How Predictabill saved James time & money and still got him the best health insurance


James Williams,* a father of four, is in his mid-50s and lives in Tennessee. He retired early in 2018 and received three years of healthcare from his employer after he left.
*James’ real name has been changed to protect his and his family’s privacy.
At the end of 2021, James’ health insurance through his old employer was expiring. He was enjoying his freedom and looked forward to moving to Switzerland with his family. But two major health insurance decisions were looming over him.
First, he had to figure out his US health plan for six months before moving to Switzerland. He could extend his existing plan through COBRA or look for something else. Earlier, his old employer had covered the costs, but with COBRA 100% of the expenses would fall onto James.
Then, after a year in Switzerland, James would once again have to find the right health plan for his family.
James engaged Predictabill to help him sort through a dizzying array of options. Before moving to Switzerland he picked COBRA.
“I trusted Predictabill to start with. When sharing your personal information, it’s tricky to do it with some random website you find online.”
On their return to Tennessee, COBRA was no longer an option. James had dozens of plans to choose from in the Health Insurance Marketplace. It was impossible for him to go through each one to see if his preferred doctors were in or out of network.
“There's millions of us who are in that sandwich generation where we don't have full-time employment, but we're not going to get Medicare for a while. You have to go into healthcare.gov, and that's where it gets tricky.”
Creating an account, James submitted his family's medical information. This included planned medical treatments and their preferred doctors, OB/GYN and pediatrician.
Predictabill provided him with tailored options for his family. At a glance, he could see the estimated costs and what was included.
“Predictabill is pretty awesome. I prefer using it to an insurance broker because of its true independence vs many brokers with limited offerings or who steer us to specific plans.”

In 2023, Predictabill helped James narrow down 128 plans into 3 simple options. The same pattern followed in the following years.
“Predictabill found us the perfect plan. It was so good we got more than our money's worth. The plan was so much better for us than for the insurance company, that they discontinued it! In 2024 it happened again. It’s pretty good.”
The perfect plan included all the healthcare professionals he wanted for his family. During the year they added a couple of doctors also covered by the insurance. James feels there’s no way he’d find insurance like that without spending an inordinate amount of hours. He thinks he'd end up with unwanted costs with out-of-network doctors.
“I probably would have defaulted to the most expensive plan, thinking it gets me the best coverage. And it turns out, with Predictabill, that wasn't necessary.”
If James ever finds himself needing a new plan, he will definitely use Predictabill again.
Predictabill makes it easy to see your options, compare costs at a glance, and choose with confidence.
Predictabill is free when your employer (or your spouse’s employer) covers it as a benefit. If that’s not the case (for example, if you’re between jobs or self-employed), you can pay to use Predictabill.
Only if you can afford to pay for a major medical event entirely out of pocket. In the U.S., that means being prepared for bills that can reach $2 million or more. For example, cancer treatment (something many families experience) can easily reach this level. Unless you have the wealth to cover that kind of unexpected expense, Predictabill will recommend that you stay insured and help you find the most cost-effective coverage.
You can sign up directly for a fee, or let your HR team know you’d like them to join so you and your coworkers can use it at no cost
You can use Predictabill to compare Marketplace options alone or side-by-side with other options (like a COBRA option).
That’s normal. You can test different scenarios (like adding a spouse, having a baby, or changing prescriptions) to see how each plan might work in the future.
Most people generate a personalized dashboard in under 5 minutes. If one of your employers hasn’t joined yet, it may take up to 48 hours to add them.