Healthcare Cost Estimator

About You

What is your first name? — so we can customize the report just for you

How old are you?

What is your gender?

Male

Female

Your Medicare Coverage

What best describes your current Medicare situation?

Not yet on Medicare

Medicare Part A & B only (Original Medicare)

Medicare + Supplement (Medigap)

Medicare Advantage (Part C)

Do you have Medicare Part D (prescription drug coverage)?

Yes

No

Not on Medicare yet

What do you currently pay in monthly premiums for all health insurance combined?

Include Medicare premiums, supplement premiums, Advantage plan premiums, or private insurance — everything combined.

Your Health Status

How would you describe your overall health?

Excellent — very few health concerns

Good — one or two manageable conditions

Fair — several ongoing health conditions

Poor — significant or complex health needs

Do you take prescription medications regularly?

No medications

1 – 3 medications

4 – 6 medications

7 or more medications

How often do you typically visit a doctor or specialist in a year?

1 – 2 visits

3 – 6 visits

7 – 12 visits

13 or more visits

Have you had any hospitalizations, surgeries, or ER visits in the past two years?

No

Yes — once

Yes — more than once

Do you use any of the following regularly?

Select the option that best applies.

None of these

Hearing aids or glasses / contacts

Regular dental work or dentures

Both dental and vision/hearing needs

Looking Ahead

How many years would you like to project your healthcare costs?

5 years

10 years

15 years

20 years

How concerned are you about long-term care costs — assisted living, home health aides, or nursing home care?

Very concerned — it is a major worry

Somewhat concerned

Not very concerned

I have LTC insurance or a plan in place