Jill needs to cover herself and two children. Although no one in Jill ’s family has a medical condition, she anticipates her children will have illnesses, a visit to the emergency room, and everyone will obtain their preventive care exams, screenings and flu shots. Jill is interested in the Cigna Choice Fund HRA Plan because she wants to pay the least amount out of pocket when she uses the plan, even if that means she has to pay more in premiums every pay period.
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)
$166.03
$128.13
$4,316.78
$3,331.38
MAA Annual Contribution to HSA/HRA Motive Me Wellness Incentives Earned (contributed to HSA/HRA)
$250
$500
$175
$350
Jill 's Out-of-Pocket Expenses (assume Jill goes in-network for all medical care)
Deductible $1,500/$3,000
Coinsurance 20%
Deductible $4,000
Coinsurance 20%
Jill 's Medical Care & Prescriptions
Copay
Copay
1 preventive adult exam and health screening (assumes $347 in provider & lab changes) *Jill earns Motivate Me Wellness Incentives 2 preventive well child exams (assumes $197 office visit charge per visit) 6 sick and follow up visits with primary care physician for Jill 's children (assumes $247 office visit charge) 1 emergency room visit for Jill 's child (assumes $1,000 in charges) 4 preventive brand medications (assumes $50 each for 30-day supply) 3 preventative flu shot at CVS Minute Clinic *Jill earns a Motivate Me Wellness Incentive
$0
$0
$0
n/a
$0
$0
$0
$0
$0
n/a
$0
$0
6 visits, $247= $1,482
6 copay $30=$180
$0
$0
n/a
$0
$0
$1,000
$0
n/a
$1,000
$0
30% coinsurance =$15 x 4 =$60
$0
$0
n/a
$200
$0
$0
$0
$0
n/a
$0
$0
3 MDLive consultations (assumes $45 each)
3 visits, $45=$135
$0
$0
$0
n/a
$0
Total Combined Out-of-Pocket Costs for Medical Care & Prescriptions (all can be paid with HSA/HRA funds)
$1,240
$2,817
Total Annual Payroll Contribution
$4,316.78
$3,331.38
Total Annual Payroll Contributions + Jill 's Total Out-of-Pocket Expenses
$5,556.78
$6,148.38
Total Costs Net of HSA/HRA Funds
$5,131.78
$5,298.38
Jill elected the Choice Fund HRA Plan . Under this plan, her payroll contributions and out-of-pocket expenses were the lowest of the two options by $166.60. All of the money that MAA contributed to her HRA was used toward her out-of-pocket expenses. Jill’s Choice
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