SlideShare ist ein Scribd-Unternehmen logo
1 von 18
Benecaid Health Benefits Opening the Door to New Opportunities September 30 , 2010
Who is Benecaid? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benefits of Partnering with Benecaid
Benecaid’s Product Offerings Benecaid Health Spending Account ®
Benecaid’s HSA and hsa complete Benecaid Health Spending Account ® ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benecaid Health Spending Account ®   How it Works Employer/Business Owner Benecaid Health Spending Account ® Employee #3 Employee #2 Employee #1 Health and dental treatments performed, prescribed and/or dispensed by a  licensed  medical practitioner or pharmacist ,[object Object],[object Object],[object Object],Eligible expenses include, but are not  limited to: Deposits pre-tax dollars Use pre-tax dollars Use pre-tax dollars Use pre-tax dollars
Which HSA is right for your customer?   Health & Welfare Trust (HWT) Private Health Services Plan (PHSP) Incorporated Business Non-incorporated Business (No employees) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Non-incorporated Business (With Employees) Owner Employees
HSA Case Study Typical Services Costs in 2010 Chiropractor $350 Massage $200 Dental $250 Laser Eye Surgery $4,200 TOTAL:  $5,000 Without an HSA Gross income required:  $9,000 (assumes $4,000 in source deductions) With a Benecaid Health Spending Account Gross income required: $5,600 (cost of services plus admin fees & taxes) SAVINGS TO HSA Holder: $3,400 Save on healthcare services
Advantages of a Benecaid HSA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Benecaid’s Differentiators
hsa complete™ Insurance coverage for the unexpected and catastrophic ,[object Object],[object Object],[object Object],[object Object],Coverage Benecaid hsa complete ™ Monthly premium (per family of 4) $75/month** Medical questionnaire Required Age requirement <60 Prescription drugs $25,000 pp/year $500 deductible per family Semi-private hospital No per day maximum Accidental dental $5,000 pp/year Private duty nurse $10,000 pp/year Out-of-country coverage $5 million (trips up to 30 days) Single: $4.06/month Family: $8.11/month Paramedical Can be paid for using HSA Vision Can be paid for using HSA Hearing aids Can be paid for using HSA Dental Can be paid for using HSA 80% less than  Competitors’ plans 2 ½ times more prescription drugs Choice & Flexibility
Benecaid’s Product Offerings Benecaid Health Spending Account ® ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benecaid  Company/Plan Sponsor Insurance Company PROFITS EHC Dental Pays  premiums* Pays claims using premiums Unclaimed premiums Company/Plan Sponsor Funds held in reserve EHC Dental Pays  deposits Pays claims using deposits Unused deposits *includes estimated claims + administration fees + reserve funds + adjustments for trends & inflation + profit Traditional Insurance Plans Unused funds are reimbursed to the customer $$
Stop-Loss Explained
How does FlexStyle work? Claims paid using deposits : $4700 Remaining funds from deposits are held in reserve Total Claims:  $8950 Claims paid through insured portion : $4250 Plan Members John Bob & spouse Jill & family Joan Igor Blake $1000 $2000 $3000 DEDUCTIBLE $2500 $3200 $1550 $800 $400 $500 Amounts above the deductible are covered  through insured portion of plan Amounts below the deductible are covered by deposits Unspent deposits are returned to the customer
Benecaid flex style  case study Month Beg of Month  Monthly Payments Withdrawal Insurance Recovery EHC Claims Dental Claims Stop Loss  Admin  Fees Pooled Benefits Taxes Drug Card Fee Reserve Month End   Travel July 3,001.62  -    -  207.37  135.20  351.88  69.45  -  41.20  60.00  2,136.52  August 2,136.52  1,498.58  -  -  402.13  187.20  351.88  94.12  -  68.35    2,531.43  September 2,531.43  1,498.58    -  390.00  269.70  351.88  101.16  -  76.09    2,841.18  October 2,841.18  1,498.58    -  340.28  135.20  351.88  82.74  -  55.82    3,373.85  November 3,373.85  1,498.58    -  726.78  570.24  351.88  164.89  -  146.19    2,912.45  December 2,912.45  1,498.58    -  197.02  94.98  351.88  64.39  -  35.64    3,667.12  January 3,667.12  1,498.58  -  -  -  407.20  351.88  75.91  -  48.31    4,282.40  February 4,282.40  1,498.58  -  -  785.81  -  351.88  113.77  -  89.96    4,439.56  March 4,439.56  1,498.58  -  368.59  590.00  435.87  351.88  137.78  -  116.36    4,674.84  April 4,674.84  1,498.58  -  619.35  561.32  -  351.88  91.32  -  65.26    5,722.99  May 5,722.99  1,498.58  -  15.40  15.40  312.69  351.88  68.00  -  39.61    6,449.39  June 6,449.39  1,498.58  -    273.00  117.85  315.34  70.62  -  46.65    7,124.52                            Totals  14,985.80  -  1,003.34  4,489.11  2,666.13  4,186.02  1,063.51  -  782.79  60.00                              Claims Reserve Balance 7,124.52                              EHC claims - net of Insurance recovery 3,485.77  Dental Claims 2,666.13  Stop Loss  4,186.02  Pooled Benefits -  Adm+Taxes 1,846.30  Total Expenses  12,184.22  Average Monthly Expenses (Based on 12 months) 1,015.35
flex style  case study Employee claims activity ID Drug Paramedical Hospital Vision Orthopedic Footwear EHC Other Total EHC Total Dental Total Claims Deductible Insurance Recovery 1 2,288.34 715.00 0.00 0.00 0.00 0.00 3,003.34 293.26 3,296.60 2,000.00 1,003.34 2 0.00 273.00 0.00 200.00 0.00 400.00 873.00 603.48 1,476.48 2,000.00 0.00 3 131.97 0.00 0.00 330.80 0.00 0.00 462.77 736.00 1,198.77 2,000.00 0.00 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.87 435.87 2,000.00 0.00 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.47 344.47 2,000.00 0.00 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.05 253.05 2,000.00 0.00 7 0.00 150.00 0.00 0.00 0.00 0.00 150.00 0.00 150.00 2,000.00 0.00 2,420.31 1,138.00 0.00 530.80 0.00 400.00 4,489.11 2,666.13 7,155.24 1,003.34
flex style  case study - Results Benecaid flex style  vs previous provider EHC Dental Total # of EE Single  $  83.38  $  27.06  $  110.44  3 331.32  Family $  211.79  $  75.14  $  286.93  3 860.79  Monthly Total 1,192.11  With 8% PST 1,287.48  2 12 Months 15,449.75  Total Expenses To Date With Benecaid 12,184.22  Cost using Traditional Insurance (From Above) 15,449.75  Savings With Benecaid       3,265.53  21%
Why Benecaid?

Weitere ähnliche Inhalte

Was ist angesagt?

Medicare: The Essentials (July 2013)
Medicare: The Essentials (July 2013)Medicare: The Essentials (July 2013)
Medicare: The Essentials (July 2013)KFF
 
Simplyhealth Tesco Brochure
Simplyhealth Tesco BrochureSimplyhealth Tesco Brochure
Simplyhealth Tesco BrochureSimplyhealthUK
 
Recent Trends in Employer-Sponsored Health Insurance Premiums
Recent Trends in Employer-Sponsored Health Insurance PremiumsRecent Trends in Employer-Sponsored Health Insurance Premiums
Recent Trends in Employer-Sponsored Health Insurance PremiumsKFF
 
Medicare: An Overview
Medicare: An OverviewMedicare: An Overview
Medicare: An OverviewKFF
 
Dick gap3and4 generic powerpoint v9audio
Dick gap3and4 generic powerpoint v9audioDick gap3and4 generic powerpoint v9audio
Dick gap3and4 generic powerpoint v9audioDick Chelten
 
Cash Balance Plans Overveiw
Cash Balance Plans OverveiwCash Balance Plans Overveiw
Cash Balance Plans Overveiwalexdancy
 
Physicians and Medicare
Physicians and MedicarePhysicians and Medicare
Physicians and MedicareKFF
 
Ahel investor-presentation-sep18-inr
Ahel investor-presentation-sep18-inrAhel investor-presentation-sep18-inr
Ahel investor-presentation-sep18-inrDr Vikram.V
 
Ahi investor presentation deck march 2017
Ahi investor presentation deck   march 2017Ahi investor presentation deck   march 2017
Ahi investor presentation deck march 2017AgilityHealth
 
Ahi investor presentation deck march 2017
Ahi investor presentation deck   march 2017Ahi investor presentation deck   march 2017
Ahi investor presentation deck march 2017AgilityHealth
 
10 Essential Facts About Medicaer and Prescription Drug Spending
10 Essential Facts About Medicaer and Prescription Drug Spending10 Essential Facts About Medicaer and Prescription Drug Spending
10 Essential Facts About Medicaer and Prescription Drug SpendingKFF
 
Primary care practitioners’ perspectives on delivery system changes
Primary care practitioners’ perspectives on delivery system changesPrimary care practitioners’ perspectives on delivery system changes
Primary care practitioners’ perspectives on delivery system changesKFF
 

Was ist angesagt? (13)

Medicare: The Essentials (July 2013)
Medicare: The Essentials (July 2013)Medicare: The Essentials (July 2013)
Medicare: The Essentials (July 2013)
 
Simplyhealth Tesco Brochure
Simplyhealth Tesco BrochureSimplyhealth Tesco Brochure
Simplyhealth Tesco Brochure
 
Recent Trends in Employer-Sponsored Health Insurance Premiums
Recent Trends in Employer-Sponsored Health Insurance PremiumsRecent Trends in Employer-Sponsored Health Insurance Premiums
Recent Trends in Employer-Sponsored Health Insurance Premiums
 
Cms Hcspending
Cms HcspendingCms Hcspending
Cms Hcspending
 
Medicare: An Overview
Medicare: An OverviewMedicare: An Overview
Medicare: An Overview
 
Dick gap3and4 generic powerpoint v9audio
Dick gap3and4 generic powerpoint v9audioDick gap3and4 generic powerpoint v9audio
Dick gap3and4 generic powerpoint v9audio
 
Cash Balance Plans Overveiw
Cash Balance Plans OverveiwCash Balance Plans Overveiw
Cash Balance Plans Overveiw
 
Physicians and Medicare
Physicians and MedicarePhysicians and Medicare
Physicians and Medicare
 
Ahel investor-presentation-sep18-inr
Ahel investor-presentation-sep18-inrAhel investor-presentation-sep18-inr
Ahel investor-presentation-sep18-inr
 
Ahi investor presentation deck march 2017
Ahi investor presentation deck   march 2017Ahi investor presentation deck   march 2017
Ahi investor presentation deck march 2017
 
Ahi investor presentation deck march 2017
Ahi investor presentation deck   march 2017Ahi investor presentation deck   march 2017
Ahi investor presentation deck march 2017
 
10 Essential Facts About Medicaer and Prescription Drug Spending
10 Essential Facts About Medicaer and Prescription Drug Spending10 Essential Facts About Medicaer and Prescription Drug Spending
10 Essential Facts About Medicaer and Prescription Drug Spending
 
Primary care practitioners’ perspectives on delivery system changes
Primary care practitioners’ perspectives on delivery system changesPrimary care practitioners’ perspectives on delivery system changes
Primary care practitioners’ perspectives on delivery system changes
 

Ähnlich wie Benecaid Health Benefits Guide

Group Health Benefits: Health Care Update
Group Health Benefits: Health Care UpdateGroup Health Benefits: Health Care Update
Group Health Benefits: Health Care UpdateMary Hagan
 
Health Savings Accounts Nov 2008
Health Savings Accounts Nov 2008Health Savings Accounts Nov 2008
Health Savings Accounts Nov 2008MadelynHornstein
 
Powerpoint Community Flex
Powerpoint Community FlexPowerpoint Community Flex
Powerpoint Community FlexEd Stokes
 
Employee Benefit Guide Falcon
Employee Benefit Guide Falcon Employee Benefit Guide Falcon
Employee Benefit Guide Falcon Britton Gallagher
 
Implementing the Affordable Care Act
Implementing the Affordable Care Act Implementing the Affordable Care Act
Implementing the Affordable Care Act HGF2014
 
Affordable Healthcare
Affordable HealthcareAffordable Healthcare
Affordable HealthcareRiza
 
Future of healthcare
Future of healthcareFuture of healthcare
Future of healthcaredcp1256
 
GFOA June 2012 presentation
GFOA June 2012 presentationGFOA June 2012 presentation
GFOA June 2012 presentationLaurie Van Pelt
 
Retirement planning seminar, October 2014
Retirement planning seminar, October 2014Retirement planning seminar, October 2014
Retirement planning seminar, October 2014AvSuper
 
Client Presentation with Medicare 2023
Client Presentation with Medicare 2023Client Presentation with Medicare 2023
Client Presentation with Medicare 2023Ted Rosedale
 
Medicare 101 - February 2017 Update
Medicare 101 - February 2017 UpdateMedicare 101 - February 2017 Update
Medicare 101 - February 2017 UpdateMary Hagan
 

Ähnlich wie Benecaid Health Benefits Guide (20)

Group Health Benefits: Health Care Update
Group Health Benefits: Health Care UpdateGroup Health Benefits: Health Care Update
Group Health Benefits: Health Care Update
 
Clear view
Clear viewClear view
Clear view
 
Health Savings Accounts Nov 2008
Health Savings Accounts Nov 2008Health Savings Accounts Nov 2008
Health Savings Accounts Nov 2008
 
benefits.pdf
benefits.pdfbenefits.pdf
benefits.pdf
 
Powerpoint Community Flex
Powerpoint Community FlexPowerpoint Community Flex
Powerpoint Community Flex
 
Employee Benefit Guide Falcon
Employee Benefit Guide Falcon Employee Benefit Guide Falcon
Employee Benefit Guide Falcon
 
Sp+ power point presentation white
Sp+ power point presentation whiteSp+ power point presentation white
Sp+ power point presentation white
 
Implementing the Affordable Care Act
Implementing the Affordable Care Act Implementing the Affordable Care Act
Implementing the Affordable Care Act
 
Affordable Healthcare
Affordable HealthcareAffordable Healthcare
Affordable Healthcare
 
Future of healthcare
Future of healthcareFuture of healthcare
Future of healthcare
 
Health plan update 7 26-10
Health plan update 7 26-10Health plan update 7 26-10
Health plan update 7 26-10
 
Employee Benefit Guide GD
Employee Benefit Guide GDEmployee Benefit Guide GD
Employee Benefit Guide GD
 
GFOA June 2012 presentation
GFOA June 2012 presentationGFOA June 2012 presentation
GFOA June 2012 presentation
 
Fa e bxtra v2
Fa e bxtra v2 Fa e bxtra v2
Fa e bxtra v2
 
Retirement planning seminar, October 2014
Retirement planning seminar, October 2014Retirement planning seminar, October 2014
Retirement planning seminar, October 2014
 
Sp+ Presentation
Sp+ PresentationSp+ Presentation
Sp+ Presentation
 
Horan Power Point
Horan Power PointHoran Power Point
Horan Power Point
 
IDIC_Health_And_Wellness_Overview
IDIC_Health_And_Wellness_OverviewIDIC_Health_And_Wellness_Overview
IDIC_Health_And_Wellness_Overview
 
Client Presentation with Medicare 2023
Client Presentation with Medicare 2023Client Presentation with Medicare 2023
Client Presentation with Medicare 2023
 
Medicare 101 - February 2017 Update
Medicare 101 - February 2017 UpdateMedicare 101 - February 2017 Update
Medicare 101 - February 2017 Update
 

Benecaid Health Benefits Guide

  • 1. Benecaid Health Benefits Opening the Door to New Opportunities September 30 , 2010
  • 2.
  • 3. Benefits of Partnering with Benecaid
  • 4. Benecaid’s Product Offerings Benecaid Health Spending Account ®
  • 5.
  • 6.
  • 7.
  • 8. HSA Case Study Typical Services Costs in 2010 Chiropractor $350 Massage $200 Dental $250 Laser Eye Surgery $4,200 TOTAL: $5,000 Without an HSA Gross income required: $9,000 (assumes $4,000 in source deductions) With a Benecaid Health Spending Account Gross income required: $5,600 (cost of services plus admin fees & taxes) SAVINGS TO HSA Holder: $3,400 Save on healthcare services
  • 9.
  • 10.
  • 11.
  • 12. Benecaid Company/Plan Sponsor Insurance Company PROFITS EHC Dental Pays premiums* Pays claims using premiums Unclaimed premiums Company/Plan Sponsor Funds held in reserve EHC Dental Pays deposits Pays claims using deposits Unused deposits *includes estimated claims + administration fees + reserve funds + adjustments for trends & inflation + profit Traditional Insurance Plans Unused funds are reimbursed to the customer $$
  • 14. How does FlexStyle work? Claims paid using deposits : $4700 Remaining funds from deposits are held in reserve Total Claims: $8950 Claims paid through insured portion : $4250 Plan Members John Bob & spouse Jill & family Joan Igor Blake $1000 $2000 $3000 DEDUCTIBLE $2500 $3200 $1550 $800 $400 $500 Amounts above the deductible are covered through insured portion of plan Amounts below the deductible are covered by deposits Unspent deposits are returned to the customer
  • 15. Benecaid flex style case study Month Beg of Month Monthly Payments Withdrawal Insurance Recovery EHC Claims Dental Claims Stop Loss Admin Fees Pooled Benefits Taxes Drug Card Fee Reserve Month End   Travel July 3,001.62 -   - 207.37 135.20 351.88 69.45 - 41.20 60.00 2,136.52 August 2,136.52 1,498.58 - - 402.13 187.20 351.88 94.12 - 68.35   2,531.43 September 2,531.43 1,498.58   - 390.00 269.70 351.88 101.16 - 76.09   2,841.18 October 2,841.18 1,498.58   - 340.28 135.20 351.88 82.74 - 55.82   3,373.85 November 3,373.85 1,498.58   - 726.78 570.24 351.88 164.89 - 146.19   2,912.45 December 2,912.45 1,498.58   - 197.02 94.98 351.88 64.39 - 35.64   3,667.12 January 3,667.12 1,498.58 - - - 407.20 351.88 75.91 - 48.31   4,282.40 February 4,282.40 1,498.58 - - 785.81 - 351.88 113.77 - 89.96   4,439.56 March 4,439.56 1,498.58 - 368.59 590.00 435.87 351.88 137.78 - 116.36   4,674.84 April 4,674.84 1,498.58 - 619.35 561.32 - 351.88 91.32 - 65.26   5,722.99 May 5,722.99 1,498.58 - 15.40 15.40 312.69 351.88 68.00 - 39.61   6,449.39 June 6,449.39 1,498.58 -   273.00 117.85 315.34 70.62 - 46.65   7,124.52                           Totals 14,985.80 - 1,003.34 4,489.11 2,666.13 4,186.02 1,063.51 - 782.79 60.00                             Claims Reserve Balance 7,124.52                             EHC claims - net of Insurance recovery 3,485.77 Dental Claims 2,666.13 Stop Loss 4,186.02 Pooled Benefits - Adm+Taxes 1,846.30 Total Expenses 12,184.22 Average Monthly Expenses (Based on 12 months) 1,015.35
  • 16. flex style case study Employee claims activity ID Drug Paramedical Hospital Vision Orthopedic Footwear EHC Other Total EHC Total Dental Total Claims Deductible Insurance Recovery 1 2,288.34 715.00 0.00 0.00 0.00 0.00 3,003.34 293.26 3,296.60 2,000.00 1,003.34 2 0.00 273.00 0.00 200.00 0.00 400.00 873.00 603.48 1,476.48 2,000.00 0.00 3 131.97 0.00 0.00 330.80 0.00 0.00 462.77 736.00 1,198.77 2,000.00 0.00 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 435.87 435.87 2,000.00 0.00 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 344.47 344.47 2,000.00 0.00 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 253.05 253.05 2,000.00 0.00 7 0.00 150.00 0.00 0.00 0.00 0.00 150.00 0.00 150.00 2,000.00 0.00 2,420.31 1,138.00 0.00 530.80 0.00 400.00 4,489.11 2,666.13 7,155.24 1,003.34
  • 17. flex style case study - Results Benecaid flex style vs previous provider EHC Dental Total # of EE Single $ 83.38 $ 27.06 $ 110.44 3 331.32 Family $ 211.79 $ 75.14 $ 286.93 3 860.79 Monthly Total 1,192.11 With 8% PST 1,287.48 2 12 Months 15,449.75 Total Expenses To Date With Benecaid 12,184.22 Cost using Traditional Insurance (From Above) 15,449.75 Savings With Benecaid       3,265.53 21%