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Open Enrollment Plan Comparison Worksheet 2026: One Page, Three Plans

Put PPO, HMO and HDHP/HSA options on one standardized worksheet: premium, deductible, out-of-pocket maximum, employer money, network and prescriptions.

Updated September 2026 · Built from official/public 2026 sources where available

Open EnrollmentWorksheet2026
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The short versionThe best plan cannot be chosen from premium and deductible alone. Compare expected annual cost, bad-year cost, network, formulary and employer account contributions on one page.

Two-plan total-cost comparator

Put both plans on one annual basis instead of comparing deductibles in isolation.

Plan APlan B
Monthly premium
Expected out-of-pocket
Employer HSA/HRA money
Estimated tax benefit

The one-page worksheet

FieldPlan APlan BPlan C
Annual employee premium_______________
Deductible_______________
Out-of-pocket max_______________
Employer HSA/HRA contribution_______________
Primary care / specialist_______________
Your top 3 prescriptionscovered?covered?covered?
Your doctors/hospitalin network?in network?in network?

Three passes

Pass 1: eliminate unacceptable networks/formularies. Pass 2: compare expected annual cost using last year’s utilization plus known next-year events. Pass 3: compare worst-case cost and ask whether the deductible can be cash-flowed in January.

Why it beats “which plan is best?”

Plan labels hide the variables that actually matter. A “high PPO” at one employer can be economically closer to a “low PPO” elsewhere. The worksheet forces actual numbers into the decision.

FAQ

Should I use last year’s care?

It is a useful baseline, then add known changes such as pregnancy, surgery, therapy, new prescriptions or a dependent.

What if my doctor appears in the carrier directory?

Verify the plan-specific network, ideally with both the directory and provider office.

How do I value employer HSA money?

Count actual employer dollars as a plan-specific offset, but pay attention to when they are deposited.

Sources & methodology

We favor regulators, government agencies and primary insurance-industry data for factual rules and current limits. Calculators use the numbers you enter and clearly labeled illustrative assumptions rather than pretending a national average is your quote.

  1. CMS — Helping Consumers Choose the Best Plan (2026)
  2. IRS Rev. Proc. 2025-19 — 2026 HSA limits

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