Medical Cost Estimator

The estimate of your total 2012 medical expenses above and the out-of-network option comparison chart below are based on average medical costs shown above. For in-network care, the option comparisons are based on the discounted costs available through the plan networks. The in-network columns assume you use network providers for all services, while the out-of-network columns assume you never use network providers – giving you best-case and worst-case scenarios.

Your Results
Option Comparisons
Your Costs ($)	Choice® POS II HSA		Choice® POS II HRA
	In-Network	Out-of-Network	In-Network	Out-of-Network
Amount applied to deductible
Copays (medical and prescription drugs)
Coinsurance
Expenses not covered
Your estimated out-of-pocket cost of care (eligible for Standard Health Care Flexible Spending Account under the HRA option and Health Savings Account under the HSA option)
Deduction for TECO's 2012 automatic employer-provided contribution; see below*	-	-	-	-
Deduction for TECO's 2012 matching HSA contribution (presumes you contribute to qualify for maximum); see below*	-	-	N/A	N/A
Deduction from beginning of the year HSA/HRA account balance	-	-	-	-
Annual deductions from paychecks to buy coverage
Your total health care costs (current year out-of-pocket costs and deductions from paychecks)
Account balance at end of year – HSA balance presumes you contribute at least enough to qualify for TECO's maximum matching contribution; see table below for how the HSA in-network balance is determined

*When TECO's employer-provided contribution amount exceeds your cost of care, your cost of care estimate will show in the table. If the full TECO match is not needed to cover your estimated cost of care, only a portion of the match will show in the table. See the Health Savings Account Contributions and Potential Tax Savings table below for the full TECO contribution amounts.

Save money with the Health Savings Account (Choice^® POS II HSA Option)

You have the potential to save money on your taxes by using the Health Savings Account for your deductibles, coinsurance and other out-of-pocket expenses for medical. As an example, the chart below shows your potential federal income tax savings if you receive all your care in-network and enroll in the Choice^® POS II HSA and contribute to a Health Savings Account.

Health Savings Account Contributions and Potential Tax Savings	HSA
Total projected cost of care: Represents out-of-pocket, in-network medical costs based on anticipated medical needs you identified above
TECO's employer-provided contribution (based on your coverage level and salary range):
TECO's matching contribution (based on your coverage level and salary range):
Beginning of the year HSA account balance:
Suggested annual contribution from you: Based on expected in-network expenses outlined above, your maximum annual contribution for 2012 is the maximum HSA contribution for the 2012 plan year; including contributions from you and TECO, this amount is $3,100 for employee only coverage and $6,250 for all other coverage levels. The example here presumes you earn the full TECO matching contribution. In addition, you carry forward any money you have left in the HSA at the end of the plan year for future healthcare expenses.
Remaining HSA balance that can be carried forward for future healthcare expenses:
Potential federal income tax savings: You may also save on state taxes

You can also use a Limited Purpose Health Care Flexible Spending Account for vision and dental expenses for the Choice^® POS II HSA. To calculate potential tax savings for all your eligible health care expenses for both medical options, access the Health Care Flexible Spending Account Estimator. Print the results from this session so that you have them handy when you are estimating your flexible spending account expenses.