Products & Services - Traditional vs. HSA
Bowling Franklin & Co., LLP
Traditional vs. HRA & HSA
Solutions such as the Health Reimbursement Arrangements (HRA) and Health Savings Accounts (HSA) are designed to improve health insurance programs. These plans can significantly offset rising premiums, eliminating the need to reduce benefits and encouraging employees to be more responsible by taking an active part in their health care issues.
Whether our Consumer-Driven Health Care products will be a good fit for your company and its employees depends on the math and the leadership philosophy. We can help you decide. We would appreciate the opportunity to meet with you to further discuss these options.
Please contact us to find out how to get more information on HRA and HSA plans.
Individual Coverage
Illustration shows Family coverage is based on 5 in family unit.
| PPO | HSA |
|---|---|
| $5,000,000 lifetime maximum benefit | $5,000,000 lifetime maximum benefit |
| $20 doctor office visit
$30 Specialists $300 Deductible per person $600 Family deductible aggregate |
Doctor office visit fees included in deductible.
$2,400 Maximum Family Deductible All Medical expenses are treated as part of the deductible. |
| Rx (Prescription Drugs)
60% Anthem pays $10 or 40% Insured pays |
All Rx (Prescription Drug) expenses are run through the deductible, until deductible is met then insured pays full cost up front & Anthem reimburse 60% of Rx costs. |
| Co-Insurance
(paid after deductible is met) 80% Anthem pays 20% Insured pays Max Co-Ins. Insured pays $1,500 $3,000 per Family Max out of pocket is $3,600 per family (includes deductible & excludes Rx expenses) |
Co-Insurance
(paid after deductible is met) 80% Anthem pays 20% Insured pays Max Insured pays out of pocket (excluding Rx) is $6,000 per family which includes the deductible. |
| Contributions: Max Annual $2,400.00 Max Monthly: $200.00 |
|
| Annual Premium: $8,640.00
Monthly Premium: $720.00 |
Annual Premium: $3,276.00 includes fees
Monthly Premium: $273.00 includes fees |
| $5,364.00 Annually
$447.00 Monthly |
Best Case - not reaching maximum out of pocket expense limit. |
|---|---|
| $2,964.00 Annually
$247.00 Monthly |
Worst Case - maximum out of pocket expense limit reached in calendar year. |