Use It or Lose It

Use It or Lose It

Private Health Insurance Extras Cover (PHI)

You know how, at the end of each year your account balance resets and your old balance is lost forever even if you never made a claim.

What this means is all your efforts to look after yourself is in vain and you have lost your benefits. There goes your peace of mind

In fact if this were to accumulate you would have had a balance to start with.

Stop losing your money year on year.

Some funds offer you higher limits over time. Now ask yourself, how often have you used the higher limits (eg. Major Dental) - Not often, like most people. If you have need the higher limits, you may be faced with one of two situations. Pay the GAP and any other costs or spread it out over time may be years to maximise the benefits whilst having to tolerate it in the meantime.

How does that equate to “Peace of Mind”

To put it in a nutshell Use it or lose it!.

Is this a problem - Yes!!

  1. You may be putting off necessary care or treatment due to costs which will only cost you even more in the long term
  2. Your Health suffers over time and you may be forced to put up or accept less than optimal care.
  3. Your productivity could be affected
Use It or Lose It

Xtras Health Plan Savings Scheme (XHP)

You do not have to be a rocket scientist to know that if unused funds were to accumulate it would mean more money in your account and most likely ”Peace of Mind” of knowing that there are funds for your needs.

What this means is that you can most likely afford the health care that is optimal for you and your needs.

In fact some people are already doing that and reducing their costs and enjoying better health outcomes.

XHP provides just that platform and structure for you save your money and accumulate unused funds to build a nest egg over time for your extras health needs. We call this the Rollover Health Plan, so you can be sure all your health dollars are working for you.

To put it in a Nutshell - Use it or Keep It

Is this an advantage -  YES!!!

  1. Funds are available for preventive care
  2. Optimal health outcome can be achieved maintaining quality of life by preventive care.
  3. Maintain productivity as you could be more proactively managing health issues

FACT

Did you know contribution fees charged by XHP is capped for the life of your membership, which means the fees will never go every year.

So let's look at, Betty to compare the pair PHI vs XHP to see who she would be better off with. Imagine Betty had joined either of them 10 years ago, so in the year 2008. Following assumptions have been used to compare PHI and XHP

  1. Amount Paid(Premiums or Contributions) to PHI and XHP is exactly the same - $5/day
  2. No interest earnt has been added to the calculation for XHP
  3. Betty is healthy and has not been to a health provider in the last 10 years
  4. Funds in both PHI and XHP are used for health needs only
  5. XHP Account balance is net of XHP Contribution Fee(10%)
  6. Annual PHI fee increases have been accounted

Account Balance with PHI over 10 years

Account Balance with XHP over 10 years

Information provided is General Information only. Your personal circumstances have not been considered and does not constitute financial, legal, accounting or tax advice. Past performance is not indicative of future performance. Information used here is based on assumptions as above and as having occurred in the past, is not a future forecast. Account balance calculation is based on no spend for health with either PHI or XHP. The return for health insurance assumes no claim on a health insurance policy over the relevant period. No value has been attributed to holding a health insurance policy in the relevant period however it may be desirable to hold health insurance based on your personal circumstances.

Formulas used for the graph:

No spend

Contributions Paid = $5/day

Total paid per year = $5/day X 365 = $1825

Spend = $0

Balance Rollover = $0

Net balance (10 yr) = $0 X 10 = $0

ROI = -100%

Contributions Paid = $5/day

Total paid per year = $5/day X 365

XHP fee 10% = $1825 X 10% = 182.50

Account Balance = $1825 - 182.50 = $1642.50

Spend = $0

Balance Rollover = 1642.50 adding to previous balance

Net balance (10 yr) = $1642.50 X 10 = $16425

Net Cost (10 yr) = $182.50 X 10 = 1825

Chart 2

So what if Betty spent $1000 per year on her health needs. Based on information from APRA the average gap with extras health for the quarter ending June 2018 is 46.84%, in other word, Betty has an out of pocket expenses or GAP to pay on top for the $1000 treatment. PHI offers various limits based on how much is paid for the cover. For this exercise, it is assumed that PHI pays 100% of the annual limit of the membership. To know more about your own cover, please check with your extras insurance provider.

Contributions Paid = $5/day

Total paid per year = $5/day X 365 = $1825

Spend = $1000

GAP on $1000 = $1000 X 46.84% =$468.40

Balance Rollover = $0

Total Cost per year = $1825 + $468.40 = $2293.40

Total cost over 10 Years = $2293.40 X 10 = $22934

Total spend 10year = $1000 X 10 = $10000

Summary:

Betty has paid out a total of $22934 for $10000 that she got back in cover from her extras health cover.

Paid out two time more than what she got back.

Contributions Paid = $5/day

Total paid per year = $5/day X 365

XHP fee 10% = $1825 X 10% = 182.50

Account Balance = $1825 - 182.50 = $1642.50

Spend = $1000

Balance Rollover = 642.50 adding to previous balance

Net balance (10 yr) = $642.50 X 10 = $6425

Net Cost (10 yr) = $182.50 X 10 = 1825



Summary

With XHP, Betty has a balance of $6425 left in her account after spending $10000 over the 10 year period.

Betty is better off, even after fees and charge.