Page 4 - 2016 Enrollment
P. 4
4
Two Plans to Choose from in 2016
The HDP plan and the POS After you meet your deductible, the plan pays 80 percent of your medical
plan utilize the UnitedHealthcare costs and you pay 20 percent of eligible expenses for the remainder of
(UHC) Choice Plus POS Network. the year. If you reach the out-of-pocket maximum, the plan pays the rest
of your covered charges at 100 percent for the rest of the year.
High Deductible Plan
The HDP has a fundamentally New for 2016, the HDP will have an embedded deductible. This means
different approach to healthcare if you are covering dependent(s), only one member is required to reach
in which you have greater control the single deductible (or out-of-pocket maximum) before coinsurance is
over how your healthcare dollars applied.
are spent. Preventive care and You can make pre-tax contributions to help pay for covered medical
preventive prescriptions are expenses. You even have the ability to roll over any unused HSA funds for
covered at 100 percent for in- future covered medical expenses.
network providers. The plan has
a higher deductible than the POS Point of Service Plan
plan, but also offers an HSA in
which you can save money for With the POS plan when you receive care from an in-network provider,
current and future covered medical you pay a copayment for certain services (primary care, specialist, etc.).
expenses. After you meet your deductible, you are still responsible for copayments
and the plan pays 80 percent of your medical costs and you pay 20
percent of eligible expenses for the remainder of the year. If you reach
the out-of-pocket maximum, the plan pays the rest of your covered
charges at 100 percent for the rest of the year. Preventive care is covered
at 100 percent for in-network providers. The POS plan continues to
remain an embedded deductible.
How the Medical Plans Compare
Each plan has its advantages. As a consumer of healthcare, you will want
to consider which components are most important to you.
The chart on the following page provides you with a list of key qualities
and features of both plans.
Note: Savings in the form of premiums and HSA contributions vary for
part-time employees reaching the wellness credit goal.
Thompson Coburn LLP
Two Plans to Choose from in 2016
The HDP plan and the POS After you meet your deductible, the plan pays 80 percent of your medical
plan utilize the UnitedHealthcare costs and you pay 20 percent of eligible expenses for the remainder of
(UHC) Choice Plus POS Network. the year. If you reach the out-of-pocket maximum, the plan pays the rest
of your covered charges at 100 percent for the rest of the year.
High Deductible Plan
The HDP has a fundamentally New for 2016, the HDP will have an embedded deductible. This means
different approach to healthcare if you are covering dependent(s), only one member is required to reach
in which you have greater control the single deductible (or out-of-pocket maximum) before coinsurance is
over how your healthcare dollars applied.
are spent. Preventive care and You can make pre-tax contributions to help pay for covered medical
preventive prescriptions are expenses. You even have the ability to roll over any unused HSA funds for
covered at 100 percent for in- future covered medical expenses.
network providers. The plan has
a higher deductible than the POS Point of Service Plan
plan, but also offers an HSA in
which you can save money for With the POS plan when you receive care from an in-network provider,
current and future covered medical you pay a copayment for certain services (primary care, specialist, etc.).
expenses. After you meet your deductible, you are still responsible for copayments
and the plan pays 80 percent of your medical costs and you pay 20
percent of eligible expenses for the remainder of the year. If you reach
the out-of-pocket maximum, the plan pays the rest of your covered
charges at 100 percent for the rest of the year. Preventive care is covered
at 100 percent for in-network providers. The POS plan continues to
remain an embedded deductible.
How the Medical Plans Compare
Each plan has its advantages. As a consumer of healthcare, you will want
to consider which components are most important to you.
The chart on the following page provides you with a list of key qualities
and features of both plans.
Note: Savings in the form of premiums and HSA contributions vary for
part-time employees reaching the wellness credit goal.
Thompson Coburn LLP
