Lupin 2024-2025 OE Presentation

Understanding Your Medical Costs

Throughout the year Gina had multiple medical services performed. The total of all services was $50,000. She wants to know how much she is responsible for. *Based on Single Coverage in-network Scenario 3: Maximum Out of Pocket Member is only responsible up to the maximum out of pocket amount for the plan year.

Choice POS: The maximum out of pocket would apply. Member responsibility: $2,500  Annual Premiums $1,596; Total Cost $4,096

Choice POS w/ HSA I: The maximum out of pocket would apply. Member responsibility with an HSA account: $5,000  Lupin provides $750 into HSA Total member responsibility $4,250

Annual Premiums $432; Total Cost $4,682 (there are Rx co-pays)

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