If you’re still scratching your head about which plan to pick, we’ve put together a few examples that illustrate the difference in cost for people who have low, medium, and high medical plan usage and the costs they might incur.
Aubrey is a marathon runner and doesn’t typically have many medical expenses. This year she’s had one office visit for a bad cold that cost $150 and no other medical expenses.
|
Individual Coverage |
PPO |
HDHP |
|
Copays (including Rx) |
$15 |
$0 |
|
Deductibles |
$0 |
$150 |
|
Coinsurance |
$0 |
$0 |
|
Total Aubrey owes in medical expenses |
$15 |
$150 |
|
Sportradar HSA contribution |
$0 |
$250 |
|
Annual premiums |
$1,169 |
$0 |
|
Total employee out-of-pocket cost this year |
$1,184 |
$0 |
In the above example, Aubrey can save $1,184 in annual medical expenses by enrolling in the HSA plan. In addition to saving money in out-of-pocket costs, she is able to save $100 of Sportradar’s contribution to the HSA—on top of her own contributions, if any—for future medical expenses.
The Smith family is having their second baby. Throughout the year, the family has multiple office visits, prescriptions and expenses associated with a healthy child birth.
|
Family Coverage |
PPO |
HDHP |
|
Copays (including Rx) |
$120 |
$0 |
|
Deductibles |
$1,000 |
$3,000 |
|
Coinsurance |
$2,380 |
$500 |
|
Total the Smiths owe in medical expenses |
$3,500 |
$3,500 |
|
Sportradar HSA contribution |
$0 |
$500 |
|
Annual premiums |
$3,593 |
$0 |
|
Total employee out-of-pocket cost this year |
$7,093 |
$3,000 |
In the above example, the Smith family can save $4,093 in annual medical expenses by enrolling in the HSA plan assuming they use the $500 of Sportradar’s contribution to their HSA to pay for medical costs.
Luke suffers from anxiety. He treats his anxiety by having regular therapy sessions and medication.
|
Individual Coverage |
PPO |
HDHP |
|
Copays (including Rx) |
$390 |
$0 |
|
Deductibles |
$0 |
$1,500 |
|
Coinsurance |
$0 |
$600 |
|
Total Aubrey owes in medical expenses |
$390 |
$2,100 |
|
Sportradar HSA contribution |
$0 |
$250 |
|
Annual premiums |
$1,169 |
$0 |
|
Total employee out-of-pocket cost this year |
$1,559 |
$1,850 |
In the above example, Luke can save $291 in annual medical expenses by enrolling in the PPO plan.