Client copilot
What changed1Household
2Who is applying
3Medicines optional
4Doctors
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Medium: 3 doctor visits, 2 specialist visits, 1 urgent care, a generic refill every month, 2 lab tests, 1 X-ray and 1 MRI or CT scan.
High: a hospital stay or serious illness. One person reaches the plan's yearly max; anyone else on the plan has a Medium year.
Each visit is priced at a typical bill (doctor $150, specialist $250, urgent care $200, generic $20, lab $150, X-ray $300, MRI or CT $1,000) and run through that plan's own deductible, copays and coinsurance, plus 12 months of premium.
How the estimates work
2027: HealthSherpa premiums and verified drug prices with proof from carrier SBCs are live where available. Yearly estimates use the 2027 CMS plan files for Florida and Texas; Georgia estimates are not available yet. 2027 drug lists come from the carriers' CMS files; doctor networks for 2027 plan IDs are not verified yet.
2027: las primas de HealthSherpa y los precios de medicamentos verificados con evidencia de los SBC de las aseguradoras están disponibles donde hay datos. Las estimaciones anuales usan los archivos CMS de 2027 para Florida y Texas; aún no están disponibles para Georgia. Las listas de medicamentos de 2027 vienen de los archivos CMS de las aseguradoras; las redes médicas para los ID de planes de 2027 aún no están verificadas.