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 Scenario 1: $1,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs:

$1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA employer contribution

$420 from Reliant

 

$600 from Reliant

 

$600 from Reliant

 

Medical Costs

-HSA Employer Contribution

=Total Remaining Annual Costs

 

 

$0 to $1,000

-$420

=$0 to $580

$0 to $1,000

-$600

=$0 to $400

$0 to $1,000

-$600

=$0 to $400

Scenario 2: $5,000 or less in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs:

$5000 in claims

Deductible: $1,500

10% Coinsurance: $350

Total: $1,850

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA employer contribution

$420 from Reliant

 

$600 from Reliant

 

$600 from Reliant

 

Medical Costs

-HSA Employer Contribution

= Total Remaining Annual Cost

$1,850

-$420

= $1,430

$3,200

-$600

= $2,600

$5000

-$600

= $4,400

Scenario 3: $40,000 and above in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs:

$40,000 and above in claims

Deductible: $1,500

10% Coinsurance: $1,500

Total: $3,000

Deductible: $3,000

10% Coinsurance: $3,000

Total $6,000

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA employer contribution

$420 from Reliant

 

$600 from Reliant

 

$600 from Reliant

 

Medical Costs

-HSA Employer Contribution

= Total Remaining Annual Cost

$3,000

-$420

= $2,580

$6,000

-$600

= $5,400

$5,000

-$600

= $4,400

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 *HSA Savings range includes Reliant HSA contribution plus optional member contribution up to $3,400 total. All out-of-pocket medical costs may be paid for from the HSA, resulting in a 20% or more savings from using pre-tax funds.

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