Let’s compare HSA-based plans to Traditional plans
Listed below are some common claims scenarios for employees. The questionnaire illustrates how the HSA-based plan out performs the traditional Silver plan.
To see the details of this comparison, read the article by Robert Hopper, Ph.D. titled “The Case for HSAs; or why nearly everyone can benefit from owning a health savings account,“
Claim Scenarios |
HSA-Qualified Plan
|
Traditional Plan
|
||
|---|---|---|---|---|
| Large medical bill ($30,000 to $500,000+) | X | |||
| Healthy (less than $1000/year) | X | |||
| Moderate claims ($2,000/year) | X | |||
| Frequent doctor visits (10/year) | X | |||
| Frequent prescriptions | X | |||
| Generic (2 prescriptions) | X | |||
| Brand (1-2 expensive medications) | X | X | ||
| New Benefits to employees with HSA: | ||||
| Plan and save for future expenses including retirement | X | |||
| Improved benefits for healthy employees | X | |||
| Eliminate financial risk in future | X | |||
| Reward for good health | X | |||
| Personal Wellness program | X | |||
| Alternative healthcare | X | |||
| Using out-of-network providers | X |
In general, the HSA-based plan will outperform the traditional plans in most claims scenarios. The most common reason for choosing a traditional plan will be for someone who takes one or more expensive non-formulary brand name prescriptions.
Important Note: The roughly 2/3 of employees have are in good health can leverage their good health and save money with an HSA. They will benefit substantially by building a pool of money for future claims.