Interesting post in Health Affairs Blog: Lessons from New York State: Partnering with navigators to develop a condition-specific, out-of-pocket cost calculator for those seeking to enroll in on- or off-exchange plans.
This is a New York-specific out of pocket cost (OOPC) calculator for the following 10 high cost, but relatively common health care conditions and life events: Bipolar Disorder, Breast Cancer, Diabetes, Pregnancy & Childbirth, Heart Disease, Hepatitis C, HIV, Multiple Sclerosis, Rheumatoid Arthritis, Schizophrenia. The calculator allows New Yorkers shopping for health insurance with these conditions or expecting the birth of a child to compare the differences in OOPCs across plans offered in their county. The OOPC estimates are based on the costs for medical services and prescription drugs that a New Yorker managing one of these high cost medical conditions or life events is likely to utilize in a given year. They are based on internationally and nationally recognized clinical guidelines.
- Health Affairs Blog: https://www.healthaffairs.org/do/10.1377/hblog20180514.402177/full/
- NY Plan Costs: Out of Pocket Cost Calculator: http://www.nyplancosts.org/