Consumer Directed Health Plans
With healthcare becoming increasingly expensive, more employers are searching for viable ways to continue to provide quality medical coverage for workers at an affordable price.
A new approach has emerged – the Consumer Directed Health Plan (CDHP) – that has the potential to transform the current healthcare environment by empowering and motivating members to take charge of their own health.
About Consumer Directed Health Plans
CDHPs are typically high-deductible, lower-premium health plans linked with a Health Saving Account (HSA), Health Reimbursement Arrangement (HRA), or a similar qualified account. These accounts are used to pay for out-of-pocket healthcare expenses, while a high-deductible health insurance policy protects members from catastrophic medical expenses. Consumers direct how the funds are spent from these accounts for qualified medical expenses and gain greater control over their own health budgets.
CDHPs combine a high-deductible health plan with a funding option to cover deductibles and minimize other out-of-pocket costs.These plans create an incentive for employees to take charge of their own health and be wise consumers of healthcare. CDHPs are becoming an increasingly popular choice for employers across the country.1
Optima Health CDHPs – Coverage That’s Both Affordable and Comprehensive
Because they help transform health plan members into informed, value-conscious healthcare consumers, CDHPs are becoming an increasingly popular choice for employers across the country.1 Optima Health now offers several options designed to help your company take advantage of this exciting new direction in healthcare. If you’d like to regain control of your health benefit costs without sacrificing quality of coverage, take a closer look at our innovative new CDHP offerings.
Lower Overall Costs, Long-Term Viability
At Optima Health, we’re proud to offer CDHPs to companies like yours. In fact, we’ve taken this innovative new approach and added our own enhancements designed to ensure that members are comfortable with their new health plans and confident in their ability to make the right choices.
Our suite of CDHPs, comprising Optima Equity (HSA-linked) and Optima Design (HRA-linked), is unique in the level of integration, education, tools and services provided to members. While these plans represent a major shift in the way healthcare plans are structured, we’ve made sure that one thing remains central and unaltered – our seamless delivery of high quality care.
Comparison of Optima Design and Optima Equity Features
About Health Reimbursement Arrangements (HRAs)
An HRA is a fund available for use in conjunction with a high-deductible, lower-premium health plan. The funds are promised by the employer to help members pay for certain out-of-pocket healthcare expenses, such as deductible or coinsurance. The employer sponsors the account and it is not portable.
About Health Savings Accounts (HSAs)
A Health Savings Account is a savings and spending account linked to an IRS-qualified high-deductible health plan. HSAs offer members a way to pay for qualified medical expenses with pre-tax dollars as well as a tax-free way to save for future medical and retirement healthcare expenses. Employers may also contribute to the account, but members own the account even if they change employers.
Optima Health's CDHP Plans
Optima Design Plus is a high-deductible PPO linked with a fully integrated Health Reimbursement Arrangement (HRA).
Optima Design Vantage is a high-deductible HMO plan linked with a fully integrated Health Reimbursement Arrangement (HRA).
Optima Equity combines an Health Savings Account (HSA) with an IRS qualified high-deductible health plan.
Learn more about Optima Health's CDHPs
1 AHIP website, www.ahip.org, February 2009.
* Consult tax advisor for details.
** Certain tax rules may apply to owners of S Corps, LLCs, LLPs, partnerships, and sole proprietorships.