Real-Life Examples | Transocean Employee Benefits

Meet Alex

Alex is single. He doesn't smoke and gets his annual physical. He uses in-network doctors and pharmacies.

Alex has a pretty smooth year.

Let's take a look…

He gets his free annual physical.

$80

100% paid by the Company!

Alex goes to the doctor once for strep. The doctor prescribes him two generic medications that he fills at the pharmacy.

$100 visit
$20 generic x 2

He goes to an urgent care clinic after a sports injury and gets an X-ray.

$90 visit
$150 X-ray

Alex sees a specialist twice during his recovery.

$140 visit x 2

Alex has incurred a total of $740 in expenses. Now let's see which plan would have been better for him!

$740
in total expenses

We also need to remember that
Alex has been paying for
medical coverage from his paycheck.

We'll add that in too!

Remember, Alex incurred $740 in expenses.

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

HSA Plus

HSA Basic

PPO

Costs paid by Alex

$660

$370

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Alex's Total Cost

$1,472

$1,014

$2,386

And the winner is...

The HSA Basic is the winner for Alex!

HSA Plus

HSA Basic

PPO

Costs paid by Alex

$660

$370

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Alex's Total Cost

$1,472

$1,014

$2,386

To see a more detailed calculation of Alex's care click here.

HSA Savings

If Alex chooses either HSA plan, he can increase his pre-tax savings by contributing more to his HSA. See how much he could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$804

$1,512

Saving up to the IRS HSA individual contribution limit

$3,900

$4,150

He can choose to use these dollars to cover his out-of-pocket expenses, or continue to save them. Once his HSA balance reaches $500, he can even choose to grow his HSA dollars by investing them, just like a 401(k). This way, he has more money to cover medical expenses down the road when he needs them, like in retirement.

Meet Anna

Anna is married, but her husband is enrolled in his employer's plan. She doesn't smoke and gets her annual physical. She uses in-network doctors and pharmacies, but she's had a bit of a bumpy year.
‍
Let’s take a look...

She gets her free annual physical.

$80

100% paid by the Company!

She starts having trouble with a condition that hasn’t bothered her in years. She goes to her primary care doctor four times.

$100 visit x 4

Her doctor prescribes several generic medications that she fills at the pharmacy.

$20 generic x 3

Her condition worsens and she goes to the ER.

$1,500 visit

She sees a specialist four times and he sends her to get a round of tests and prescribes a couple of generic medications that Anna fills through mail order (3-month supply).

$140 visit x 4
$100 labs
$85 generic x 2

The specialist decides Anna needs to have surgery.

$15,000 surgery and hospital stay

She sees a physical therapist six times to recover from her surgery.

$80 visit x 6

Anna has incurred a total of $18,350 in expenses. Now let's see which plan would have been better for Anna!

$18,350
in total expenses

Wait!
We also need to remember that Anna has been paying for medical coverage from her paycheck too. We'll add that in.

Remember, Anna incurred $18,350 in expenses.

Anna meets the deductible in all the plans, then pays co-insurance for care.

HSA Plus

HSA Basic

PPO

Costs paid by Anna

$3,402

$5,000

$4,521

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Anna's Total Cost

$4,214

$5,354

$6,537

And the winner is...

The HSA Plus is the winner for Anna!

HSA Plus

HSA Basic

PPO

Costs paid by Anna

$3,402

$5,000

$4,521

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Anna's Total Cost

$4,214

$5,354

$6,537

To see a more detailed calculation of Anna's care click here.

HSA Savings

If Anna chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$804

$1,512

Saving up to the IRS HSA individual contribution limit

$3,900

$4,150

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Bill

Bill is single. He doesn't smoke and gets his annual physical. He uses in-network doctors and pharmacies, but he's had a tough year.

Let’s take a look..

He gets his free annual physical.

$80

100% paid by the Company!

He starts to feel bad and goes to his primary care doctor several times and his doctor gives him several generic medications that he fills at the pharmacy.

$100 visit x 6
$20 generic x 3

His problem gets worse, so he starts to see a specialist every week. During a few of his visits he is sent to an outside facility for lab work.

$140 visit x 6
$100 labs x 3

His condition gets worse and he goes to the ER twice.

$1,500 visit x 2

He ends up having surgery for his condition.

$25,000 surgery and hospital stay

He sees a physical therapist eight times to recover from his surgery and fills two new generic prescriptions through mail order (3-month supply).

$80 visit X 8
$85 generic mail order x 2

Bill has incurred a total of $30,690 in expenses. Now let's see which plan would have been better for Bill!

$30,690
in total expenses

Wait!
We also need to remember that Bill has been paying for medical coverage from his paycheck too.

We'll add that in.

Remember, Bill incurred $30,690 in expenses.

In all the plans Bill pays up to the out-of-pocket max for medical care

HSA Plus

HSA Basic

PPO

Costs paid by Bill

$3,500

$5,000

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Bill's Total Cost

$4,312

$5,354

$7,016

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Bill

$3,500

$5,000

Paycheck deductions

$1,212

$504

$2,016

Annual Company-provided Contributions

($400)

($150)

N/A

Bill's Total Cost

$4,312

$5,354

$7,016

To see a more detailed calculation of Bill's care click here.

HSA Savings

If Bill chooses either HSA plan, he can increase his pre-tax savings by contributing more to his HSA. See how much he could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$804

$1,512

Saving up to the IRS HSA individual contribution limit

$3,900

$4,150

He can choose to use these dollars to cover his out-of-pocket expenses, or continue to save them. Once his HSA balance reaches $500, he can even choose to grow his HSA dollars by investing them, just like a 401(k). This way, he has more money to cover medical expenses down the road when he needs them, like in retirement.

Meet Maria

Maria is married. She and her husband are in good health and don't smoke. They get their annual physicals and use in-network doctors and pharmacies. They have a pretty smooth year.

Let's take a look...

They both get their physicals.

$80 x 2 = $160

100% paid by the Company!

Maria goes to the doctor once for the flu. The doctor prescribes her two generic medications.

$100 visit
$20 generic x 2

She goes to an urgent care clinic after a fall in her backyard and gets an X-ray at an outside facility.

$90 visit
$150 X-ray

Maria sees a specialist four times during her recovery and he gives her two generic medications that she fills through mail order (3-month supply).

$140 visit x 4
$85 generic x 2

Maria has incurred a total of $1,270 in expenses. Now let's see which plan would have been better for her!

$1,270
in total expenses

We also need to remember that Maria has been paying for medical coverage from her paycheck too.
‍
We'll add that in too!

Remember, Maria incurred $1,270 in expenses

In all the HSA plans, Maria pays for her care out-of-pocket, while in the PPO, she pays copays.

HSA Plus

HSA Basic

PPO

Costs paid by Bill

$1,110

$530

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Bill's Total Cost

$2,854

$1,878

$4,766

And the winner is...

The HSA Basic is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Bill

$1,110

$530

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Bill's Total Cost

$2,854

$1,878

$4,766

To see a more detailed calculation of Maria's care click here.

HSA Savings

If Maria chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,692

$3,168

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Hannah

Hannah is married. She and her husband don't smoke and they get their annual physicals. They use in-network doctors and pharmacies. Her husband is diagnosed with a health condition.
‍
Let’s take a look...

They both get their physicals.

$80 x 2

100% paid by the Company!

Hannah and her husband take a generic allergy medication year-round. They fill their prescriptions through mail order (3-month supply).

$85 generic mail order x 2 x 4

After not feeling well for a few weeks, her husband goes to the primary care doctor. The doctor orders lab work from an outside facility.

$100 visit
$100 labs

He is diagnosed with a health condition and prescribed one generic and two name-brand medications. He fills them at the pharmacy.

$20 generic
$275 brand-name x 2

Hannah gets sick and goes to her primary care doctor. He gives her two generic prescriptions that she fills at the pharmacy.

$100 visit x 1
$20 generic x 2

Her illness worsens over the weekend, so she goes to the urgent care. She's prescribed two new generic medications that she fills at the pharmacy.

$90 visit x 1
$20 generic x 2

His condition worsens and his doctor hospitalizes him for two days.

$6,000 hospital stay

When he leaves the hospital his medication is change to two generic medications that he fills twice through mail order (3-month supply).

$85 generic mail order x 2 x 2

Hannah has incurred a total of $8,220 in expenses. Now let's see which plan would have been better for Hannah!

$8,220
in total expenses

Wait!
We also need to remember that Hannah has been paying for medical coverage from her paycheck too. We'll add that in.

Remember, Hannah incurred $8,220 in expenses.

Hannah meets the deductible in all the plans, then pays co-insurance for care.

HSA Plus

HSA Basic

PPO

Costs paid by Hannah

$3,888

$4,332

$2,470

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Hannah's Total Cost

$5,632

$5,100

$6,706

And the winner is...

The HSA Basic is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Hannah

$3,888

$4,332

$2,470

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Hannah's Total Cost

$5,632

$5,100

$6,706

To see a more detailed calculation of Hannah's care click here.

HSA Savings

If Hannah chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,692

$3,168

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Gabrielle

Gabrielle is married. She and her husband don't smoke and they get their annual physicals. They use in-network doctors and pharmacies. This is a rough year for the couple.

Let's take a look...

They get their physicals.

$80 x 2 = $160

100% paid by the Company!

Her husband sees his doctor to renew his generic allergy prescription for the year. He uses mail order (3-month supply) to fill it.

$100 visit
$85 generic x 4

Gabrielle goes to the doctor three times for hip pain. She fills a generic prescription twice at the pharmacy

$100 visit x 3
$20 generic mail order x 2

Gabrielle's husband is in a car accident and is taken to the ER.

$1,500 visit

He ends up having surgery due to his injuries and is in the hospital for an additional day.

$20,000 surgery
$6,000 hospital stay

Gabrielle's hip continues to bother her, so she goes to see a specialist several times. He prescribes her a generic medication for the pain that she fills at the pharmacy and refills once.

$140 visit x 4
$20 generic x 2

Gabrielle goes to physical therapy for a few months for her hip issue.

$80 visit x 8

Physical therapy doesn’t help, so her doctor schedules her for surgery.

$23,000 surgery and hospital stay

After her surgery, Gabrielle sees the specialist two more times and goes to physical therapy for a few months to recover.

$140 visit x 2
$80 visit x 8

Gabrielle has incurred a total of $53,600 in expenses. Now let's see which plan would have been better for Gabrielle!

$53,600
in total expenses

Wait!
We also need to remember that Gabrielle has been paying for medical coverage from her paycheck too. We'll add that in.

Gabrielle has incurred a total of $53,600 in expenses.

Now let's see which plan would have been better for Gabrielle!

HSA Plus

HSA Basic

PPO

Costs paid by Gabrielle

$6,850

$10,000

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Gabrielle's Total Cost

$8,594

$10,768

$14,236

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Gabrielle

$6,850

$10,000

Paycheck deductions

$2,544

$1,068

$4,236

Annual Company-provided Contributions

($800)

($300)

N/A

Gabrielle's Total Cost

$8,594

$10,768

$14,236

To see a more detailed calculation of Gabrielle's care click here.

HSA Savings

If Gabrielle chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,692

$3,168

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Nicole

Nicole's family is usually in good health. She doesn't smoke, and they get their annual physicals. They use in-network doctors and pharmacies. They have a pretty smooth year.
‍
Let’s take a look...

All of the family members get their physicals and the kids get their immunizations.

$80 x 4 = $320

100% paid by the Company!

A few of them go to the doctor for the flu. The kids also go to the doctor a few times for sinus infections and a few rashes that won't go away. Each trip includes a few generic prescriptions.

$100 visit x 8
$20 generic x 10

Nicole has a condition that's managed through medication, but it requires an expensive brand-name drug to manage it. She fills her prescription through mail order (3-month supply).

$340 preferred-brand x 4

One of the kids has allergies and begins taking a generic medication. Nicole fills it once at the pharmacy then switches to mail order (3-month supply) for the rest of the year.

$20 generic
$85 generic x 2

Nicole has incurred a total of $2,870 in expenses. Now let's see which plan would have been better for her!

$2,870
in total expenses

Wait!
‍
We also need to remember that Nicole has been paying for medical coverage from her paycheck too. We'll add that in.
‍
We'll add that in too!

Remember, Nicole incurred $2,870 in expenses.

In all the HSA plans, Nicole pays for her care out-of-pocket, while in the PPO, she pays copays.

HSA Plus

HSA Basic

PPO

Costs paid by Nicole

$2,350

$1,225

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Nicole's Total Cost

$3,866

$3,022

$5,053

And the winner is...

The HSA Basic is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Nicole

$2,350

$1,225

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Nicole's Total Cost

$3,686

$3,022

$5,053

To see a more detailed calculation of Nicole's care click here.

HSA Savings

If Nicole chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,512

$2,856

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Nathan

Nathan's family is usually in good health, but he has some health issues. He doesn't smoke, and they get their annual physicals. They use in-network doctors and pharmacies. This is a bumpy year filled with injuries and medications.
‍
Let’s take a look...

They all get their physicals and the kids get their immunizations.

$80 x 4 = $320

100% paid by the Company!

Nathan sees a specialist twice for an ongoing condition. He receives two new brand-name prescription to help him better manage it and he fills them at the pharmacy twice and the switches to mail order (3-month supply).

$140 visit x 2
$275 brand-name
$340 brand-name refill mail order x 3

Nathan takes his daughter to doctor to renew her allergy medication and he uses mail order (3-month supply) to fill the prescription.

$100 visit
$85 generic

All the kids get sick a few times. Each time they receive multiple generic prescriptions to help them get better.

$100 visit x 6
$20 generic x 15

This is the year of the sports injury at Nathan's house. They rack up three trips to the urgent care and get three X-rays at outside facilities.

$90 visits x 3
$150 X-ray x 3

Nathan's son needs surgery to repair a badly injured knee. He is given three generic medications during his recovery and two of them have to be refilled.

$5,000 surgery
$20 generic x 3
$20 generic refill x 2

His son also has to do physical therapy for a few months after they surgery.

$80 visits x 6

Nathan has incurred a total of $9,280 in expenses. Now let's see which plan would have been better for Nathan!

$9,280
in total expenses

Wait!
‍
We also need to remember that Nathan has been paying for medical coverage from his paycheck too.

We'll add that in.

Remember, Nathan incurred $9,280 in expenses.

Nathan meets the deductible in all the plans, then pays co-insurance for care.

HSA Plus

HSA Basic

PPO

Costs paid by Nathan

$4,038

$6,225

$3,315

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Nathan's Total Cost

$5,554

$6,927

$7,143

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Nathan

$4,038

$6,255

$3,315

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Nathan's Total Cost

$5,554

$6,927

$7,143

To see a more detailed calculation of Nathan's care click here.

HSA Savings

If Nathan chooses either HSA plan, he can increase his pre-tax savings by contributing more to his HSA. See how much he could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,512

$2,856

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

He can choose to use these dollars to cover his out-of-pocket expenses, or continue to save them. Once his HSA balance reaches $500, he can even choose to grow his HSA dollars by investing them, just like a 401(k). This way, he has more money to cover medical expenses down the road when he needs them, like in retirement.

Meet Rosa

Rosa and her family get their annual physicals, and she doesn't smoke. They use in-network doctors and pharmacies. But this is a tough year due to serious health conditions and a sports injury.

Let's take a look...

Rosa gets her physical and the kids get their immunizations.

$80 x 4 = $320

100% paid by the Company!

All the kids get sick a few times. Each time they receive several generic prescriptions to help them get better.

$100 visit x 6
$20 generic x 15

Rosa sees a specialist every month for an ongoing condition. She also fills one generic and one name-brand prescription by mail order (3-month supply) to help her manage it. She refills both prescriptions three times.

$140 visit x 12
$85 generic mail order x 4
$340 brand-name mail order x 4

Rosa's daughter is rushed to the ER and diagnosed with a serious condition. She's admitted to the hospital for two days of monitoring.

$1,500 visit
$6,000 hospital stay

Her daughter is getting worse so her specialist schedules her for surgery. She is in the ICU for a day during her hospital stay.

$20,000 surgery
$6,000 ICU

Rosa's son is injured playing sports and needs several physical therapy visits to recover.

$80 visits x 12

Rosa gets sick and is prescribed a new brand-name medication to recover. She fills it at the pharmacy twice.

$275 brand-name x 2

Rosa has incurred a total of $39,610 in expenses. Now let's see which plan would have been better for Rosa!

$39,610
in total expenses

Wait!
We also need to remember that Rosa has been paying for medical coverage from her paycheck too. We'll add that in.

Remember, Rosa incurred $39,610 in expenses.

In all the plans Rosa pays up to the out-of-pocket max for medical care.

HSA Plus

HSA Basic

PPO

Costs paid by Rosa

$6,850

$8,942

$7,435

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Rosa's Total Cost

$8,366

$9,614

$11,263

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Rosa

$6,850

$8,942

$7,435

Paycheck deductions

$2,316

$972

$3,828

Annual Company-provided Contributions

($800)

($300)

N/A

Rosa's Total Cost

$8,366

$9,614

$11,263

To see a more detailed calculation of Rosa's care click here.

HSA Savings

If Rosa chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$1,512

$2,856

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

Meet Sanjay

Sanjay's family is usually in good health. They don't smoke, and they get their annual physicals. They use in-network doctors and pharmacies. Except for a few expensive medications, they have a pretty smooth year.

Let's take a look…

All of the family members get their physicals and the kids get their immunizations.

$80 x 4 = $320

100% paid by the Company!

A few of them go to the doctor for the flu. The kids also go to the doctor a few times for sinus infections and a few rashes that won't go away. Each trip includes a few generic prescriptions.

$100 visit x 8
$20 generic x 15

Sanjay develops a condition that requires a brand-name medication. Sanjay fills it twice at the pharmacy and the switches to mail order (3-month supply).

$275 preferred-brand x 2
$340 preferred-brand x 3

One of the kids is diagnosed with allergies and begins taking a generic medication. Sanjay fills it twice at the pharmacy then switches to mail order (3-month supply) for the rest of the year.

$20 generic x 2
$85 generic x 3

Sanjay has incurred a total of $3,285, in expenses. Now let's see which plan would have been better for him!

$3,285
in total expenses

Wait!
We also need to remember that Sanjay has been paying for medical coverage from his paycheck too. We'll add that in.

Remember Sanjay incurred $3,285 in expenses.

In the CDHP Sanjay pays out-of-pocket for everything but the cost of the free physical. In the PPO, he pays some through copays.

HSA Plus

HSA Basic

PPO

Costs paid by Sanjay

$2,665

$1,136

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Sanjay's Total Cost

$5,441

$3,877

$7,184

And the winner is...

The HSA Basic is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Sanjay

$2,665

$1,136

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Sanjay's Total Cost

$5,441

$3,877

$7,184

To see a more detailed calculation of Sanjay's care click here.

HSA Savings

If Sanjay chooses either HSA plan, he can increase his pre-tax savings by contributing more to his HSA. See how much he could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$2,472

$4,536

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

He can choose to use these dollars to cover his out-of-pocket expenses, or continue to save them. Once his HSA balance reaches $500, he can even choose to grow his HSA dollars by investing them, just like a 401(k). This way, he has more money to cover medical expenses down the road when he needs them, like in retirement.

Meet Patel

Patel and her family get their annual physicals and they don't smoke. They use in-network doctors and pharmacies. This year she and the family get sick several times and turns out to be a bumpy year.

Let's take a look…

All of the family members get their physicals and the kids get their immunizations.

$80 x 4 = $320

100% paid by Transocean!

Patel sees a specialist twice for an ongoing condition. She receives two new brand-name prescriptions to help her better manage her care and she fills them at the pharmacy twice and the switches to mail order (3-month supply).

$140 visit x 2
$20 generic x 4
$275 brand-name x 1

Patel's husband and son are prescribed daily allergy pills for the year. Patel fills the prescriptions at the pharmacy then switches to mail order.

$20 generic x 4
$85 generic x 6

Everyone gets sick a few times. Each time they receive multiple generic prescriptions to help them get better.

$100 visit x 12
$20 generic x 24

Patel's condition gives her trouble throughout the year and she has three trips to urgent care and three X-rays at outside imaging facilities.

$90 visits x 3
$150 X-ray x 3

Patel's daughter breaks her arm on the playground. The break is serious and requires out-patient surgery. The doctor gives her a generic prescription to manage the pain.

$5,000 surgery
$20 generic x 1

Patel does physical therapy for a few months to help manage her condition.

$80 visits x 6

Patel has incurred a total of $9,445 in expenses. Now let's see which plan would have been better for her!

$9,445
in total expenses

Wait!
We also need to remember that Patel has been paying for medical coverage from her paycheck too. We'll add that in.

Remember, Patel incurred $9,445 in expenses.

Patel meets the deductible in all the plans, then pays co-insurance for their care.

HSA Plus

HSA Basic

PPO

Costs paid by Patel

$4,007

$6,193

$3,954

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Patel's Total Cost

$6,783

$7,405

$10,002

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Patel

$4,007

$6,193

$3,954

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Patel's Total Cost

$6,783

$7,405

$10,002

To see a more detailed calculation of Patel's care click here.

HSA Savings

If Patel chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$2,472

$4,536

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

All of the family members get their physicals and the kids get their immunizations.

$80 x 5 = $400

100% paid by the Company!

Everyone gets sick a few times. Each time they receive multiple generic prescriptions to help them get better.

$100 visit x 10
$20 generic x 25

Simone, her husband and her son all see specialists regularly for ongoing conditions. To treat their conditions, she fills three preferred brand medications by mail order (3-month supply).

$140 visit x 24
$300 brand name mail order x 3 x 4

Simone's infant daughter has a serious case of bronchitis and is taken to the ER. They keep her in the hospital for two days of observation.

$1,500 visit
$6,000 hospital stay

Her husband's specialist schedules him for surgery given his condition is getting worse. In addition to his hospital stay, he's in ICU for two days.

$25,000 surgery
$6,000 ICU x 2

Her son is injured badly during a soccer tournament. He goes to physical therapy twelve times for the injury.

$80 visits x 12

Her son is also prescribed a new brand-name drug to treat his injury during recovery. Simone fills it twice at the pharmacy and then twice though mail order (3-month supply).

$275 brand-name x 2
$340 brand-name mail order x 2

Simone has incurred a total of $55,550 in expenses. Now let's see which plan would have been better for Simone!

$55,550
in total expenses

Wait!
We also need to remember that Simone has been paying for medical coverage from her paycheck too. We'll add that in.

Remember, Simone incurred $55,550 in expenses.

In all the plans Simone pays up to the out-of-pocket max for medical care.

HSA Plus

HSA Basic

PPO

Costs paid by Simone

$6,850

$10,000

$9,441

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Simone's Total Cost

$9,626

$11,212

$15,489

And the winner is...

The HSA Plus is the winner!

HSA Plus

HSA Basic

PPO

Costs paid by Simone

$6,850

$10,000

$9,441

Paycheck deductions

$3,576

$1,512

$6,048

Annual Company-provided Contributions

($800)

($300)

N/A

Simone's Total Cost

$9,626

$11,212

$15,489

To see a more detailed calculation of Simone's care click here.

HSA Savings

If Simone chooses either HSA plan, she can increase her pre-tax savings by contributing more to her HSA. See how much she could save by:

HSA Plus

HSA Basic

Saving the premium difference from the PPO

$2,472

$4,536

Saving up to the IRS HSA individual contribution limit

$7,750

$8,250

She can choose to use these dollars to cover her out-of-pocket expenses, or continue to save them. Once her HSA balance reaches $500, she can even choose to grow her HSA dollars by investing them, just like a 401(k). This way, she has more money to cover medical expenses down the road when she needs them, like in retirement.

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