Meet Alex

Alex is single. He doesn’t use tobacco products and gets his annual physical. He uses in-network doctors and pharmacies. Alex has a pretty smooth year.

Let’s take a look…

Cost

He gets his free annual physical.

$150 visit x 1
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.

$150 visit x 1
$25 generic x 2

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

$200 visit x 1
$125 X-ray x 1

Alex sees a specialist twice during his recovery from his injury.

$250 visit x 2

Alex’s total expenses

Alex has incurred a total of $1,175 in expenses. Now, let’s see which plan would have been better for Him.

$1,175

in total expenses

Wait!

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

Remember, Alex incurred $1,175 in total expenses.

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

HSA Core
HSA Value
Copay PPO
Costs paid by
 
Alex
$1,025
$1,025
$660
Paycheck deductions
$228
$1,023
$1,856
Company-provided HSA contributions
($500)
($500)
N/A

And the winner is...

The HSA Core is the winner for Alex!
HSA Core
HSA Value
Copay PPO
Costs paid by
 
Alex
$1,025
$1,025
$660
Paycheck deductions
$228
$1,023
$1,856
Company-provided HSA contributions
($500)
($500)
N/A
Alex
’s
 total cost
$753
$1,548
$2,516

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