Whatsnewforjuneeiia handout

June 2012


Health Plans

Peterson Regional Health Care Network
Peterson and Schreiner University have entered into a direct contract for services. The University’s
employees and dependents will receive greater discounts when using a Peterson doctor or facility.
To determine if your doctor is in the Peterson Physician Network www.petersonrmc.com, select Find
a Doctor.
PHCS Network
Effective on June 1, 2012, the Schreiner University health plans will be utilizing the Private Health
Care Systems, Inc. (PHCS) network for doctors and facilities. To determine if your doctor or hospital
is in the network, please go to www.primarypc.com, and select the PHCS network when asked to
choose a network.
Medical and Prescription Drugs
Examples of Costs under the 70/30 Plan
General Practitioner 99213 – Evaluation of Est. Patient General Practitioner 71020 – Chest X-Ray 99215 – Established patient – 2 to 3 presenting issues 99244 – Evaluation of Established Patient 33660 – Repair of Heart Defects – MD fees These are samples ONLY. While the amounts are reasonable accurate representations of the CPT code or DRG charges, they cannot be guaranteed and are not to be misconstrued as exactly what a member will pay for the services. Appro ximate Cost Estimate f or Med ications +++ Member Cost
Plan Cost
Drug Brand Name
Indication
(30% - after the
deductible)

+++Disclaimer: The chart above can be used as a reference. However, please note that these are a mixture of quantities
therefore some of the pricing could be from retail and some from mail. These are approximate costs for these
medications.
Flexible Spending Accounts

Health Care and Dependent Care Flexible Spending Accounts
A health care Flexible Spending Account (FSA) is used to reimburse out-of-pocket medical expenses
incurred by you and your dependents. A dependent care FSA is used to reimburse expenses related
to care of eligible dependents while you and your spouse work.
Contributions to your FSA come out of your paycheck before any taxes are taken out. This means
that you don’t pay federal income tax, Social Security taxes on the portion of your paycheck you
contribute to your FSA. Both dependent and health care FSAs are “use-it-or-lose-it” plans. Any
contributions not used during the plan year will be forfeited.

The examples below illustrate how you can save money with a flexible spending account.

Bob and Jane’s combined gross income is $30,000. They have two children and file their income
taxes jointly. Since Bob and Jane expect to spend $2,000 in adult orthodontia and $3,300 for day
care next plan year, they decide to direct a total of $5,300 into their FSAs.

Without FSAs
With FSAs
*Assumes standard deductions and four exemptions. ** Varies, assume 3%. The example above is for illustrative purposes only. Every situation varies and we recommend that you consult a tax advisor for all tax advice. Bill and Sue’s combined gross income is $60,000. They have two children and file their income taxes
jointly. Since Bill and Sue expect to spend $2,000 in dental and $3,300 for day care next plan year,
they decide to direct a total of $5,300 into their FSAs.

Without FSAs
With FSAs
*Assumes standard deductions and four exemptions. ** Varies, assume 3%. The example above is for illustrative purposes only. Every situation varies and we recommend that you consult a tax advisor for all tax advice.

Source: http://www.schreiner.edu/about/hr/docs/2012/pdf/whatsnewforjuneeiiahandout.pdf