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Comparing PPO 2400 (HSA Compatible) And PPO 3500 (HAS Compatible) |
A Health Savings Account can work in tandem with a high deductible plan to provide affordable health coverage, which can potentially supply tax advantages. Blue Cross has partnered with JP Morgan Bank to allow enrollment in a Health Saving Account at the time of enrollment with either the PPO 3500 (HSA compatible) and PPO 2400 (HSA compatible) plans, both if which are HAS compatible. Tax-deductible contributions into a qualified Health Savings Account can be used to pay qualified medical expenses not covered under a health plan.
Annual medical deductible, which applies to the annual out-of-pocket maximum expense, for the PPO 3500 plan is $4,000 per person enrolled in the plan and has a $7,500 total for all plan members. Those enrolled in the PPO 2400 (HSA compatible) have a deductible of $2,400 (HSA compatible) with a maximum of $5,500 for all enrolled plan members.
Annual out-of-pocket expenses for those enrolled in the PPO 3500 (HSA compatible) are $4,000 per member with a family maximum of $7,500 for in network services. The maximum annual out-of-pocket expense if $3,600 per member in the PPO 2400 (HSA compatible) plan with a maximum family aggregate of $5,500. For out of network services, the member is responsible for all charges over the allowable amount.
Once the individual or family maximum annual out-of-pocket expense has been satisfied, I network office visits will include a $35 copay in both plans. For out of network office visits the cost will be 50 percent of the negotiated fee plus 100 percent of any excess charges. At participating hospitals, inpatient and out patient services are paid 100 percent of the negotiated fee by the plan in the PPO 3500 (HSA compatible). For member enrolled in the PPO 2400 (HSA compatible), members pay 20 percent of the negotiated fee.
For prescription drugs, there is a $10 copay for generic drugs and a $25 copay for name brand drugs. For self-administered injectable drugs, except insulin, there is a charge of 30 percent of the negotiated fee. Drug charges are the same in both the PPO 2400 (HSA compatible) and PPO 3500 (HSA compatible) plans.
Preventive care, including Well Baby immunizations, health screenings of members age seven through adult including Pap, breast exam and mammogram for women and prostate screening for men, will incur a $35 office copay under both plans, but PPO 2400 plan members will also be required to pay 20 percent of the negotiated fees for all covered services.
HealthyCheck screening is available at $25 for basic screening and $75 for premium screening under both the PPO 2400 (HSA compatible) and PPO 3500 (HSA compatible) plans. Members of the PPO 3500 (HSA compatible) plan may opt for an annual physical instead of the HealthyCheck screening for a $35 office visit copay plus any negotiated fee in excess of the Blue Cross payment. Those enrolled in the PPO 2400 (HSA compatible) plan will be charged the $35 office copay plus 20 percent of the negotiated fee and 100 percent of excess charges for all other covered services.
Learn more at: www.baahealth.com
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