Meet Nathan

Nathan has three children. He doesn’t use tobacco products. He and his kids get their annual physicals and they use in-network doctors and pharmacies for their care. This is a bumpy year filled with ongoing health conditions, injuries, and medications.

Let’s take a look…

Cost

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

$150 visit x 4
100% paid by the Company!

Nathan sees a specialist twice for an ongoing condition. He receives a new preferred brand prescription to help him better manage it. He fills it once at the pharmacy then switches to mail order for the rest of the year.

$250 visit x 2
$700 preferred brand x 1
$500 preferred brand mail order x 3

Nathan takes his daughter to the doctor to renew her allergy medication and he uses mail order to fill the prescription.

$150 visit x 1
$20 generic mail order x 1

Cost

All the kids get sick a few times. Each time they receive multiple generic prescriptions to help them get better. They fill each prescription at the pharmacy.

$150 visit x 6
$25 generic x 12

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

$200 visit x 3
$125 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 he fills them at the pharmacy.

$12,500 surgery
$25 generic x 3

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

$150 visit x 6

Nathan’s total expenses

Nathan has incurred a total of $19,120 in expenses. Now, let’s see which plan would have been better for Him.

$19,120

in total expenses

Wait!

Nathan has also been paying for medical coverage from His paycheck and the Company contributed to His HSA. We’ll add that in.

Remember, Nathan incurred $19,120 in total expenses.

In the HSA plans, Nathan meets the deductible, then pays coinsurance for his care. In the Copay PPO plan, he pays copays for most of his care. In the HSA plans, his son's surgery was covered 100% because he used Lantern.

HSA Core
HSA Value
Copay PPO
Costs paid by
 
Nathan
$6,020
$5,946
$5,580
Paycheck deductions
$1,393
$2,325
$3,810
Company-provided HSA contributions
($500)
($500)
N/A

And the winner is...

The HSA Core is the winner for Nathan!
HSA Core
HSA Value
Copay PPO
Costs paid by
 
Nathan
$6,020
$5,946
$5,580
Paycheck deductions
$1,393
$2,325
$3,810
Company-provided HSA contributions
($500)
($500)
N/A
Nathan
’s
 total cost
$6,913
$7,809
$9,390

For more information about the LSC Medical Plans, review the Benefits eGuide. Remember, this is an example and your actual costs may vary.