Tax
Qualified Health Insurance Can Save You Money & Boost Your
Retirement
One of the most popular (and lowest priced) types of Tax Qualified Health Insurance plans is the HSA qualified HDHP. HSA
stands for
"Health Savings Account", more commonly referred to as a "Medical IRA".
HDHP stands for High Deductible Health Plan.
HSA qualified HDHP's are a unique way to attractively manage your
health insurance costs. For
a brief introduction to Consumer Driven Tax Qualified health
insurance please watch the following short but informative video:
HSA's were
originally named MSA's or Medical
Savings Accounts
designed by Senator Bill Archer (R) of Texas. Bill's project was to find a way
to reduce the cost of health insurance for the self employed without
sacrificing quality coverage for a major medical illness. Bill's
brilliant idea was to eliminate the parts of a
Traditional Health
Insurance Plan that cost the consumer the most money. These
expensive benefits include outpatient doctor "co pays" and
outpatient prescription "co pays". Bill approached Congress with a
proposal that stated in essence that if you remove those two
features and keep the major medical coverage in place you could
conceivably cut the cost of your health insurance
premium considerably. He was absolutely right!
To illustrate how
Bill's idea works in the real world. We will use a real world
example. Tony & his wife
are currently paying $1,134 a month for
Cobra continuation coverage from a previous group plan. In
comparison, the monthly premium for an HSA qualified HDHP
(High Deductible Health Plan) which covers each insured family
member up to $5 million dollars is less than half of the
premium that they are paying now ($481.64 monthly to be exact). This
is a yearly savings of $7,828.32 or a monthly savings of $652.36.
This is a significant difference.
However the insured has to give up all of their outpatient co pays.
Is this worth it? This was the question posed to Senator Bill Archer
(R) when he approached Congress back in the late 1990's. His answer
to Congress was simply "make it worth it".
In other words, he
asked Congress to make it worth it to the insured. Their response
was two fold. And it is these two primary reasons that make HSA's
a "no-brainer" for every self employed prospective insured and for
their corresponding employees. The first thing Congress did was to
state that if a policy holder buys a major medical health insurance
policy (HDHP) with a yearly family deductible between
$2,200 per family (not per person) or as high as $5,800 per family
we will call that an HSA qualified health insurance plan (HDHP).
They further said that
in order to make giving up outpatient co pays more attractive to the
insured we will allow anyone who has an HSA qualified health
insurance plan (HDHP) the option to open a tax favored HSA
(Health Savings Account) with their local bank or financial
brokerage house. Since the insured is saving a considerable amount
of money each month by giving up their out patient co pays, we will
allow them to take that extra premium that they would have normally
given the insurance company for the "privilege" of a co pay and put
it into a 100% tax deductible account that will grow tax deferred at
an interest rate adjusted by the Fed.
In addition to
depositing the amount you save in insurance premiums, you may
also deposit in your HSA an amount equal to what the IRS
allows for that given year. For the year 2011 the maximum contribution a
family can make to their HSA account is $6,150. In addition, any
family member who is 55 years of age or older can deposit an
additional $1,000 annually (more on the age 55 allowance below). This
means that the total amount that Tony and his wife (in our example
above) can deposit per calendar year is $7,150 and they can take a
100% tax deduction for that contribution similar to an IRA.
Furthermore, if they do
incur medical expenses that arise throughout the course of the year
that are subject to the deductible (i.e. prescriptions, doctor's
office visit charges, etc.) the IRS will allow them to pull
out that money that they put into their optional tax deductible, tax
deferred HSA savings account to pay for those expenses. When they
use their HSA money to pay for those expenses the IRS will
allow them to write those expenses off at a 100% tax deduction. The
list that the IRS allows them to spend their HSA money on is
very liberal and includes things like dental, orthodontics,
eyeglasses, radiokeratonomy (Lasik
corrective eye surgery), alternative medicines etc. Click the
hyperlink to see the list of allowable expenses and
disallowed expenses on the HSA section of the IRS web site
here:
http://www.irs.gov/publications/p502/index.html
Arguably the most
attractive tax advantage to owning an HSA is the fact that the
money left over in the HSA account
that was not used on medical expenses at the end of the
year is "rolled over" into the next year and awarded a higher rate
of tax deferred interest. The insured also has the option to roll
those unused funds into no load mutual funds, thereby building an
extra tax deferred retirement account with money they would have
normally given to the insurance company each and every year whether or not they had any claims that
year!
It should also
be noted that with not having a "co pay" with your plan does not
mean that your outpatient doctor visits and outpatient prescription
drugs will not be a covered expense. With most HSA qualified HDHP's
these charges are a fully covered expense just as they would be with
a
Traditional Health Insurance Plan.
The only difference is these charges will be subject to the
"aggregate" family deductible.
Being "subject to deductible" does not mean that you will pay full
price for these charges either. If you stay within the vast PPO
network that most reputable carriers offer (www.phcs.com)
your outpatient doctor office visit charges will be discounted by as
much as 40%. Your prescriptions will also be discounted
significantly as well by staying within the Rx prescription network.
Let's break that down in plain english. Let's say your doctor's
office charges you $100 for a "sick visit". If you use a PPO
provider (typically PHCS or MultiPlan) those office charges will be
"re-priced" down to roughly $60. Now compare that to a Traditional
plan which provides you with a $25 "co pay". The difference to you
is $35 out of pocket for that doctor's office visit. But is that all
you are really saving?
Not if you add in the monthly premium savings between the two plans.
The typical monthly premium savings between a Traditional plan and
an HSA qualified plan for a family is $200 monthly. This equates to an
annual savings of $2,400.
Now let's take that $2,400 annual savings and deposit it into a tax
deferred, tax deductible interest bearing account. Let's go a step
further and imagine you find an HSA account that bears you NO
interest AT ALL (which is not that hard to imagine in this economy).
You're still saving $2,400 annually and you're deducting that amount
from your adjusted gross income. This means less reportable income
which means less taxes.
Now lets imagine you have no major medical claims in year two and
you deposit the same amount. Now in year three you have a worse case
scenario occur. Now you have $7,200 to help pay your "aggregate"
family deductible. Moreover, since deductibles with HSA qualified
HDHP's include only one
"aggregate" deductible for the entire family there will be no other
risk to any other family member for the rest of that year. Unlike
Traditional Health Insurance Plans
which typically require each of three separate family members to pay
their own calendar year deductible if they end up in the hospital
(or need an MRI, CT, Nuclear Medicine Scan etc.)
2012 Update:
With the recent passage of the PPACA (Patient
Protection & Affordable Care Act) the
following Federally mandated
preventive services which
must be covered without your having to pay a copayment or
co-insurance or meet your deductible. This applies only when these
services are delivered by a PPO network provider.
Chlamydia Infection
screening for younger women and other women at
higher risk
Contraception: Food and
Drug Administration-approved contraceptive
methods, sterilization procedures, and patient
education and counseling, including
abortifacient drugs - some religious
organizations are now exempt from this mandate
The best way to explain the
unique advantages of HSA qualified HDHP's 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 $2,918.64annually.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 penaltyfor "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 andyou 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.
The longer you look at HSA qualified HDHP's the more sense they
make. This is why they have caught on like wildfire and will
continue to do so. The only inhibitor to the spread of HSA's is lack
of education (as is the case with any other financial vehicle)The
"Whole Foods" supermarket chain chose HSA qualified Health
Insurance. It worked so well for them that they were recently
featured on the ABC 20/20 episode entitled "Sick In America" hosted
by John Stossel:
Now you can help fund your HSA account by purchasing every day items!
Click
www.myhsarewards.com
To learn more about
HSA's and the recent federal legislation that has made them even
more attractive to people over the age of 55 click: http://www.treas.gov/offices/public-affairs/hsa/about.shtml to
read all about them on the Federal Governments HSA educational
web site. To learn more about H.S.A.'s in a power point
presentation format please click here:
http://www.hsacenter.com/
and click on the informative videos on the
right.
If you are an employer
and are considering HSA qualified plans for your employees consider
this. An individual's employer can make contributions that are not
taxed to either the employer or the employee. The combined income
and payroll tax deductibility leads to discounts for health
insurance of over 40 % in some cases relative to other forms
of insurance. For more details for the employer
http://www.treas.gov/offices/public-affairs/hsa/faq_employer-participation.shtml
For the best
interest rates you will find just about anywhere on a Health
Savings Account please click:
HERE
Seven
of the best priced HSA qualified HDHP's are featured below. Please
“Contact Us”
with questions about HSA qualified HDHP's. If you have a
C.P.A. or tax advisor please feel free to ask he or she about the
advantages of owning an HSA as well. The plan brochures for seven of the best priced HSA qualified HDHP's available on the market today are
highlighted below. You can also click below to get free HSA quotes
from multiple carriers. No phone number is required.
United Healthcare One Traditional Health Plans & HSA qualified HDHP
for 2013
(
PDF)
See Pgs. 8-13 for HSA qualified HDHP details. See Pgs 29 -31 for your
State's Specific Benefit Variations
Humana One INDIVIDUAL Plans Brochure including HSA qualified HDHP 2013 (
PDF format)
Blue Cross Blue
Shield of Illinois Individual Product Portfolio Brochure 2013 (
)
Aetna Advantage Individual Health Insurance brochure including HSA
qualified HDHP
World Care Individual Dental Insurance Plan Brochure (
PDF format)
Since accidental injuries are far
more likely to occur than major medical illnesses (most especially
when you have active children) many families are choosing to
purchase supplemental accident expense plans. These plans pay you a
cash benefit of $2,500, $5,000, $7,500 or $10,000 when an accidental
injury occurs. This cash can then be used to pay your health
insurance plan deductible. Supplemental Accident Expense plans are
also a great way to save money because you can choose a higher
deductible than you would normally choose knowing that you will not
have to pay that deductible if an accidental injury occurs to any
member of your family. Click below for more information:
Supplemental Accident Expense plans can also be coupled with Critical
Illness plans. In fact, Supplemental Accident Expense plans are often
cheaper when coupled with Critical Illness plans. Why consider Critical
Illness coverage?
Approximately
1.2 MILLION people
suffer heart attacks each year.
Approximately
780,000 people suffer
strokes each year.
More than
1.4 MILLION new cancer cases were estimated for diagnosis in 2007
alone. Between 1994 and 2004, the death rate declined approximately 31%
for heart attacks and almost 24% for strokes. (Source: American Heart
Association, Heart and Stroke Statistical Update, 2008.) The possibility
of surviving a Critical Illness before age 65 is almost twice as great
as dying. (Source: National Center for Health Statistics.)
WOULDN’T A CHECK BE BETTER
THAN A GET WELL CARD? Critical Illness benefits are paid directly to
you. You choose how to spend the benefit at a time when you and your
family may need extra cash the most. For example:
Home Health Care
Cost of Caregivers
Lost Income of Self or Spouse
Daily Living Expenses
Co Pays, Deductibles & Co-Insurance
Non -Covered "Experimental Treatments
Housekeeping or Child Care Expense
Maintenance of Your Family's Quality of Life
A
merican
General (www.AmericanGeneral.com) has introduced a new Supplement Accident Expense plan that
also includes Critical Illness coverage and it's extremely
well priced. Adding this product to any health insurance
plan would not only alleviate the worry of paying your
health plan deductible if you or a family member where to
suffer an accidental injury but it will also provide you a
much larger cash benefit (up to $25,000) if you or a family
member were to contract a critical illnesses such as life
threatening Cancer, Stroke, or Heart Attack. For more information about this
unique and affordable plan click the brochure below. For a
free quote, please
contact us and we will send
you quotes via email. Or call us toll free @ (866) 724 7123.