July 31, 2010
 
 
 
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Direct Reimbursement Plan Examples

Here are common examples of plans, but remember that any combination of options are available.

  • Example A
    Employee is reimbursed 100% of first $100, 50% of the balance. Annual maximum benefit paid is $750.
  • Example B
    Employee is reimbursed 100% of first $100, 80% of the next $100, 50% of the balance. Annual maximum benefit paid is $1000.
  • Example C
    Employee is reimbursed 100% of first $150, 70% of the next $100, 50% of the balance. Annual maximum benefit paid is $1500.
  • Example D
    Employee is reimbursed 50% of first $1000. Annual maximum benefit paid is $500.
  • Example E
    Employee is reimbursed 100% of first $100, 80% of the next $500, 50% of the next $1000. Annual maximum benefit paid is $1000.
  • Example F
    Employee is reimbursed 100% of first $100, 0% of the next $50 ($50 deductible), 70% of the next $250. Annual maximum benefit paid is 50% up to any maximum you specify.

The examples are almost infinite. You can determine any combination of % coverage per tier, as well as the dollar amount per tier. Set whatever dollar maximum you'd like, and with deductibles being paid up front, after a specified amount or with no deductible at all.


 
         
           
     
     
     
     
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