsa_contributionnumber

A PPO health-FSA contribution (its tax saving reduces net cost).

Response

The plan-cost comparison

result_idstring
engine_versionstring
disclaimerstring

Example response

{
  "result_id": "healthplan_1a2b3c4d5e6f7a8b",
  "engine_version": "health-plan-1.0.0"
}

Changes

No recorded changes to this operation across all 1 revision of this API.