Page 10 - 2017 Benefits Enrollment
P. 10
Annual
Enrollment
Lowest
Cost
Opion
Choosing the Right Alex Smith Premium Enhanced Standard HDHP
Ok beneitsPLUS—I’m
Medical Plan 29 years old and PPO PPO PPO PPO
single. I go for an In-network annual Free Free Free Free
physical: $286
It’s important to choose the annual physical and 1 in-network $50 $50 $50 $120
medical plan which best meets I visited the Urgent Urgent Care visit: copay copay copay (ded.)
your speciic needs. Take into Care one ime last $120 Total Responsibility for Alex
account your medical expenses year because of a Total Out of
during 2016 and your anicipated basketball injury. I’m Pocket Expenses: $50 $50 $50 $120
expenses for 2017 for you and in the Enhanced PPO, Annual Payroll
your family. The examples shown am I over insured? Deducion (EE $3,027 $2,209 $1,322 $699
Only)
may help you decide. Alex, yes you are Company HSA
over insured in the Contribuion N/A N/A N/A ($500)
Enhanced PPO. Based Alex Total Cost $3,077 $2,259 $1,372 $319
on your typical cost
of care, you could aford a plan with higher upfront costs with a lower
employee contribuion to balance out your total costs.
Karen Jones Lowest
Cost
Opion
beneitsPLUS—I have Premium Enhanced Standard HDHP
3 kids and a husband PPO PPO PPO PPO
on the Premium 5 in-network PCP $150 $150 $150 $550
(ded.)
total
total
PPO, we have tons of visit: $550 total $750 total $750 $3,000
3 ER visits: $3,000
$750
costs each year! We total total total total (ded.)
had 3 ER visits and Total Responsibility for Karen
lots of PCP visits last Total Out of $900 $900 $900 $3,550
year when my enire Pocket Expenses:
Annual Payroll
household got the lu Deducion $12,535 $8,525 $4,980 $3,116
for 2 months. (Family)
Karen, you are Company HSA N/A N/A N/A ($1,000)
Contribuion
potenially over Karen Total Cost $13,435 $9,425 $5,880 $5,666
insured in the
Premium PPO. With a family, we understand your healthcare costs could
luctuate greatly from year to year. Maybe next year you won’t have any
ER visits and you’ll be able to use our virtual visit opion—we certainly hope
so! But you probably need a plan with some upfront protecion for your
cost of care. The Standard or Enhanced Plan ofer similar coverage that can
meet your needs for a lower employee contribuion.
Notes:
f Please note the costs for the various services used to create the preceding scenarios are for
illustraive purposes only. Actual costs may difer the type of care or services provided.
f The HDHP PPO features a non-embedded deducible; if you cover one or more dependents
the full family deducible must be saisied by one or more family members before cost sharing
(coinsurance) begins.
10
Enrollment
Lowest
Cost
Opion
Choosing the Right Alex Smith Premium Enhanced Standard HDHP
Ok beneitsPLUS—I’m
Medical Plan 29 years old and PPO PPO PPO PPO
single. I go for an In-network annual Free Free Free Free
physical: $286
It’s important to choose the annual physical and 1 in-network $50 $50 $50 $120
medical plan which best meets I visited the Urgent Urgent Care visit: copay copay copay (ded.)
your speciic needs. Take into Care one ime last $120 Total Responsibility for Alex
account your medical expenses year because of a Total Out of
during 2016 and your anicipated basketball injury. I’m Pocket Expenses: $50 $50 $50 $120
expenses for 2017 for you and in the Enhanced PPO, Annual Payroll
your family. The examples shown am I over insured? Deducion (EE $3,027 $2,209 $1,322 $699
Only)
may help you decide. Alex, yes you are Company HSA
over insured in the Contribuion N/A N/A N/A ($500)
Enhanced PPO. Based Alex Total Cost $3,077 $2,259 $1,372 $319
on your typical cost
of care, you could aford a plan with higher upfront costs with a lower
employee contribuion to balance out your total costs.
Karen Jones Lowest
Cost
Opion
beneitsPLUS—I have Premium Enhanced Standard HDHP
3 kids and a husband PPO PPO PPO PPO
on the Premium 5 in-network PCP $150 $150 $150 $550
(ded.)
total
total
PPO, we have tons of visit: $550 total $750 total $750 $3,000
3 ER visits: $3,000
$750
costs each year! We total total total total (ded.)
had 3 ER visits and Total Responsibility for Karen
lots of PCP visits last Total Out of $900 $900 $900 $3,550
year when my enire Pocket Expenses:
Annual Payroll
household got the lu Deducion $12,535 $8,525 $4,980 $3,116
for 2 months. (Family)
Karen, you are Company HSA N/A N/A N/A ($1,000)
Contribuion
potenially over Karen Total Cost $13,435 $9,425 $5,880 $5,666
insured in the
Premium PPO. With a family, we understand your healthcare costs could
luctuate greatly from year to year. Maybe next year you won’t have any
ER visits and you’ll be able to use our virtual visit opion—we certainly hope
so! But you probably need a plan with some upfront protecion for your
cost of care. The Standard or Enhanced Plan ofer similar coverage that can
meet your needs for a lower employee contribuion.
Notes:
f Please note the costs for the various services used to create the preceding scenarios are for
illustraive purposes only. Actual costs may difer the type of care or services provided.
f The HDHP PPO features a non-embedded deducible; if you cover one or more dependents
the full family deducible must be saisied by one or more family members before cost sharing
(coinsurance) begins.
10
