Page 7 - Yaskawa 2022 Open Enrollment Guide
P. 7
2022 Benefits Guide
Choosing A Plan That’s Best for You
There’s a lot to consider when picking out your coverage. Which plan should you choose? What will be the
estimated expenses? Below are a few cost comparisons between the Silver PPO and the CDHP plan. These
comparisons serve as examples to help guide your decision as you relect on your own past expenses and
estimate your future expenses.
Meet Jack Meet Jill
Jack is in his mid-20s, single, healthy, and rarely Jill is in her late 30s, married, and a mother of three
needs to see a doctor other than his annual grade-school aged children. Like most youngsters,
preventive physical. This year, he had an unexpected Jill’s children have frequent illnesses that require
visit an urgent care center, resulting in a medication somewhat regular visits to the pediatrician (and
treatment plan. He also had a sinus infection during sometimes even the emergency room). Jill elects
cold and lu season but was able to complete a family coverage as she covers her children and her
virtual visit for this. He pays the employee only rate husband. Jill completed her Wellvibe activities last
because he is only covering himself. He completed year and pays the Wellvibe wellness premium rate.
his Wellvibe activities last year and pays the Wellvibe
wellness premium rate. Annual Medical Claims
Preventive Care Visit (4)
Primary Care Visit (6) assumes $128 visit charge
Annual Medical Claims Emergency Room Visits (3) assume $1,500 ER charge
Preventive Care Visit (1) Tier 2 Rx (12) assumes $75/30 day Rx
Virtual Visit (1) assumes $49 charge Service Silver PPO CDHP
Urgent Care (1) assumes $220 visit charge Preventive Visit $0 $0
Tier 1 Rx (3) assumes $45/30 day Rx Primary Care Visits $150 $768
Service Silver PPO CDHP $1,700 $2,686
Preventive Visit $0 $0 Emergency Room (after deductible (after deductible
Virtual Visit $20 $49 Visits (3) has been met) has been met)
Urgent Care Visit $100 $220 $180
3× Tier 1 Rx $45 $135 12× Tier 2 Rx $300 (after deductible
Total Employee Responsibility has been met)
Employee Out of $165 $404 Total Employee Responsibility
Pocket Expense Employee Out of
Annual Payroll $1,652 $812 Pocket Expense $2,150 $3,634
Deduction (EE Only) Annual Payroll
Jack’s Total Cost $1,817 $1,216 Deduction (Family) $5,770 $3,159
Jill’s Total Cost $7,920 $6,793
Jack should consider the CDHP because this plan
ofers him the lowest costs per paycheck. Jack also Jill should consider enrolling the CDHP plan. Though
has the opportunity to invest in an HSA account she incurs higher costs on her medical claims, she
which will lower his taxable income and allow him to pays less on her annual payroll deductions.
use tax-free dollars on medical care.
Please note: The above examples assume general estimates of healthcare costs, based on average procedure
cost. Your actual cost will be diferent. Annual payroll deductions assume Wellvibe Participant rates.
7
Choosing A Plan That’s Best for You
There’s a lot to consider when picking out your coverage. Which plan should you choose? What will be the
estimated expenses? Below are a few cost comparisons between the Silver PPO and the CDHP plan. These
comparisons serve as examples to help guide your decision as you relect on your own past expenses and
estimate your future expenses.
Meet Jack Meet Jill
Jack is in his mid-20s, single, healthy, and rarely Jill is in her late 30s, married, and a mother of three
needs to see a doctor other than his annual grade-school aged children. Like most youngsters,
preventive physical. This year, he had an unexpected Jill’s children have frequent illnesses that require
visit an urgent care center, resulting in a medication somewhat regular visits to the pediatrician (and
treatment plan. He also had a sinus infection during sometimes even the emergency room). Jill elects
cold and lu season but was able to complete a family coverage as she covers her children and her
virtual visit for this. He pays the employee only rate husband. Jill completed her Wellvibe activities last
because he is only covering himself. He completed year and pays the Wellvibe wellness premium rate.
his Wellvibe activities last year and pays the Wellvibe
wellness premium rate. Annual Medical Claims
Preventive Care Visit (4)
Primary Care Visit (6) assumes $128 visit charge
Annual Medical Claims Emergency Room Visits (3) assume $1,500 ER charge
Preventive Care Visit (1) Tier 2 Rx (12) assumes $75/30 day Rx
Virtual Visit (1) assumes $49 charge Service Silver PPO CDHP
Urgent Care (1) assumes $220 visit charge Preventive Visit $0 $0
Tier 1 Rx (3) assumes $45/30 day Rx Primary Care Visits $150 $768
Service Silver PPO CDHP $1,700 $2,686
Preventive Visit $0 $0 Emergency Room (after deductible (after deductible
Virtual Visit $20 $49 Visits (3) has been met) has been met)
Urgent Care Visit $100 $220 $180
3× Tier 1 Rx $45 $135 12× Tier 2 Rx $300 (after deductible
Total Employee Responsibility has been met)
Employee Out of $165 $404 Total Employee Responsibility
Pocket Expense Employee Out of
Annual Payroll $1,652 $812 Pocket Expense $2,150 $3,634
Deduction (EE Only) Annual Payroll
Jack’s Total Cost $1,817 $1,216 Deduction (Family) $5,770 $3,159
Jill’s Total Cost $7,920 $6,793
Jack should consider the CDHP because this plan
ofers him the lowest costs per paycheck. Jack also Jill should consider enrolling the CDHP plan. Though
has the opportunity to invest in an HSA account she incurs higher costs on her medical claims, she
which will lower his taxable income and allow him to pays less on her annual payroll deductions.
use tax-free dollars on medical care.
Please note: The above examples assume general estimates of healthcare costs, based on average procedure
cost. Your actual cost will be diferent. Annual payroll deductions assume Wellvibe Participant rates.
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