[ HOW OTHERS CHOOSE ]
SEE WHAT PEOPLE LIKE YOU DECIDENot sure which benefits and coverage you need? Consider the following examples to see how others at three different life stages choose the right coverage. Don’t forget to review what’s new for next year before you enroll.
Olivia Is Just Starting Out — age 26
HSA SELECT PLAN | HSA CHOICE PLAN | |
---|---|---|
EMPLOYEE-ONLY DEDUCTIBLE (AMOUNT OLIVIA HAS TO PAY BEFORE THE PLAN PAYS BENEFITS) |
$1,650 Employee-only | $2,650 Employee-only |
COMPANY HSA CONTRIBUTION (THIS AMOUNT CAN BE USED TO MEET OLIVIA’S DEDUCTIBLE) |
$1,000 Employee-only | $750 Employee-only |
REMAINING DEDUCTIBLE | $650 | $1,900 |
OLIVIA’S ANNUAL CONTRIBUTIONS FOR EMPLOYEE-ONLY COVERAGE | $912 (12 x $76) | $336 (12 x $28) |
TOTAL ESTIMATED OUT-OF-POCKET COSTS (OLIVIA’S REMAINING DEDUCTIBLE + HER ANNUAL CONTRIBUTIONS) |
$1,562 | $2,236 |
COINSURANCE (OLIVIA’S RESPONSIBILITY OF THE COST WHEN SHE RECEIVES IN-NETWORK CARE) | 20% | 30% |
Olivia explores the other benefits available to her and:
- Elects the Value Plan for Dental and waives Vision coverage.
- Sets her HSA contribution at $1,900 to cover the 2025 deductible.
- Elects discounted pet insurance through the new ASPCA Pet Health Insurance plan.
- Makes a note to complete her health screening and blood draw to avoid the $40 monthly Wellness Surcharge again in 2026.
- Schedules a consultation with Morgan Stanley at Work to help with budgeting and a plan to pay off her student loan debt faster.
Kevin’s Family Is Growing — age 40
Kevin and his wife Megan just purchased a larger home and are expecting their second baby next summer. Megan is a stay-at-home mom, so Kevin relies on his Worthington Enterprises benefits to cover everyone in his household. For the most part, everyone is healthy, but Kevin learned he has prediabetes at his last check-up. For now, his biggest concern is covering the hospital bills when the baby is born. He’s willing to pay more per month in exchange for more cost predictability, so he chooses the HSA Select Plan. He also notes the new quarterly timing for Company HSA contributions means he’ll have more funds to cover out-of-pocket costs, which is a big plus.
HSA SELECT PLAN | HSA CHOICE PLAN | |
---|---|---|
FAMILY DEDUCTIBLE (AMOUNT KEVIN HAS TO PAY BEFORE THE PLAN PAYS BENEFITS) |
$3,300 Family | $5,300 Family |
COMPANY HSA CONTRIBUTION (THIS AMOUNT CAN BE USED TO MEET KEVIN’S DEDUCTIBLE) |
$2,000 Family | $1,500 Family |
REMAINING DEDUCTIBLE | $1,300 | $3,800 |
KEVIN’S ANNUAL CONTRIBUTIONS FOR EMPLOYEE+FAMILY COVERAGE | $2,760 (12 x $230) | $1,008 (12 x $84) |
TOTAL ESTIMATED OUT-OF-POCKET COSTS (KEVIN’S REMAINING DEDUCTIBLE + HIS ANNUAL CONTRIBUTIONS) |
$4,060 | $4,808 |
COINSURANCE (KEVIN’S RESPONSIBILITY OF THE COST WHEN HE RECEIVES IN-NETWORK CARE) | 20% | 30% |
Kevin also:
- Elects the Value Plan for Dental and for Vision.
- Sets his HSA contribution at $2,500 to cover the remaining deductible ($1,300) and the additional out-of-pocket costs he’s likely to incur.
- Enrolls in the Legal Plan to help with estate planning.
- Elects Supplemental Life Insurance for himself and his wife.
- Makes a note to download the Sydney Health app once it’s available in 2025 for real-time support with anticipated claims and provider questions.
- Sets a reminder for early July to add his baby to his benefits.
Maureen Is Nearing Retirement — age 60
Maureen usually lets her medical benefit elections roll over each year, but she reviewed what’s new and wants to take a fresh look at her options. Maureen and her husband Frank compare their employer benefits and decide to enroll in Employee + Spouse coverage through Worthington because it will save them more money than enrolling in separate coverage. As far as their health status, Maureen is active but takes blood pressure medication, and Frank may need to have his knee replaced. Maureen elects the HSA Select Plan because she’s confident they’ll hit the annual deductible, especially if Frank needs surgery, and she’s more comfortable with the lower out-of-pocket maximum.
HSA SELECT PLAN | HSA CHOICE PLAN | |
---|---|---|
EMPLOYEE + SPOUSE DEDUCTIBLE (AMOUNT MAUREEN HAS TO PAY BEFORE THE PLAN PAYS BENEFITS) |
$3,300 Employee + Spouse | $5,300 Employee + Spouse |
COMPANY HSA CONTRIBUTION (THIS AMOUNT CAN BE USED TO MEET MAUREEN’S DEDUCTIBLE) |
$2,000 Employee + Spouse | $1,500 Employee + Spouse |
REMAINING DEDUCTIBLE | $1,300 | $3,800 |
MAUREEN’S ANNUAL CONTRIBUTIONS FOR EMPLOYEE + SPOUSE COVERAGE | $2,016 (12 x $168) | $732 (12 x $61) |
TOTAL ESTIMATED OUT-OF-POCKET COSTS (MAUREEN’S REMAINING DEDUCTIBLE + HER ANNUAL CONTRIBUTIONS) |
$3,316 | $4,532 |
COINSURANCE (MAUREEN’S RESPONSIBILITY OF THE COST WHEN SHE RECEIVES IN-NETWORK CARE) | 20% | 30% |
Maureen also:
- Elects the Premier Plan for Dental and Vision.
- Sets their HSA contribution at $4,000 to cover the remaining deductible and most of the estimated out-of-pocket costs for next year and lower their taxable income while they keep saving toward eligible retiree healthcare expenses.
- Elects Supplemental Life Insurance for herself and Frank.
- Encourages Frank to try Hinge Health to see if it helps with his knee.
- Reaches out to Medicare Choice Group to figure out what she can do now to prepare for Medicare when she’s eligible.