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Platform Features

Know what a year of healthcare
will really cost you

Verd projects your year of healthcare costs from federal spending data — how people with your age and health profile actually use care — then simulates what you'd pay out of pocket under every plan you're eligible for, and ranks them by total real cost: premiums plus out-of-pocket.

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Built on federal data — CMS plan files · IRS subsidy rulesFounded by healthcare policy expertsNo commissions, no carrier partnerships

Our Methodology

You don't need to understand insurance to use Verd — that's the point. You tell us about your life; we do the math the industry does, and show you the answer in plain dollars.

User ProfileFederal DataCost Simulation1234Plan RankingRecommendation
01

Tell us about your situation

A few minutes of plain-English questions: your age, household, income, the medications you take, and the care you expect this year. No insurance knowledge needed, and no account required for the initial analysis.

02

We compare you to people like you

Verd analyzes federal healthcare data covering hundreds of thousands of real American households to understand what healthcare actually costs for people in situations like yours — not national averages, and not insurance-industry marketing numbers.

03

We show you your real cost, plan by plan

For every kind of plan you're eligible for, we project what you would actually pay over the year — premiums, deductible, copays, prescriptions, everything — adjusted for how much financial risk you're comfortable with. Then we explain the recommendation in words anyone can understand.

Our Data Sources

Plan prices and subsidy rules are grounded in public federal datasets — the same sources used by CBO, HHS, and academic health economists. We do not rely on self-reported surveys or proprietary insurance industry data.

MEPS

Medical Expenditure Panel Survey

Agency for Healthcare Research and Quality (AHRQ)

  • The federal survey of what healthcare actually costs American households, by age and condition
  • Informs the age-band baselines our projection starts from before adding the care you report
  • Cited in our research articles; we do not process MEPS microdata inside the product
CMS

Centers for Medicare & Medicaid Services

U.S. Department of Health and Human Services

  • Official 2026 Marketplace plan and pricing files (county-level in the 30 HealthCare.gov states)
  • Medicare premiums, deductibles, and Part D parameters for the current year
  • The authoritative record of what each plan actually covers and charges
IRS

Internal Revenue Service

U.S. Department of the Treasury

  • The official rules for marketplace subsidies — who qualifies and for how much
  • HSA and FSA contribution limits and eligibility rules, updated every year
  • The tax rules that determine whether employer coverage counts as affordable
USPSTF

U.S. Preventive Services Task Force

Agency for Healthcare Research and Quality (AHRQ)

  • The official list of preventive care your insurance must cover at no cost to you
  • Age- and sex-specific screening schedules, so we can flag free care you’re not using
  • Recommended vaccines and screenings, kept current as guidelines change

Intelligent Plan Matching

Verd checks which of 12 program types you're eligible for — ACA Marketplace, FEHB, Medicare and Medicare Advantage (including Special Needs Plans), Medigap, Medicaid, employer-sponsored coverage, TRICARE, VA/CHAMPVA, and COBRA. Instead of filtering by premium alone, we rank every eligible plan by what it would really cost you over the year: the premium, plus what you'd pay out of pocket for the care and prescriptions you actually expect to use.

Eligibility checked across every major federal and private insurance category, plus assistance programs like Medicare Savings Programs and Extra Help
Your medications and expected care counted in each plan's total, not just the sticker price
Adjusted for how much financial risk you're comfortable carrying
True total cost — not just premiums, but deductibles, copays, coinsurance (your percentage share of the bill), and Rx costs
Your recommendationExample · age 34 · Harris County, TX · Type 2 diabetes
Bronze HMOrecommended$2,250
Gold HMO$2,863
Silver HMO$4,095
Bronze HDHP$4,110

Estimated total for the year — premium plus the care you told us to expect.

Honest Cost Projection

Most plan comparisons stop at the premium. That fails real life — the plan with the cheapest premium is often the most expensive year. Verd projects your year of care from federal records of what healthcare actually costs people with your age and health profile, then simulates what you'd pay out of pocket under each plan's real rules, so the ranking reflects your whole year, not the sticker price.

Starts from age-band baselines and adds the visits, conditions, and prescriptions you report
Applies each plan's actual rules: deductible, copays, coinsurance — your percentage share of the bill — and the out-of-pocket maximum
Counts premium subsidies and the tax savings of an HSA — a tax-free account for medical costs — in your net cost
Every plan price and subsidy figure traceable to CMS and IRS data. No commissions influencing results
Projected annual healthcare spendingExample
$2,970likely range $2,376 – $3,564
Primary care $446Specialist $594Prescriptions $743Emergency $446Inpatient $743

Built from what you told us and how people like you use care — before any plan pays a cent.

Your Dashboard

After your recommendation, Verd gives you one place to keep track of your coverage. The free dashboard shows where you stand against your deductible and out-of-pocket maximum, keeps a record of your claims, and lays out your plan's details and benefits in plain language — so you always know what you've spent, what's covered, and what's left.

Overview — your deductible and out-of-pocket progress at a glance
Claims tracking — log your visits and bills, and see the running total
Benefits checklist — the covered benefits you have and have not used yet
Plan Details — your plan's numbers and rules, in plain language
Your coverage progressPlan year · 68% elapsed
Deductible31%
$1,240 of $4,000 met
Out-of-pocket maximum14%
$1,240 of $9,200
May 19 · CVS PharmacyPrescriptions$40.00
Mar 4 · Sutter HealthPrimary care · annual physical$140.00

Bill Checking & Appeals

Medical bills contain errors more often than any other bill you receive — and denials go unappealed because the process is designed to exhaust you. With Verd Pro, upload a medical bill or EOB (Explanation of Benefits — the statement your insurer sends after a claim) and we flag math errors, duplicate charges, and surprise-billing issues. If a claim is denied, the Appeal Letter Helper turns the denial into a formal appeal letter and tracks every deadline on your appeal clock so you never lose by default.

Bill & EOB Checker — flags math errors, duplicates, and surprise-billing issues
Appeal Letter Helper — a formal appeal letter drafted from your denial
Deadline tracker — internal appeals (typically 180 days), insurer responses (30–60 days), and external review (about 4 months), all on one clock
Savings Ledger — every dollar recovered or saved, recorded next to the cost of Pro
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Bill CheckerMemorial Hermann · visit 08/14
Office visit — specialist$210.00
Lab panel (CPT 80053)$146.00
Facility feecheck — may not apply$185.00
Your plan’s specialist copay$45.00
Billed $541.00 · you owe $45.00$185.00 to question · draft letter ready for your review

Life Events, Handled

Certain life events — getting married, having a baby, losing a job, moving, turning 26 and aging off a parent’s plan, becoming eligible for Medicare at 65 — open a special enrollment window that lets you change plans mid-year. The windows are short, and missing one can lock you into the wrong coverage for a year. Verd Pro's Life Events tool walks you through nine of these scenarios, tells you exactly what your options are, and shows your actual deadlines.

Nine special-enrollment scenarios explained in plain language
Your actual deadlines for each window, not generic rules
What changes for your coverage — and whether it's worth switching
Includes losing employer coverage: how COBRA compares against a Marketplace plan
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Life eventsYour open windows
Lost job-based coverageMarketplace special enrollment · 60 days41 days left
COBRA electionFrom the notice date38 days left
Turning 26Aging off a parent’s planNot yet

Each window comes with its own checklist: documents, deadlines, and the plan choices that fit it.

Coverage for the Whole Household

Family coverage rarely means one obvious answer. Everyone on one plan, kids on CHIP, a spouse on a Marketplace plan with a subsidy — the right split depends on your household's income, health, and what each employer offers. Verd analyzes your whole household together, so the recommendation reflects the family's real total cost rather than treating each person in isolation.

One analysis for the whole household, not person-by-person guesswork
Checks whether your kids may qualify for CHIP — free or low-cost children's coverage
Flags when employer family coverage is unaffordable and Marketplace subsidies open up instead
Projected costs scale with your family size, grounded in the same federal data
HouseholdExample · 2 adults · 1 child · $68,000
Everyone on one Marketplace plan$6,412
Adults on Marketplace · child on CHIPrecommended$4,190
Everyone on the employer plan$7,860

One total per arrangement, using your state’s CHIP rules and the employer’s family premium.

Verd Assistant

Insurance documents are written for lawyers, not patients. The Verd Assistant is an AI advisor that explains your specific plan in plain language — your deductible, your coinsurance (your percentage share of the bill), your prior authorization rules — and answers any healthcare or insurance question you have, any time. Upload your plan documents and it breaks them down in plain English. Because it is connected to your dashboard, it knows your deductible progress and projected spending, so answers come back with your actual dollar figures instead of generic guidance.

Plain-language explanations of your plan’s deductible, coinsurance, and prior authorization rules
Upload your plan documents for a plain-English breakdown of what they actually say
Knows your numbers: deductible progress, projected annual spending, and subsidies — answers include dollar figures
Available year-round from your dashboard, not just during open enrollment
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Verd AssistantKnows your plan
My doctor wants an MRI. What will it cost me?
You have $2,760 of your deductible left, so you’d pay the plan’s negotiated price — typically $400–$1,100 for an MRI in your area. A freestanding imaging center is usually at the low end. Want the three closest in-network ones?

Illustrative exchange. Answers use your own deductible, plan rules, and county.

Every Major Insurance Program

Most comparison tools only handle ACA Marketplace plans. Verd checks your eligibility across every major federal and private program — including Special Needs Plans and the assistance programs most tools ignore — and prices each one you qualify for with a representative plan design, so the comparison is between whole pathways, not just Marketplace tiers. For Marketplace plans in the 30 HealthCare.gov states, those designs are priced from your county’s 2026 rates.

ACA Marketplace

Individual and family plans across Bronze, Silver, Gold, and Platinum tiers. We calculate your premium tax credit — the subsidy that lowers your monthly bill — and the extra Silver-plan discounts many households qualify for without knowing it, then weigh each tier against the care you expect to use.

Federal Employee Health Benefits (FEHB)

The program covering federal employees, retirees, and eligible family members, with hundreds of plan options. We price the most common FEHB plan designs on what they would really cost you for the year, so you can see whether FEHB or another pathway comes out ahead.

Medicare Parts A & B

Original Medicare — Part A covers hospital stays, Part B covers doctor visits and outpatient care. We flag when higher income raises your Part B premium, warn about late-enrollment penalties, and show what Original Medicare leaves uncovered so you can weigh supplemental options.

Medicare Advantage (Part C)

All-in-one Medicare plans from private insurers that bundle hospital, medical, and usually drug coverage. We compare their yearly out-of-pocket caps and extras like dental, vision, and hearing — and check whether a Special Needs Plan fits people who qualify for both Medicare and Medicaid.

Medicare Part D & Medigap

Part D adds prescription drug coverage to Original Medicare; Medigap plans pick up costs Medicare leaves behind, like your share of hospital bills. We factor your actual prescription spending into the comparison and weigh Medigap options against Medicare Advantage alternatives.

Medicaid & CHIP

Free or very low-cost coverage based on your income — Medicaid for adults, CHIP for children. Eligibility rules differ by state, so we check yours specifically. Especially important for families near the line between Medicaid and a subsidized Marketplace plan.

Employer-Sponsored Insurance

Coverage through your job — including high-deductible plans that come with a tax-free HSA. We account for what your employer pays toward the premium, and check the federal affordability rule that decides whether you could get a subsidized Marketplace plan instead.

TRICARE

Military health coverage including TRICARE Prime, Select, For Life, and Young Adult. Eligibility based on uniformed service status, retirement category, and dependent relationships. Cost comparison against civilian alternatives when dual eligibility exists.

VA Health Care & CHAMPVA

VA enrollment priority groups for veterans and CHAMPVA coverage for eligible spouses and dependents. We model how VA care coordinates with Medicare, employer coverage, and Marketplace plans — and when carrying secondary coverage alongside VA care pays off.

COBRA Continuation

Temporary continuation of employer group coverage for 18 or 36 months after qualifying events. We calculate the full unsubsidized premium cost and compare against ACA Marketplace plans with potential PTC eligibility — COBRA is often not the best option.

Special Needs Plans (D-SNP / C-SNP)

Medicare Advantage Special Needs Plans for dual-eligible beneficiaries (D-SNP) and people with qualifying chronic conditions (C-SNP). We screen for eligibility, compare SNP benefit packages against standard MA and Original Medicare options, and flag care coordination benefits.

Assistance Programs (MSP, Extra Help, CHIP)

Medicare Savings Programs (QMB, SLMB, QI) that pay Part B premiums and cost sharing, Extra Help/LIS for Part D drug costs, and CHIP advisories for children in households near eligibility thresholds. These programs are chronically under-enrolled — we check every profile for them.

Additional Capabilities

Standardized Plan Summaries

Every plan rendered in a consistent format: deductible, copays, coinsurance — your percentage share of the bill — and the yearly out-of-pocket cap. No more parsing 40-page plan brochures.

Scenario Modeling

Adjust health assumptions — add a planned surgery, pregnancy, or new chronic condition — and instantly see re-ranked results. Each scenario re-runs the full simulation pipeline, not a simplified estimate.

Before You Go (Pro)

A pre-appointment checklist: a word-for-word script to verify the provider is in your network, flags for services that need prior authorization, and an estimate of what the visit will cost you.

Educational Resources

Expert-authored guides covering metal tier selection, HDHP vs. PPO tradeoffs, Medicare enrollment windows, and common costly mistakes. Written for clarity, not to push a particular plan type.

Multi-Member Profiles

Separate profiles for each household member with individual health histories and prescription lists. The engine analyzes the household together, so the recommendation reflects your family's real total cost.

Plan Audit (Pro)

A mid-year verdict on whether your plan still fits your life — and when open enrollment comes, a shopping dossier built from your actual year of care, so you re-shop with evidence instead of guesswork.

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