Advisor Medical Plan Comparison
The Advisor is offered as general guide and coverage assessment tool designed to assist active non-union Dresser, Inc. employees in evaluating different medical plan options for calendar year 2011. The Advisor does not apply to participants covered by other medical programs, such as union or retiree programs, and should not be used as a guide to enroll in such programs. Certain assumptions must be made to present participant contribution cost information. The assumptions and estimated costs used in the calculations are identified below. As stated above, this is a general guide, and your actual cost and claims experience may be very different. The Advisor’s models do not factor in the federal income tax impact under the different scenarios. If you do not understand these materials, please call the Benefits Administration Group prior to completing your enrollment package for 2011. The actual benefits provided, as costs associated therewith, are governed by the Dresser, Inc. Welfare Benefits Plan and the applicable Summary Plan Description.
An answer of Low for utilization assumes that you will annually have one wellness exam doctor visit with lab work, no doctor visits for illness or injury, no surgery or hospital stays, one generic and one formulary prescription. Each child’s annual cost is calculated as 50% of an adult. An answer of Medium for utilization assumes that you will annually have one wellness exam doctor visit with lab work, one doctor visit for illness or injury with lab work, no surgery or hospital stays, and one generic, one formulary and one non-formulary prescription. Each child’s annual cost is calculated as 50% of an adult. An answer of High for utilization assumes that you will annually have one wellness exam doctor visit, three doctor visits for illness or injury with lab work, one surgery or hospital stay, one generic, one formulary and one non-formulary retail prescription and one annual generic, one annual formulary and one annual non-formulary mail order prescription. Each child’s annual cost is calculated as 50% of an adult.
Please review the assumed costs for medical and RX prescriptions and modify the amounts below to reflect your projected experience. By changing the numbers, you can review the affect on your annual costs in each plan.
* Gross medical cost is defined to be the total cost of medical charges before any deductibles or co-insurance have been paid by the participant ** Gross RX prescription cost is defined to be the total cost of RX prescriptions before any co-insurances have been paid by the participant
*** If you anticipate expenses or you want to elect a high deductible plan and want to pay for your costs for services with pre-tax dollars, you can take advantage of the Health Care Spending Account. You can sign up to have from $120 to $4,000 withheld from your pre-tax pay over the course of the calendar year. You can then reimburse yourself for your actual deductible, co-insurance, RX prescription co-insurance or other eligible expenses you incur during the year. You can even claim the full annualized amount before it’s all been deducted from your paycheck. Dental, vision, and other out-of-pocket health care expenses can be included as well. You will need to plan carefully, however, as you will forfeit any amounts that you have not incurred and claimed for the year. Please refer to the Health Care Spending Account Worksheet included in your packet.