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Health Plan Options Informational Sessions November 2012. Agenda. Overview of Health Plans Prescription Drug Coverage 2013 Health Premiums Health Care Flex Spending Account Health Savings Account (HSA) Out-of-Pocket Cost Comparisons. Health Plans. United HealthCare (UHC) Choice HMO
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Health Plan Options Informational Sessions November 2012
Agenda • Overview of Health Plans • Prescription Drug Coverage • 2013 Health Premiums • Health Care Flex Spending Account • Health Savings Account (HSA) • Out-of-Pocket Cost Comparisons
Health Plans • United HealthCare (UHC) Choice HMO • United HealthCare Choice Plus POS • Anthem Blue Cross Excel PPO • Anthem Blue Cross Basic PPO • UHC High Deductible Health Plan (HDHP)
All Health Plans • No pre-existing condition limitations • No lifetime maximum benefit • No requirement for referral from a primary care physician to see a specialist • Coverage under health plan automatically includes coverage under the prescription drug, dental, and basic vision plans
United HealthCare HDHP • Separate In-Network and Out-of-Network deductibles • Family deductible applies if you cover one or more family members • Family deductible must be fully met even if only one family member utilizes the plan • Deductible and co-insurance apply to prescription drugs (no co-pays)
Health Care Flex Spending Account (FSA) WAGE WORKS
Health Savings Account (HSA) US BANK
Scenario #1: Single Employee (Income >$35,000) – Generally Healthy * Tax savings will vary based on your current FSA contribution and medical plan election.
Scenario #2: Employee Plus Spouse (income >$35,000) – Having First Baby in June * Tax savings will vary based on your current FSA contribution and medical plan election.
Scenario #3: Employee Plus Spouse (income >$35,000) - Elective Surgery for Family Member * Tax savings will vary based on your current FSA contribution and medical plan election.
Scenario #4: Employee Plus Family with Two Children – One child has a sports injury, the other child has asthma * 4 specialist visits, 8 physical therapy sessions ** Tax savings will vary based on your current FSA contribution and medical plan election.