ÁǓǘƫǓǯƎǻǘȪǘNjǓȴNJȅȣÇȅȽ ܦ Jack is single and considers himself healthy. He doesn't have any health conditions or takes any prescription drugs on a regular basis. He gets a flu shot every year and sees his primary care physician for an annual preventive exam and health screening. He doesn't anticipate the need for any other medical care. Jack's interested in the Cigna Choice Fund HSA Plan because the bi-weekly payroll contributions are lower and MAA will make contributions to his HSA that he can use for unplanned medical expenses in the future.
Cigna Choice Fund HRA Plan
Cigna Choice Fund HSA Plan
Bi-Weekly Medical Premium (Less than 2 years of service & doesn't use tobacco) Annual Medical Premiums (26 pay periods)
$88
$59.10
$2,288
$1,536.60
MAA Annual Contribution to HSA/HRA Motive Me Wellness Incentives Earned (contributed to HSA/HRA)
None
$250
$175
$350
Jack's Out-of-Pocket Expenses (assume Jack goes in-network for all medical care)
Deductible $1,500
Deductible $2,000
Coinsurance 20%
Coinsurance 20%
Jack's Medical Care & Prescriptions
Copay
Copay
1 preventative adult exam and health screening (assumes $347 in provider & lab changes) *Jack earns Motivate Me Wellness Incentives 1 sick visit with primary care physician (assumes $197 office visit charge)
$0
$0
$0
n/a
$0
$0
$30
$0
$0
n/a
$197
$0
1 retail generic prescription drug (assumes $20 for 30-day supply)
$0
$0
$4
n/a
$20
$0
1 preventive flu shot at CVS Minute Clinic *Jack earns a Motivate Me Wellness Incentive Total Combined Out-of-Pocket Costs for Medical Care & Prescriptions (all can be paid with HSA/HRA funds)
$0
$0
$0
n/a
$0
$0
$34
$217
Total Annual Payroll Contribution
$2,288
$1,536.60
Total Annual Payroll Contributions + Jack's Total Out-of-Pocket Expenses
$2,322
$1,753.60
Total Costs Net of HSA/HRA Funds
$2,288
$1,536.60
He's elected the Choice Fund HSA Plan . Under this plan, his payroll contributions and out-of- pocket expenses were the lowest of the two options. Jack used $217 of the $600 that MAA contributed to his HSA to pay his out-of-pocket expenses and the remainder of the money will carry over to next year. WƎƫǪ ݖ Ȫ ǓȅǘƫƷ
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