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Fact Sheet On CDH And ‘High’ Deductibles

[From Interpro Publications Staff]

There have been growing reports lately trying to equate CDH plans with unfunded high deductibles. Here is a list of facts about CDH plans based on company reports and recent studies:

-- You can’t compare high deductibles in traditional plans with CDH deductibles. The deductible in a traditional plan is always paid entirely by the patient. The deductible in a CDH plan is never paid entirely by the patient – it is paid primarily by a fund.

-- You shouldn’t compare deductibles in an HRA with an HSA. The fact is 100% of all HRAs receive a full employer contribution. Only 24% of HSAs receive an employer contribution, but the employee contribution brings it up to 90% of the HRA contribution. Traditional plans: zero.

-- HRAs and HSAs do not have higher deductibles than traditional plans. Again, both plans are funded. Traditional plans are unfunded. CDH plans also have a rollover contribution year-to-year which increases funding (and eliminates the deductible after the first year for half of employees). You can’t compare a deductible that is unfunded with a deductible which is funded, and then say the one without funding is lower.

-- The out-of-pocket costs in these accounts is lower. The deductible minus the savings account and rollover equals lower OOP costs for a large majority of HRA and HSA users. The amount paid by the patient is less in a CDH plan on average, and a majority of families in a CDH plan see their out-of-pocket costs eliminated entirely after the first year.

-- CDH enrollment is booming. The actual enrollment in real companies more than doubled in 2006. The number of HSA accounts reported by banks more than tripled, meaning HDHP enrollment tripled. United Healthcare alone for example has more enrollees than a recent survey found for the entire U.S. If you add it all together, total enrollment in CDH accounts on 01/01 is showing over 12 million lives, an increase of over 4 million in 2006 (split evenly between HRAs and HSAs).

 

 

 

 


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