Benefit Calculator

Health Costs

Medical

Number of dependents: 
Number of doctor visits:   

Number of Prescriptions
Generic    30 day supply   90 day supply
Brand / Preferred    30 day supply   90 day supply
Non-Preferred    30 day supply   90 day supply

Please indicate whether you are paid 9thly, 10thly, 11thly, or 12thly

(9thly 10thly 11thly 12thly)

Select 1 to 4 plan options:
 
Enter your monthly payroll deduction for each plan:   
$ $ $ $