Page 16 - Wire Works 2020 Benefit Guide
P. 16
Health Plan Cost-Sharing Illustration
How HDHP HSA Health Plans Work
$$$$
Maximum Out-Of-Pocket (MOOP)
Plan pays 100% Of All Medical Expenses Maximum
$$$ Out-Of-Pocket
Is Met
RX
COINSURANCE
COINSURANCE COPAYS
Prescription
You Pay Plan Pays Drug Copays
Plan Pays 100% After Deductible
A Portion A Portion After
Except Prescription Drug Copays
Deductible
Accumulate to
MOOP
Deductible
$$
DEDUCTIBLE Is Met
You Pay 100% of all Services Until Deductible Is Met
(Hospitalizations, In-Patient/Out-Patient Services,
Medical Labs, Testing, Prescriptions)
Bills
Preventative Care is covered at 100%
