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In total, the annual cost savings of using the PPO instead of the HDHP add up to $2,307, as summarized below: If Gabe reinvests his $2,307 of surplus savings (increasing for inflation) from taxes and out-of-pocket medical costs into his brokerage account each year, along with the $4,300 that he would have contributed to his HSA, he'll end with $964,381 in his brokerage account at retirement, equating to an after-tax value of $874,677

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