Page 7 - Guide
P. 7
Who Can Take Part in This Option?
Covered by the CDHP option through AFV
Not covered by other health insurance
Not enrolled in Medicare
Cannot be claimed on someone else’s tax return as a dependent
Good Things to Know About Your HSA
If you do not spend all the money you set aside this year, it can roll
over into the next year
Your contributions are tax-free
Money in the account can be spent with an HSA debit card
The money in your account (including interest and investment
earnings) grow tax-free
You decide if and when you use the account for qualiied expenses
Example 1—Light User of Care—Family
Member
UHC Cost Member Cost
Service Negotiated Current CDHP Plan
Rate UHC Plan
Annual preventive visit $400 $0 $0
6 diagnostic ofice visits—PCP $450 $210 $450
24 monthly generic Rx reills $672 $480 $672
16 total brand Rx ills ($58 avg) $928 $640 $928
Total $511 $1,330 $2,050
HSA annual seed $ contributions $0 $750
Annual EE contribution $8,223 $7,502
Total EE out-of-pocket cost $9,553 $8,802
Difference—CDHP to current plan -$751
Example 2—Heavy User of Care—Individual
UHC Member Member Cost
Service Negotiated Cost Current CDHP Plan
Rate UHC Plan
4 PCP ofice visits $260 $140 $260
4 specialist ofice visits $500 $240 $500
2 monthly brand Rx, 6 generic Rx $3,408 $2,400 $2,154
1 inpatient hospitalization $12,000 $1,720 $2,286
Total $511 $4,500 $5,200
HSA annual seed $ contributions $0 $500
Annual EE contribution $2,537
Total EE out-of-pocket cost $7,237
Difference—CDHP to current plan -$447
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Covered by the CDHP option through AFV
Not covered by other health insurance
Not enrolled in Medicare
Cannot be claimed on someone else’s tax return as a dependent
Good Things to Know About Your HSA
If you do not spend all the money you set aside this year, it can roll
over into the next year
Your contributions are tax-free
Money in the account can be spent with an HSA debit card
The money in your account (including interest and investment
earnings) grow tax-free
You decide if and when you use the account for qualiied expenses
Example 1—Light User of Care—Family
Member
UHC Cost Member Cost
Service Negotiated Current CDHP Plan
Rate UHC Plan
Annual preventive visit $400 $0 $0
6 diagnostic ofice visits—PCP $450 $210 $450
24 monthly generic Rx reills $672 $480 $672
16 total brand Rx ills ($58 avg) $928 $640 $928
Total $511 $1,330 $2,050
HSA annual seed $ contributions $0 $750
Annual EE contribution $8,223 $7,502
Total EE out-of-pocket cost $9,553 $8,802
Difference—CDHP to current plan -$751
Example 2—Heavy User of Care—Individual
UHC Member Member Cost
Service Negotiated Cost Current CDHP Plan
Rate UHC Plan
4 PCP ofice visits $260 $140 $260
4 specialist ofice visits $500 $240 $500
2 monthly brand Rx, 6 generic Rx $3,408 $2,400 $2,154
1 inpatient hospitalization $12,000 $1,720 $2,286
Total $511 $4,500 $5,200
HSA annual seed $ contributions $0 $500
Annual EE contribution $2,537
Total EE out-of-pocket cost $7,237
Difference—CDHP to current plan -$447
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