Reset
Print-
- Plan
- Deductible
- Coinsurance
- Medical copays
- Rx copays
- Your premium share
- Pays per year
- Employer HSA
Step 2: Select coverage and claims scenario options
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Who does the plan cover?
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-
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How much medical care do you expect to receive?
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How much medical care do you expect to receive?
- Office visit(s)
- Preventive service(s)
- Lab / X-ray(s)
- Inpatient surgery(ies)
- Chemotherapy
- Emergency room
- Prescriptions
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Cost
of service- $126
- $126
- $314
- $21,961
- $2,599
- $1,583
- Varies
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- 2 Office visit(s) at $126
- 1 Preventive service(s) at $126
- 0 Lab / X-ray(s) at $314
- 0 Inpatient surgery(ies) at $21,961
- 0 Chemotherapy at $2,599
- 0 Emergency room at $1,583
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- 8 Office visit(s) at $126
- 1 Preventive service(s) at $126
- 3 Lab / X-ray(s) at $314
- 1 Inpatient surgery(ies) at $21,961
- 0 Chemotherapy at $2,599
- 2 Emergency room at $1,583
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- 16 Office visit(s) at $126
- 1 Preventive service(s) at $126
- 3 Lab / X-ray(s) at $314
- 1 Inpatient surgery(ies) at $21,961
- 12 Chemotherapy at $2,599
- 1 Emergency room at $1,583
Step 3: Calculate and compare employee out-of-pocket costs
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PLEASE READ CAREFULLY
This tool is for estimation purposes only.
Actual costs will vary. - Estimated cost of medical servicesbased on single not much scenario selected
- - Estimated cost paid by MESSA
- Estimated cost paid by you
- + Your share of annual premium
- - Employer HSA funds
- - Indemnity Reimbursement from Aetna
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MAXIMUM ANNUAL EMPLOYEE SHARE
OF PREMIUM AND MEDICAL EXPENSES
based on single not much scenario selected
1475 Kendale Blvd.,
P.O. Box 2560,
East Lansing, MI 48826