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CONSUMER DRIVEN HEALTH CARE
Are You Up to Speed?




                               Presented By:
                       John V. Stewart, MSM, CDHC
                        Stewart’s Insurance Depot
                            S.E. Georgia 912.434.2090
                            N.E. Florida 904.729.4025
                        Metro Indianapolis, IN 317.570.1271
                        Metro Cincinnati, OH 513.868.0040
                             Nationwide 866.203.5097
Stewart's Insurance Depot




CONSUMER AWARENESS



                                            2
Stewart's Insurance Depot




          Consumer Awareness

Some myths and facts:

Health insurance companies make lots of money on us!
      Fact: Health Insurance Companies make 3 cents on
      every dollar.
      Fact: The insurance industry is the only industry
      required by law to make a profit.



   So where does our insurance dollars go?
                                                                     3
Stewart's Insurance Depot


So where does our insurance dollars go?




 If 87 cents of every major medical insurance dollar goes to covering us, what can I
 do to help control my costs and keep my insurance premiums as low as possible?
                                                                                            4
Stewart's Insurance Depot


 Your personal Survey on Major Medical Insurance
 Cost savings start with what kind of major medical plan I am looking to purchase.

The plan will cover with ages of:


I would like a ( local, regional or national ) insurance carrier

What amount do I want to pay as a deductible?

Do I want a coinsurance amount (what % 90/10, 80/20,
70/30, 50/50)?

How many times a year do I go to the doctor?

Do I want a plan that has doctor copays?

How many prescriptions do I purchase a year?

Do I want a plan that has prescription drug coverage?

Do I want a tax advantage plan with qualifying high
deductible insurance?                                        Y or N

How much am I willing to put into an HSA account/year?


                                                                                             5
Stewart's Insurance Depot

How much do you want to spend on Major Medical Insurance?
  George Ready (Age 30) 32034
  Single
      Plan Type     Deductible      Coinsurance     Total Out of Pocket    Copay      Premium % Cost Difference  Cost of Copay/year
  Saver             $2,500.00        $3,000.00          $5,500.00           N/A          $70.80  Base of %        Base No Copay
  80% Plan          $2,500.00        $3,000.00          $5,500.00           N/A         $106.68           33.63%
  Copay Plan        $2,500.00        $3,000.00          $5,500.00          $35.00       $110.57           35.97%             $477.24
  100% Plan         $2,500.00          $0.00            $2,500.00           N/A         $127.09           44.29%
  Single HSA *      $2,500.00          $0.00            $2,500.00           N/A         $128.02           44.70%

  Nancy Ready (Age 30) 32034
  Single
      Plan Type     Deductible      Coinsurance     Total Out of Pocket    Copay      Premium % Cost Difference  Cost of Copay/year
  Saver             $2,500.00        $3,000.00          $5,500.00           N/A          $91.94  Base of %        Base No Copay
  80% Plan          $2,500.00        $3,000.00          $5,500.00           N/A         $140.08           34.37%
  Copay Plan        $2,500.00        $3,000.00          $5,500.00          $35.00       $166.98           44.94%             $900.48
  100% Plan         $2,500.00          $0.00            $2,500.00           N/A         $165.13           44.32%
  Single HSA *      $2,500.00          $0.00            $2,500.00           N/A         $167.91           45.24%


  George Ready & Family (Parents Age 30) 32034
      Plan Type    Deductible     Coinsurance       Total Out of Pocket    Copay      Premium % Cost Difference  Cost of Copay/year
  Saver (2)         $5,000.00      $6,000.00            $11,000.00          N/A         $268.83  Base of %        Base No Copay
  80% Plan (2)      $5,000.00      $6,000.00            $11,000.00          N/A         $270.68            0.68%
  Copay Plan (2)    $5,000.00      $6,000.00            $11,000.00         $35.00       $506.15           46.89%           $2,847.84
  Plan 100 (2)      $5,000.00        $0.00               $5,000.00          N/A         $481.89           44.21%
  Family HSA (1)*   $5,000.00        $0.00               $5,000.00          N/A         $451.67           40.48%

  Gearge Ready & Wife (Age 60)
  32034
      Plan Type     Deductible      Coinsurance     Total Out of Pocket    Copay      Premium % Cost Difference  Cost of Copay/year
  Saver (2)         $10,000.00       $6,000.00          $26,000.00          N/A         $285.72  Base of %        Base No Copay
  80% Plan (2) (2)  $10,000.00       $6,000.00          $26,000.00          N/A         $374.78           23.76%
  Copay Plan (2)    $10,000.00       $6,000.00          $26,000.00         $35.00       $445.28           35.83%           $1,914.72
  Plan 100 (2)      $10,000.00         $0.00            $20,000.00          N/A         $443.43           35.57%
  Family HSA (1)*   $10,000.00         $0.00            $10,000.00          N/A         $521.38           45.20%

  () Indicates number of persons needed to meet deductible requirement
  * HSAs have benefit of a health savings account and tax deduction of income and 0 tax when used for IRS acceptable major medical procedures and Rxs

  Note: the plans outside the HSAs and 0 coinsurance plans have larger out-of-pockets
  Look what it costs to have an office visit copay and other bells and whistles.
  Note: rich benefit plan                                                                                                                                 6
Stewart's Insurance Depot




WHY HSA QUALIFIED PLANS?



                                          7
Stewart's Insurance Depot


                      Why HSA Qualified Plans?
• You are in control of how you use your health care dollars.



• Become more involved in managing your cost of care.



• Learn how to shop for the best prices for your care.



• Your tax-advantage contributions to your HSA account grow over
  time.


• It is your money to use tax-free for qualified medical expenses.



• There is no “use it or lose it” philosophy. If you don’t use it, save it
  for next year. Or better yet, for retirement.

• After age 65, HSA funds can be used for non-qualified expenses and
  only income tax is assessed.
                                                           From HSABank website                          8
Stewart's Insurance Depot


                            An HSA Growth Illustration
Income tax reduction anyone?                             The Happy family with George age 30 and Susan age
                                                         30 have changed from a conventional major medical
    Contribution 2011 Limits          Single   Family    plan to a High deductible HSA qualified family plan.
Minimum Deductible                    $1,200   $2,400    No kids yet, but who knows…. Remember
                                                         HSA/HDHP family plans; all insured members have
Maximum Out-of-Pocket                 $5,950   $11,900
                                                         access to these funds for medical expenses as
Contribution Limit                    $3,050   $6,150
                                                         allowable by the IRS. When George and Susan
Catch-up Contribution (55 or older)   $1,000   $1,000    convert to Medicare at age 65, here is what they
                                                         have.
                                                 Estimates Below for this illustration:
                                                 Enter your average contribution per year: $ 4,000.00
                                                 Enter your average medical expenses per year: $ 850.00
                                                 How many years will your account accumulate? 35
                                                 Enter your federal tax bracket: 28%
                                                 Enter your state tax: Florida no state income tax
                                                 Enter your bank interest rate: 3%


                           Results of the Happy family having a HDHP/HSA:
                                Future Value Calculator
                                Net Contributions: $110,250.00
                                Net Contributions Per Year: $3,150.00
                                Tax Savings on Contributions: $30,870.00
                                Tax Savings on tax-deferred growth: $22,457.56
                                Future Value: $190,455.56                        From HSABank website
                                                                                                                     9

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Part 1: Consumer Awareness

  • 1. CONSUMER DRIVEN HEALTH CARE Are You Up to Speed? Presented By: John V. Stewart, MSM, CDHC Stewart’s Insurance Depot S.E. Georgia 912.434.2090 N.E. Florida 904.729.4025 Metro Indianapolis, IN 317.570.1271 Metro Cincinnati, OH 513.868.0040 Nationwide 866.203.5097
  • 3. Stewart's Insurance Depot Consumer Awareness Some myths and facts: Health insurance companies make lots of money on us! Fact: Health Insurance Companies make 3 cents on every dollar. Fact: The insurance industry is the only industry required by law to make a profit. So where does our insurance dollars go? 3
  • 4. Stewart's Insurance Depot So where does our insurance dollars go? If 87 cents of every major medical insurance dollar goes to covering us, what can I do to help control my costs and keep my insurance premiums as low as possible? 4
  • 5. Stewart's Insurance Depot Your personal Survey on Major Medical Insurance Cost savings start with what kind of major medical plan I am looking to purchase. The plan will cover with ages of: I would like a ( local, regional or national ) insurance carrier What amount do I want to pay as a deductible? Do I want a coinsurance amount (what % 90/10, 80/20, 70/30, 50/50)? How many times a year do I go to the doctor? Do I want a plan that has doctor copays? How many prescriptions do I purchase a year? Do I want a plan that has prescription drug coverage? Do I want a tax advantage plan with qualifying high deductible insurance? Y or N How much am I willing to put into an HSA account/year? 5
  • 6. Stewart's Insurance Depot How much do you want to spend on Major Medical Insurance? George Ready (Age 30) 32034 Single Plan Type Deductible Coinsurance Total Out of Pocket Copay Premium % Cost Difference Cost of Copay/year Saver $2,500.00 $3,000.00 $5,500.00 N/A $70.80 Base of % Base No Copay 80% Plan $2,500.00 $3,000.00 $5,500.00 N/A $106.68 33.63% Copay Plan $2,500.00 $3,000.00 $5,500.00 $35.00 $110.57 35.97% $477.24 100% Plan $2,500.00 $0.00 $2,500.00 N/A $127.09 44.29% Single HSA * $2,500.00 $0.00 $2,500.00 N/A $128.02 44.70% Nancy Ready (Age 30) 32034 Single Plan Type Deductible Coinsurance Total Out of Pocket Copay Premium % Cost Difference Cost of Copay/year Saver $2,500.00 $3,000.00 $5,500.00 N/A $91.94 Base of % Base No Copay 80% Plan $2,500.00 $3,000.00 $5,500.00 N/A $140.08 34.37% Copay Plan $2,500.00 $3,000.00 $5,500.00 $35.00 $166.98 44.94% $900.48 100% Plan $2,500.00 $0.00 $2,500.00 N/A $165.13 44.32% Single HSA * $2,500.00 $0.00 $2,500.00 N/A $167.91 45.24% George Ready & Family (Parents Age 30) 32034 Plan Type Deductible Coinsurance Total Out of Pocket Copay Premium % Cost Difference Cost of Copay/year Saver (2) $5,000.00 $6,000.00 $11,000.00 N/A $268.83 Base of % Base No Copay 80% Plan (2) $5,000.00 $6,000.00 $11,000.00 N/A $270.68 0.68% Copay Plan (2) $5,000.00 $6,000.00 $11,000.00 $35.00 $506.15 46.89% $2,847.84 Plan 100 (2) $5,000.00 $0.00 $5,000.00 N/A $481.89 44.21% Family HSA (1)* $5,000.00 $0.00 $5,000.00 N/A $451.67 40.48% Gearge Ready & Wife (Age 60) 32034 Plan Type Deductible Coinsurance Total Out of Pocket Copay Premium % Cost Difference Cost of Copay/year Saver (2) $10,000.00 $6,000.00 $26,000.00 N/A $285.72 Base of % Base No Copay 80% Plan (2) (2) $10,000.00 $6,000.00 $26,000.00 N/A $374.78 23.76% Copay Plan (2) $10,000.00 $6,000.00 $26,000.00 $35.00 $445.28 35.83% $1,914.72 Plan 100 (2) $10,000.00 $0.00 $20,000.00 N/A $443.43 35.57% Family HSA (1)* $10,000.00 $0.00 $10,000.00 N/A $521.38 45.20% () Indicates number of persons needed to meet deductible requirement * HSAs have benefit of a health savings account and tax deduction of income and 0 tax when used for IRS acceptable major medical procedures and Rxs Note: the plans outside the HSAs and 0 coinsurance plans have larger out-of-pockets Look what it costs to have an office visit copay and other bells and whistles. Note: rich benefit plan 6
  • 7. Stewart's Insurance Depot WHY HSA QUALIFIED PLANS? 7
  • 8. Stewart's Insurance Depot Why HSA Qualified Plans? • You are in control of how you use your health care dollars. • Become more involved in managing your cost of care. • Learn how to shop for the best prices for your care. • Your tax-advantage contributions to your HSA account grow over time. • It is your money to use tax-free for qualified medical expenses. • There is no “use it or lose it” philosophy. If you don’t use it, save it for next year. Or better yet, for retirement. • After age 65, HSA funds can be used for non-qualified expenses and only income tax is assessed. From HSABank website 8
  • 9. Stewart's Insurance Depot An HSA Growth Illustration Income tax reduction anyone? The Happy family with George age 30 and Susan age 30 have changed from a conventional major medical Contribution 2011 Limits Single Family plan to a High deductible HSA qualified family plan. Minimum Deductible $1,200 $2,400 No kids yet, but who knows…. Remember HSA/HDHP family plans; all insured members have Maximum Out-of-Pocket $5,950 $11,900 access to these funds for medical expenses as Contribution Limit $3,050 $6,150 allowable by the IRS. When George and Susan Catch-up Contribution (55 or older) $1,000 $1,000 convert to Medicare at age 65, here is what they have. Estimates Below for this illustration: Enter your average contribution per year: $ 4,000.00 Enter your average medical expenses per year: $ 850.00 How many years will your account accumulate? 35 Enter your federal tax bracket: 28% Enter your state tax: Florida no state income tax Enter your bank interest rate: 3% Results of the Happy family having a HDHP/HSA: Future Value Calculator Net Contributions: $110,250.00 Net Contributions Per Year: $3,150.00 Tax Savings on Contributions: $30,870.00 Tax Savings on tax-deferred growth: $22,457.56 Future Value: $190,455.56 From HSABank website 9