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Medical Insurance Regence Blue Cross/Blue Shield of Utah, 2 Options

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Presentation on theme: "Medical Insurance Regence Blue Cross/Blue Shield of Utah, 2 Options"— Presentation transcript:

1 Medical Insurance Regence Blue Cross/Blue Shield of Utah, 2 Options
$500 DEDUCTIBLE plan/3 individuals Individual Out of pocket max $4,000 Family Out of pocket max $8,000 NO Annual Maximum Option 2 HDHP/HSA Combination $1,500 DEDUCTIBLE single coverage Out of pocket max $4,000 (Inc. DED) $3,000 DEDUCTIBLE 2-party or family coverage Out of pocket max $8,000 (Inc. DED)

2 2013 Plan Changes $500 Deductible
ITEM 2012 2013 Annual Out of Pocket Maximum Individual/Family $1,500/$4,500 $4,000/$8,000 Emergency Room Copay $100 $250 Prescriptions (Rx) Generic Formulary Non-Formulary $7.00 20% 35% $15.00 25% 45% EMPLOYEE PREMIUM CONTRIBUTION CHANGES Individual 2-Party Family $30.90 $55.15 $73.00 $33.00 $59.55 $79.00

3 Examples of $500 vs. HDHP $125.70 difference!!! $10.70 difference!!!
$500 Coverage HDHP Coverage #1 - Month Two Dr. Visits Dr. visit = $130 x 2 = $260 $ difference!!! $20 copay (after tax $) $95.70 premium difference ($135.70) Total spent for the month for healthcare $ Dr. Visit ($250)HSA County contribution $10.00 Total Spending for the month (No Tax paid)! #2 - Month 1 Dr. Visit = $130 $300 Rx (Formulary) $10.70 difference!!! $75 for Rx (after tax $) ($190.70) Total spent for the month for healthcare $0 applied to deductible $130* Dr. Visit $300* for Rx ($180.00) Total *450 applied to deductible! #3 - Annual $5,000 Broken Arm $600 5 Office Visits $4,400 Surgery $10,000 Annual Expense $3, difference!!! Broken Arm: $500 Deductible $1,200 ($250 ER copay+20%) Office Visits: $100 ($20 copay x 5) Surgery: $880 (20%) $1, premium difference ($4,828.40) Total $3,000* deductible $1,400 co. (20% of $7,000) $4,400 ($3,000) HSA UC Cont. ($1,400.00) Total *Family Deductible is met & $ applied toward OOP Max.

4 Why have a consumer-driven health plan?
YOU make all contributions & forfeit at the end of the year. Incentive to USE $ (or you will lose it) Flexible Spending Account (FSA) Traditional Healthcare Traditional Health Plan Incentive to USE $ and Insurance VS. Your Account $ rolls over year to year Part 1 Health Savings Account (HSA) Incentive to SAVE $ - You & your employer contribute pre-tax dollars HSA Concept Part 2 High Deductible Health Plan (HDHP) Incentive is to focus on PREVENTATIVE CARE and have coverage for major medical expenses.

5 Health Savings Account (HSA) – What is it?
Uintah County contributes money on a monthly basis MAKING IT A $0 DEDUCTIBLE PLAN!!! A bank account in YOUR name You can contribute PRE-TAX dollars through payroll Receive a Debit Card (use as a credit card, no fee) Checks (50 for $7.95) $2.25 monthly admin fee (waived after you have $3,000 in account) Track spending online, keep records, tax forms Use for health, dental and vision expenses or supplemental income upon retirement Visit for more information

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10 Status Changes Marriage, Divorce, dependent marriage, etc.
Change dependents AND beneficiaries 30 Days from EFFECTIVE DATE Materials & Forms Open enrollment ends December 14, 2012

11 Enrollment Medical Insurance Flexible Spending Account/Cafeteria Plan
All employees MUST complete and submit new forms by FRIDAY DECEMBER 14, 2012: Medical Insurance $500 deductible HDHP/HSA enroll online with/without assistance for no fee, $22 processing fee otherwise Must have account Must have information, SSN, spouse SSN, DL# Waive Insurance altogether Flexible Spending Account/Cafeteria Plan Enroll Waive Other forms Available upon request


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