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Myths of HSAs. HSAs are only for the healthy. No significant difference exists between having an HDHP or a non-HDHP and reporting average to excellent health (96.2% v. 92.2%) Source: Consumer Benchmark Survey, 4/08 (Appendix A)

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Hsas are only for the healthy l.jpg
HSAs are only for the healthy

  • No significant difference exists between having an HDHP or a non-HDHP and reporting average to excellent health (96.2% v. 92.2%)

    Source: Consumer Benchmark Survey, 4/08 (Appendix A)

  • 11% of HSA-eligible enrollees reported having a health status of poor or fair, compared to 12% of non-HSA account holders

    Source: CDHPs: Consumer Perspectives, 9/07 (Appendix B)


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HSAs are only for the wealthy

  • 66.3% of respondents had an annual household income of less than $85,000

    Source: Consumer Benchmark Survey, 4/08 (Appendix A)

  • 42% of HSA holders have incomes of less than $50,000

    Source: U.S. Department of Treasury: Dramatic Growth of HSAs (Appendix C)


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HSAs are only for the young

  • HSA Bank’s average accountholder age is 44

  • 50.2% of respondents were 45 years-old or older

    Source: Consumer Benchmark Survey, 4/08 (Appendix A)

  • 46% of HSA accountholders are 40 years old or older within the individual market

    Source: January 2008 Census, AHIP, 4/08 (Appendix D)


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People with HSAs are less likely toreceive timely medical care

  • No significant difference exists between respondents with an HDHP and those with a non-HDHP when deciding against a treatment due to cost

  • No significant difference exists between respondents with an HDHP and those with a non-HDHP when deciding to delay a treatment due to cost

    Source: Consumer Benchmark Survey, 4/08 (Appendix A)


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People with HSAs are less likely toreceive timely medical care

  • People with HSAs are 30% more likely to get an annual exam compared to people with traditional plans

  • People with HSAs are 20% more likely to follow a treatment regimen than people with traditional plans

  • People with HSAs are 25% more likely to engage in healthy behaviors than people with traditional plans

    Source: Consumer-Directed Health Plan Report – Early Evidence is

    Promising, 6/05 (Appendix E)


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People with HSAs are less likely toreceive timely medical care

  • HSA eligible enrollees and non-CDHP members decided not to go to the doctor at the same rate (18%)

  • HSA eligible enrollees and non-CDHP members delayed going to the doctor or having a procedure at the same rate (17%)

  • HSA eligible enrollees and non-CDHP members delayed filling or did not fill a prescription at the same rate (15%)

    Source: CDHPs: Consumer Perspectives, 9/07 (Appendix B)


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HSAs do nothing but shift costs from employers to employees

  • The average cost per employee with HSA-based CDHPs is 14.5% lower than the average cost per employee with a PPO that has a deductible of $1000 or more

  • For large employers, the average cost per employee with an HSA is 26.2% lower than the average cost per employee with a PPO

    Source: Mercer National Survey of Employer-Sponsored Health Plans,

    11/07 (Appendix F)


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CDHPs are not gaining traction with employers

  • 47% of large employers offered a CDHP in 2008

    Source: Business Insurance, May 26, 2008 (Appendix G)

  • 72% of employers with 10 or more employees indicated they are very likely to offer a CDHP in 2008

    Source: Mercer National Survey of Employer-Sponsored Health Plans, 11/07 (Appendix F)

  • The employer’s average cost per employee for a CDHP is lower than the average cost per employee in an HMO (by 16.2%), PPO (by 18.8%), and POS (by 22.6%)

    Source: Mercer National Survey of Employer-Sponsored Health Plans, 11/07 (Appendix F)


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Employees are very unhappy with CDHPs

  • CDHPs have a satisfaction rating of 85% as compared to 92% for other plans

    Source: Business Insurance, May 26, 2008 (Appendix G)

  • Of the 537 respondents that have an HDHP, 72.6% chose that plan over a traditional plan

    Source: Consumer Benchmark Survey, 4/08 (Appendix A)