Health Care Consumerism 101. Agenda Consumer Directed Health Care Medical Plan Options Tax Deferred Savings HSA FSA Tools and Resources Questions and.

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Presentation transcript:

Health Care Consumerism 101

Agenda Consumer Directed Health Care Medical Plan Options Tax Deferred Savings HSA FSA Tools and Resources Questions and Answers

We’re all in this together Total cost of our health care in 2015 exceeds $2 million We all share in the cost When we spend more, we all pay more When we spend less, we all pay less Being wise consumers of health care helps all of us!

con·sum·er (noun) kən ˈ soomər/ 1. a person who purchases goods and services for personal use. con·sum·er·ism (noun) kən ˈ soomə ˌ rizəm 1. the protection or promotion of the interests of consumers. 4

Consumerism Puts your needs first Allows you to be active in your health care decisions Helps you spend your health care dollars wisely Empowers you to take charge of your health

Ask Questions Before agreeing to a procedure or service, find out about less-expensive alternates Discuss generic equivalents of brand name drugs Consider virtual care or convenience care Find out if outpatient services are available Save the Emergency room for true emergencies

Pick Up the Phone or Hop Online Find out the price of services and procedures ahead of time Comparison shop Ask about discounts and reduced rates

Develop a Healthy Lifestyle Eat fresh foods, rather than processed or “fast” foods Exercise regularly Brush your teeth twice a day and floss daily Don’t smoke or use tobacco products

If other prices had grown as quickly as healthcare costs since 1945… a dozen eggs would cost $55 a gallon of milk would cost $48 a dozen oranges would cost $134 Source: Statistical Abstract of the U.S.; National Health Expenditures (1945, 2011) Healthcare is Expensive

Variation means affordable options exist Contracted Allowable Costs for Shoulder Arthroscopy

Medical Plan Options

Consumer Driven Health Plan Offered in conjunction with a vehicle that allows tax free savings/spending Encourages consumerism Gives you control over decision making & spending

Tax Deferred Savings/spending – HSA or FSA Contributions lower your taxable income Tax free savings & spending Spend your health care dollars wisely Withdraw funds tax-free

FSA - Tax Free Spending

Flexible Spending Accounts $5,000 Annual maximum for Dependent Care Expenses $2,550 Annual maximum for Medical FSA

Health Savings Account Limits 2015 IRS Maximum Investment $3,350 Single Coverage $6,650 Family Coverage District Contributions Based on plan and coverage level HSA contributions reduce your taxable income and can be spent tax free on qualified medical, dental and vision expenses Coverage TypeCore PlanBuy-Down Single$1,250$1, Family$2,500$2, See pages 6 & 7 of Benefit Decision Guide

Consider your Care Options Medica CallLink Virtual care Convenience care Traditional office visit Urgent care Emergency care

Compare Prices – mainstreetmedica.com

Virtual Visits –

Convenience Care – healthcare311.com

Compare Prices – mainstreetmedica.com

Maximize Drug Spending – walgreens.com

2014 Medica Health Rewards Complete this ActionEarn your Reward Create our Personal Health Profile$20 gift card Complete eight online health topics$40 gift card Participate in health coaching$75 gift card More than $12,000 in rewards waiting to be paid! Medica - My Health Rewards

2015 Medica Health Rewards Take advantage of Fit Choices too

Thank you! Questions