Page 7 - 2016 Enrollment
P. 7
American Food & Vending
HSA Overview
Webinar Options Available
Who Can Take Part in This Option? November 10
Covered by the CDHP option through AFV 9:30 a.m. EST
Not covered by other health insurance 888.875.1606
PIN: 8123129
Not enrolled in Medicare November 17
Cannot be claimed on someone else’s tax return as a dependent 2:00 p.m. EST
PIN: 8123129
Good Things to Know About Your HSA
If you don’t spend all the money you set aside this year, it can roll A link to the webinar can be found in
over into the next year your beneits enrollment section of
iSolved
If you leave AFV, your account is portable and yours to keep
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
UHC Member
Service Negotiated Cost Member Cost
Rate Current CDHP Plan
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 $2,450 $1,330 $2,050
AFV annual contribution to HSA $0 $750
Annual EE contribution $8,852 $7,455
Total EE out-of-pocket cost $10,182 $8,755
Difference—CDHP to current plan -$1,427
Example 2—Heavy User of Care—Individual
Member
UHC Cost Member Cost
Service Negotiated 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 $16,168 $4,500 $5,200
AFV annual contribution to HSA $0 $500
Annual EE contribution $3,346 $2,523
Total EE out-of-pocket cost $7,846 $7,223
Difference—CDHP to current plan -$624 7
HSA Overview
Webinar Options Available
Who Can Take Part in This Option? November 10
Covered by the CDHP option through AFV 9:30 a.m. EST
Not covered by other health insurance 888.875.1606
PIN: 8123129
Not enrolled in Medicare November 17
Cannot be claimed on someone else’s tax return as a dependent 2:00 p.m. EST
PIN: 8123129
Good Things to Know About Your HSA
If you don’t spend all the money you set aside this year, it can roll A link to the webinar can be found in
over into the next year your beneits enrollment section of
iSolved
If you leave AFV, your account is portable and yours to keep
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
UHC Member
Service Negotiated Cost Member Cost
Rate Current CDHP Plan
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 $2,450 $1,330 $2,050
AFV annual contribution to HSA $0 $750
Annual EE contribution $8,852 $7,455
Total EE out-of-pocket cost $10,182 $8,755
Difference—CDHP to current plan -$1,427
Example 2—Heavy User of Care—Individual
Member
UHC Cost Member Cost
Service Negotiated 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 $16,168 $4,500 $5,200
AFV annual contribution to HSA $0 $500
Annual EE contribution $3,346 $2,523
Total EE out-of-pocket cost $7,846 $7,223
Difference—CDHP to current plan -$624 7
