Page 7 - Tacony 2021 Annual Benefits
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PPO vs. HDHP Includes copays; copays No copays
HDHP/HSA Plan
PPO Plan
There’s a lot to consider when picking out your for oice visits and Rx Less cost upfront from
coverage. What plan should you choose? What will be do not count towards paycheck but potentially
more cost at time
deductible but are a
the estimated expenses? To the right, you will ind the part of the out-of-pocket of service
two major medical plans Tacony offers. maximum Health Savings Account
Higher amount deducted with employer seed money
from each paycheck but can ofset costs
Cost of Prescriptions less cost at time of oice Typically elected by low
medical utilizers or if you
visit/Rx service
Anthem PPO Plan Typically elected by plan on maxing out your
Tier 1: $15 copay average medical insurance out-of-pocket maximum
utilizers
Tier 2: $35 copay
Tier 3: 20%, $60 min $100 max copay PPO Plan HDHP/HSA Plan
Family Coverage (Non-Wellness)
Anthem HDHP Plan Annual Premium Cost $5,858 $3,493
All prescription drugs are subject to the deductible Family Deductible $4,500 $6,000
and coinsurance with the exception of preventive Oice Visit (primary/ $30/$60 Deductible/
maintenance medications—no cost. specialty) coinsurance
Note: In-network mail order copays are 2 times the retail amount. Family Maximum Out- $13,500 $12,000
of-Pocket
Employer HSA Seed N/A $1,000
Money
Worst-Case $19,358 $15,493
Scenario (employee could
Max Expenses (out- use $1,000 HSA
of-pocket maximum seed money
plus annual payroll reducing cost to
contributions) $14,493)
Average Scenario $8,903 $7,809
(10 oice visits, 3 (employee could
generic and 1 brand use $1,000 HSA
Rxs per month, 2 seed money
urgent care visits reducing cost to
plus annual payroll $6,809)
contributions)
Best-Case Scenario $5,858 $3,493
Max Expenses
(no claims except
preventive care
covered at 100% plus
annual contributions)
In the above example, you can compare the annual costs associated with
the PPO Plan and the HDHP/HSA Plan for family coverage. Listed are
the annual premiums, out-of-pocket maximums, and HSA seed money
(HDHP/HSA Plan only). These are applied to a worst-case scenario, an
average scenario and a best-case scenario, so you can compare plan
costs depending on how much you use the plan. In each scenario, the
HDHP/HSA Plan costs less money on an annual basis than the PPO plan.
Please note that actual savings can vary depending on each families
healthcare utilization.
Tacony Corporation 7
HDHP/HSA Plan
PPO Plan
There’s a lot to consider when picking out your for oice visits and Rx Less cost upfront from
coverage. What plan should you choose? What will be do not count towards paycheck but potentially
more cost at time
deductible but are a
the estimated expenses? To the right, you will ind the part of the out-of-pocket of service
two major medical plans Tacony offers. maximum Health Savings Account
Higher amount deducted with employer seed money
from each paycheck but can ofset costs
Cost of Prescriptions less cost at time of oice Typically elected by low
medical utilizers or if you
visit/Rx service
Anthem PPO Plan Typically elected by plan on maxing out your
Tier 1: $15 copay average medical insurance out-of-pocket maximum
utilizers
Tier 2: $35 copay
Tier 3: 20%, $60 min $100 max copay PPO Plan HDHP/HSA Plan
Family Coverage (Non-Wellness)
Anthem HDHP Plan Annual Premium Cost $5,858 $3,493
All prescription drugs are subject to the deductible Family Deductible $4,500 $6,000
and coinsurance with the exception of preventive Oice Visit (primary/ $30/$60 Deductible/
maintenance medications—no cost. specialty) coinsurance
Note: In-network mail order copays are 2 times the retail amount. Family Maximum Out- $13,500 $12,000
of-Pocket
Employer HSA Seed N/A $1,000
Money
Worst-Case $19,358 $15,493
Scenario (employee could
Max Expenses (out- use $1,000 HSA
of-pocket maximum seed money
plus annual payroll reducing cost to
contributions) $14,493)
Average Scenario $8,903 $7,809
(10 oice visits, 3 (employee could
generic and 1 brand use $1,000 HSA
Rxs per month, 2 seed money
urgent care visits reducing cost to
plus annual payroll $6,809)
contributions)
Best-Case Scenario $5,858 $3,493
Max Expenses
(no claims except
preventive care
covered at 100% plus
annual contributions)
In the above example, you can compare the annual costs associated with
the PPO Plan and the HDHP/HSA Plan for family coverage. Listed are
the annual premiums, out-of-pocket maximums, and HSA seed money
(HDHP/HSA Plan only). These are applied to a worst-case scenario, an
average scenario and a best-case scenario, so you can compare plan
costs depending on how much you use the plan. In each scenario, the
HDHP/HSA Plan costs less money on an annual basis than the PPO plan.
Please note that actual savings can vary depending on each families
healthcare utilization.
Tacony Corporation 7
