The best way to explain the
unique advantages of these types of plans is to
look at the maximum out of pocket risk a family
is exposed to with a Traditional Health
Insurance plan and compare it to the maximum out
of pocket expenses that a family would be
exposed to with an HSA qualified HDHP. The out
of pocket assumptions below assume that your
Traditional plan requires each of three family
members to satisfy their own deductible and
coinsurance out of pocket expense each calendar
year. Some plans only require two family members
to satisfy their own deductible and coinsurance
out of pocket expense each calendar year. Either
way, for the same premium, your out of pocket
risk will reduced significantly with any HSA
qualified HDHP available on the market today.
Current Maximum Annual out of pocket
risk with the average Traditional Health
Insurance Plan
Annual deductible: $2,500 (for
one family member)
+
Annual deductible: $2,500 (for
2nd family member)
+
Annual deductible: $2,500 (for
3rd family member)
Total Family Deductible: $7,500
(Total Annual Deductible Risk
per family per year)
Annual coinsurance out of
pocket $2,000 - (20% of the first $10,000 in
bills) for one family member.
+
Annual coinsurance out of
pocket: $2,000 - (20% of the first $10,000 in
bills) for 2nd family member.
Annual coinsurance out of
pocket: $2,000 (20% of the first
$10,000 in bills) for 3rd family member.
Total Family Coinsurance Risk:
$6,000 (Total Annual
Coinsurance Risk per family per
year)
By adding $7,500 in total
deductible risk per family
to
the extra $6,000 in
total coinsurance out of pocket
risk per family. We
arrive at a total per family
risk of:
$13,500 each
calendar year.
The
average monthly premium for a family
of four for this type of Traditional Health Insurance plan
is $673.99
In contrast, if we compare that total calendar
year per family
annual risk to that included with an HSA
qualified HDHP with a $7,000 total "common"
family calendar year deductible. Here's what that looks like:
Calendar Year "Common Family" Deductible: $7,000 (to
be satisfied aggregately by all family members)
+
Annual coinsurance out of
pocket risk:
$0
(100% coverage after "common" family
deductible is satisfied)
Total Family
out of pocket expense per year: $7,000
(Total coinsurance risk
per family is $0. Plan pays 100%)
The
average monthly premium for a
family of 4 with an HSA qualified HDHP would be $430.77.
The
premium savings per month between both
products is
$243.22 or $2,918.64
annually. And we
actually reduce the total annual per family
risk by almost HALF.
In addition, once you
have an HSA qualified Health Insurance plan.
The IRS allows you to open the
aforementioned "Medical IRA", more commonly
referred to as an "HSA" (Health Savings
Account) if you choose to do so.
This is an option. It is however a
very good option to select because not only
can you deposit the premium difference
between both plans above ($2.918.64)
in to a Medical IRA (at
the bank of your choice),
but you can deposit as
much as $7,150 as a family in 2011.
If you are over the
age of 55, you can deposit even more. It behooves you to do
so for the following reasons:
1.) Unlike any other IRA,
a Medical IRA (HSA) allows you to withdraw
funds at any time with no penalty
for "qualified
medical expenses". Most
importantly, when you withdraw your HSA
funds to pay for any of the qualified
medical expenses on that list, those
expenses themselves become 100% tax
deductible.
2.) Here's the key point
though. If you have just ONE year without
any significant claims and
you even partially fund your
Medical IRA, then if the worse case scenario
occurs, you will have those funds available
and be able to withdraw them with no penalty
and use that money to help pay your $7,000
"common" family deductible. In year 2 (with
no major claims) you are that far ahead of
the risk management game. In
fact, no other kind of Health Insurance
actually allows you to lower your risk the
longer you own it by hedging money you would
have otherwise given an insurance company
for a Traditional plan.
I say this because, there
is no other kind of IRA that you can
withdraw from at any time with no penalties
and then use those withdrawals to pay for
medical costs and receive a 100% tax
deduction for those expenditures. In fact,
the longer you own
an HSA qualified HDHP, the lower your risk
becomes since the more years that pass, the
larger your balance in your HSA account
becomes. This is so because each year your
remaining balance rolls over and continues
to earn tax deferred interest.