Coverage Calculator

Copy of Copy of coverage_examples_calculator 02 07.xlsm

TD 9724 - Summary of Benefits and Coverage Disclosures

Coverage Calculator

OMB: 1545-2229

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Welcome to the Coverage Examples Cost Sharing Calculator




All insurer data entry fields are highlighted in orange.






The Cost Sharing Calculator operates in two modes.


Click the button that corresponds to the mode you want to use.







The user enters data for an individual plan and views the results.



The user loads data for multiple plans and runs the calculator.
The user can then browse the results for the individual plans, save


the results to an external file, or copy and paste the results for


the individual plans to a separate worksheet.




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