It is open enrollment time, I have tried a few different online calculators and am getting different results. Mostly I am just bad at math...
PPO:
Deductible: $1,200
Coinsurance: 80% plan pays after deductible
OOP Max: $2,500
Annual Premium: $2,250
HDCP:
Deductible and OOP Max: $4,000
Coinsurance: 100% plan pays after deductible
Annual Premium: $1,200
No employer HSA contributions, but I would contribute the max amount into a Vanguard target date fund matching retirement year.
I have one year expenses in an emergency fund, and my past medical spending has ranged from $600 - $83,000 per year (surgery/hospital stay). This year I am anticipating $2,000- $4,000 per year, but who knows.
Some of the online calculators are showing there is no situation in which the PPO makes more sense, others are showing PPO winning by different margins. Is there any amount of medical spending in which switching to HDCP would be the wrong answer?