Health Care Consumerism 101

AgendaAgenda

• Consumer Directed Health Care• Medical Plan Options• Tax Deferred Savings

• HSA• FSA

• Tools and Resources• Questions and Answers

We’re all in this togetherWe’re all in this together• Total cost of our health care in 2015

exceeds $2 million• We all share in the cost• When we spend more, we all pay

more• When we spend less, we all pay less• Being wise consumers of health care

helps all of us!

con·sum·er (noun)kənˈso0omər/

1. a person who purchases goods and services for personal use.

con·sum·er·ism (noun)kənˈso0oməˌrizəm

1. the protection or promotion of the interests of consumers.

4

ConsumerismConsumerism

• Puts your needs first• Allows you to be active in your health

care decisions• Helps you spend your health care

dollars wisely• Empowers you to take charge of your

health

Ask QuestionsAsk Questions• Before agreeing to a procedure or service,

find out about less-expensive alternates• Discuss generic equivalents of brand name

drugs• Consider virtual care or convenience care• Find out if outpatient services are available• Save the Emergency room for true

emergencies

Pick Up the Phone or Hop OnlinePick Up the Phone or Hop Online

• Find out the price of services and procedures ahead of time

• Comparison shop• Ask about discounts and reduced

rates

Develop a Healthy LifestyleDevelop a Healthy Lifestyle

• Eat fresh foods, rather than processed or “fast” foods

• Exercise regularly• Brush your teeth twice a day and

floss daily• Don’t smoke or use tobacco products

If other prices had grown as quicklyas healthcare costs since 1945…

a dozen eggs

would cost

$55

a gallon of milkwould cost

$48

a dozen oranges

would cost

$134Source: Statistical Abstract of the U.S.; National Health Expenditures (1945, 2011)

Healthcare is ExpensiveHealthcare is Expensive

Variation means affordable options Variation means affordable options existexistContracted Allowable Costs for Shoulder Arthroscopy

Medical Plan OptionsMedical Plan Options

Consumer Driven Health PlanConsumer Driven Health Plan

• Offered in conjunction with a vehicle that allows tax free savings/spending

• Encourages consumerism• Gives you control over decision

making & spending

Tax Deferred Savings/spending – Tax Deferred Savings/spending –

HSA or FSAHSA or FSA• Contributions lower your taxable

income• Tax free savings & spending • Spend your health care dollars wisely• Withdraw funds tax-free

FSA - Tax Free SpendingFSA - Tax Free Spending

Flexible Spending AccountsFlexible Spending Accounts

$5,000 Annual maximum for Dependent Care Expenses$2,550 Annual maximum for Medical FSA

Health Savings Account LimitsHealth Savings Account Limits

• 2015 IRS Maximum Investment• $3,350 Single Coverage• $6,650 Family Coverage

• District Contributions• Based on plan and coverage level

Coverage Type Core Plan Buy-Down

Single $1,250 $1,402.34

Family $2,500 $2,846.89

See pages 6 & 7 of Benefit Decision Guide

Consider your Care OptionsConsider your Care Options

• Medica CallLink• Virtual care• Convenience care• Traditional office visit• Urgent care• Emergency care

Compare Prices – Compare Prices – mainstreetmedica.commainstreetmedica.com

Virtual Visits – Virtual Visits – www.virtuwell.comwww.virtuwell.com

Virtual Visits – Virtual Visits – www.virtuwell.comwww.virtuwell.com

Virtual Visits – Virtual Visits – www.virtuwell.comwww.virtuwell.com

Convenience Care – Convenience Care – healthcare311.comhealthcare311.com

Compare Prices – Compare Prices – mainstreetmedica.commainstreetmedica.com

Compare Prices – Compare Prices – mainstreetmedica.commainstreetmedica.com

Compare Prices – Compare Prices – mainstreetmedica.commainstreetmedica.com

Maximize Drug Spending – Maximize Drug Spending – walgreens.comwalgreens.com

2014 Medica Health Rewards2014 Medica Health Rewards

Complete this Action Earn your Reward

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Complete eight online health topics $40 gift card

Participate in health coaching $75 gift card

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Medica - My Health Rewards

2015 Medica Health Rewards2015 Medica Health Rewards

Take advantage of Fit Choices too

Thank you!Thank you!

QuestionsQuestions