ODP - WellBalanced Benefits

Meet Alex

Alex es soltero. No fuma y se realiza su examen físico anual. Utiliza médicos y farmacias dentro de la red. Alex tiene un año bastante tranquilo.

Echemos un vistazo…

Cost

Él recibe su examen físico anual gratuito.

$80
¡100% pagado por la empresa!

Alex acude al médico una vez por una faringitis estreptocócica. El médico le receta dos medicamentos genéricos que él retira en la farmacia.

1 visita de $100 x 1
2 genéricos de $20 x 2

Acude a una clínica de atención urgente tras una lesión deportiva y se realiza una radiografía en un centro externo.

$90 por visita x 1
$150 por radiografía x 1

Alex consulta a un especialista dos veces durante su recuperación tras la lesión.

Visita de $140 x 2

Alex's total expenses

Alex has incurred a total of $1,250 in expenses from providers and services. Now, let's see which plan would have been better for Him!

$1,250

in total expenses

Wait!

We also need to remember that Alex has been paying for medical coverage from His paycheck too and contributing to her HSA in those plans. We'll add that in.

Remember, Alex incurred $1,250 in total expenses from providers and services.

In the HSA plans, Alex pays for his care out-of-pocket, while in the PPO plan, he pays copays for most of his care.

HSA Basic

HSA Plus

PPO

Costs paid by Alex

$1,125

$520

Paycheck contributions

$360

$648

$3,830

Alex's HSA contributions

$250

$500

N/A

Company HSA contributions

($250)

($500)

N/A

And the winner is...

The HSA Basic is the winner for Alex!