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1 | Confidential and Proprietary to Lasso Healthcare
LASSO HEALTHCARE MSAMedical Savings Account
Confidential and Proprietary to Lasso Healthcare – H1924_2019LeadPresAll11_M
2019
3 | Confidential and Proprietary to Lasso Healthcare
MSAs are one type of Medicare Advantage Plan
HMO HMO POS PFFS PPO SNP
MSA
MedicalSavingsAccount
High-deductible health plan
Savingsaccount
5 | Confidential and Proprietary to Lasso Healthcare
Financial growth opportunityAll Medicare-participating
providersEnhanced tax-free coverage
IRS QualifiedMedical Expenses
Medicare-coveredservices
An MSA offers unique features
7 | Confidential and Proprietary to Lasso Healthcare
Medicare-eligible
Live in the Lasso Healthcare MSA service area
Do not have other coverage that would cover the MSA plan deductible, including benefits under an employer or union group, TRICARE, the VA, or FEHBP
Not eligible for Medicaid
Do not have end-stage renal disease, unless you were enrolled with a MA plan that left Medicare and haven’t yet joined another MA plan
Do not currently receive Medicare hospice benefits
Reside in the U.S. for 183 days or more during the calendar year
Is this you?
10 | Confidential and Proprietary to Lasso Healthcare
Region 1
Region 2
Region 3
2019 Lasso Healthcare MSA service area
11 | Confidential and Proprietary to Lasso Healthcare
Region 1
DEPOSIT DEDUCTIBLE MEMBER RESPONSIBILITY
$2,520 $6,700 $4,180
Region 2 $2,520 $7,700 $5,180
Region 3 $2,520 $8,700 $6,180
Competitive benefit structure
12 | Confidential and Proprietary to Lasso Healthcare
Expe
nses
$0
Deductible
Medicare-covered expenses
IRS Qualified Medical Expenses (non-Medicare)
Non-qualifiedexpenses
Deductible
$0
Region 1 = $6,700Region 2 = $7,700Region 3 = $8,700
Counts toward deductible,Not taxed by IRS
Does not count toward deductible,Not taxed by IRS
Does not count toward deductible,IRS taxed and subject to penalty
LTC
13 | Confidential and Proprietary to Lasso Healthcare
1
Annual wellness visit$0 copay
Check progress towards your
deductible
4$150$100
Send you the EOB
52$150
Provider bills visit toLasso Healthcare
Re-price to 100% Medicare FFS rate
$1003
A claims example…part 1
14 | Confidential and Proprietary to Lasso Healthcare
Check progresstowards your deductible
4
Notify provider of your responsibility
$150$100
$150$100
A1
B1
Pay theprovider $100
Provider invoices you You pay provider(MSA or out-of-pocket)
B2 B3
Met
Not met
A claims example…part 2
15 | Confidential and Proprietary to Lasso Healthcare
J F M A
M J J A
S O N D J F M A
M J J A
S O N D
2019
J F M A
M J J A
S O N D
Pro-rated deposit
Pro-rated deductible
Pro-rated deposit
Join
Leave
Enrollment, deposit and deductible =calendar year basis
16 | Confidential and Proprietary to Lasso Healthcare
Your choice of financial institution
Your choice to invest account balances over
$2,000 in other investment vehicles
Your money = your choice
17 | Confidential and Proprietary to Lasso Healthcare
12/31 1/1
Renew
Do Not Renew
End-of-year account balance is not “use it or lose it”
18 | Confidential and Proprietary to Lasso Healthcare
4/15
IRS Form 8853
LTC
IRS Form 1040
Special considerations at annual income tax time
19 | Confidential and Proprietary to Lasso Healthcare
Makes initial deposit of $2,520 into your MSA bank account
Pays 100% of Medicare Parts A and B services incurred once you reach your deductible
$0 monthly premium for Lasso Healthcare MSA plan
Monthly Medicare Part B premium
All health care costs up to your plan deductible amount
All non-Medicare-covered expenses after meeting plan deductible
Summary of costs under the Lasso Healthcare MSA plan
20 | Confidential and Proprietary to Lasso Healthcare
Can I purchase additionalinsurance policies to helpoffset my costs?
21 | Confidential and Proprietary to Lasso Healthcare
Non-Medicare-covered expenses
Medicare-coveredexpenses
LTC
Remember…Medicare MSA Plans don’t cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate
Medicare Prescription Drug Plan.
Limited benefit policies can help defray your costs
22 | Confidential and Proprietary to Lasso Healthcare
How can I maximize thevalue and power of myLasso Healthcare MSA?
23 | Confidential and Proprietary to Lasso Healthcare
1
Deposit à Deductible
2 3 4
Manage your health No non-qualified expenses Consider investing excess
Be in control and have a plan
24 | Confidential and Proprietary to Lasso Healthcare
Complete the health survey
Order labs and share results
Establish and share your care plan
$100gift card
$50gift card
$75gift card
Earn money by managing your care
26 | Confidential and Proprietary to Lasso Healthcare
Watch the
mail for
your:
Debit card
Member ID card
Welcome call from Lasso Healthcare
Complete your health
survey
Evidence of Coverage
notice
Lasso Healthcare will be in touch very soon
27 | Confidential and Proprietary to Lasso Healthcare
October 1 – March 31: 8 a.m. – 8 p.m. 7 days a weekApril 1 – September 30: 8 a.m. – 8 p.m. Monday – Friday
1-866-766-2583 / TTY: 711
Contact Lasso Healthcare with any questions
28 | Confidential and Proprietary to Lasso Healthcare
Lasso Healthcare MSA is an MSA with a Medicare contract. Enrollment in Lasso Healthcare MSA depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information. Benefits may change on January 1 of each year.
You must continue to pay your Medicare Part B premium.
MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plandeposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count towardyour deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
Medicare MSA Plans don’t cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate Medicare Prescription Drug Plan.
There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those whodisenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan at 1-866-766-2583 TTY: 711 8 a.m. – 8p.m., seven days a week from October 1 through March 31, and Monday - Friday from April 1 through September 30 for additional information.
You must file Form 1040, US Individual Income Tax Return, along with Form 8853, “Archer MSA and Long-Term Care Insurance Contracts” with the InternalRevenue Service (IRS) for any distributions made from your Medicare MSA account to ensure you aren’t taxed on your MSA account withdrawals. You mustfile these tax forms for any year in which an MSA account withdrawal is made, even if you have no taxable income or other reason for filing a Form 1040.MSA account withdrawals for qualified medical expenses are tax free, while account withdrawals for non-medical expenses are subject to both income taxand a fifty (50) percent tax penalty.
Tax publications are available on the IRS website at http://www.irs.gov or from 1-800-TAX-FORM (1-800-829-3676).
CMS Disclaimers
31 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Arizona Lasso Healthcare MSA service area
32 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Arkansas Lasso Healthcare MSA service area
33 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Delaware Lasso Healthcare MSA service area
34 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Hawaii Lasso Healthcare MSA service area
35 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Illinois Lasso Healthcare MSA service area
36 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Indiana Lasso Healthcare MSA service area
37 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Kansas Lasso Healthcare MSA service area
38 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Maryland Lasso Healthcare MSA service area
39 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Mississippi Lasso Healthcare MSA service area
40 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Montana Lasso Healthcare MSA service area
41 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 North Carolina Lasso Healthcare MSA service area
42 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 North Dakota Lasso Healthcare MSA service area
43 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Pennsylvania Lasso Healthcare MSA service area
44 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 South Dakota Lasso Healthcare MSA service area
45 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Texas Lasso Healthcare MSA service area
46 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Utah Lasso Healthcare MSA service area
47 | Confidential and Proprietary to Lasso Healthcare
Deposit Deductible
Region 1 $2,520 $6,700
Region 2 $2,520 $7,700
Region 3 $2,520 $8,700
2019 Wyoming Lasso Healthcare MSA service area
| Confidential and Proprietary to Lasso Healthcare
MSA stands for Medical Savings Account. MSAs are one type of Medicare Advantage plan that the U.S. Centers for Medicare and Medicaid Services, or CMS, partners with private insurance companies to offer.
MSA Plans combine a high-deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. [CMS REQUIRED DISCLAIMER].
Each member in the same region receives the same deposit amount; your health or age won’t affect the amount.
Although the IRS considers the MSA a “trust” or “custodial” account, this doesn’t mean someone else is in control. You own the money, and it is yours to use as you wish and at your direction.
Page 3 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
An MSA offers a combination of features unique to Medicare Advantage:
• An MSA is the only Medicare product that gives you money, and is the only product where you can potentially grow that money over time.
• It offers the broadest provider choice…any provider accepting Medicare. Lasso Healthcare MSA has no provider network, removing any in-network/out-of-network decisioning.
• Your MSA bank account funds can be used to pay any Qualified Medical Expense under IRS rules, tax-free. These Qualified Medical Expenses cover more than just Medicare Parts A and B, enhancing and expanding your overall health care coverage.
Page 5 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
As compared to other Medicare Advantage plans, there are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan at 1-866-766-2583 TTY:711 8 a.m. – 8 p.m., seven days a week from October 1 through March 31, and Monday – Friday from April 1 through September 30 for additional information (REQUIRED CMS DISCLAIMER). We will discuss enrollment and disenrollment later in the presentation.
To join Lasso Healthcare MSA, you must:• Be Medicare-eligible• Live in the Lasso Healthcare MSA service area• Reside in the United States for 183 or more days during the calendar year• Not receive other health benefits that cover all or part of the annual MSA plan deductible, including benefits under an
employer or union group, the Department of Defense (or TRICARE), the Department of Veteran Affairs or the Federal Employee Health Benefit Plan
• Not be eligible for Medicaid• Not currently receive hospice benefits under Medicare• Not have end-stage renal disease; an exception is made if you have ESRD and were enrolled in another Medicare
Advantage plan that left Medicare and you haven’t yet joined a new Medicare Advantage plan.
Page 7 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
1. When enrolling in Lasso Healthcare MSA, you will:2. Also be enrolled in and set up with your interest-bearing medical savings account with Lasso Healthcare’s banking
partner, Optum Bank. Optum Bank is a market leader in health savings and spending accounts. Your enrollment is not considered complete until the MSA account is set up.
3. Lasso Healthcare will deposit the initial monies into your MSA bank account. The initial deposit amount for all regions in 2019 is $2,520.
4. You will receive a special debit card linked to your medical savings account and can use it to pay for your health care expenses.
We will further discuss the special considerations these expenses have towards your plan deductible and income taxes, but first let’s take a closer look at the 2019 service area, deposit, and deductible.
Page 9 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Lasso Healthcare MSA’s 2019 service area covers 17 states shown here. Every county in every covered state has been assigned one of the three regions or benefit plan designs.
Agents: The appendix features a detailed county map for each state in the service area. Insert the correct variable into the statement to say to the prospect:
Based on your state and county of residence, your plan would be Region <1, 2 or 3>.
Page 10 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
All three regions feature the same initial deposit of $2,520, but differ in the plan deductible amount and member responsibility. The member responsibility is simply the deductible amount minus the deposit amount.
Agent: Insert the correct variables into the statement to say to the prospect, based on their Region:
So, your county is in the Region <Region 1, 2 or 3> plan. Therefore, your deductible is <$6,700; $7,700 or $8,700>, making your member responsibility <$4,180; $5,180 or $6,180>.
Page 11 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
You can use the $2,520 deposit into your MSA savings account for any expense, medical or otherwise. However, there are special rules on what expenses count towards your plan deductible and how the funds are taxed.
For explanation purposes, let’s quickly cover the major categories of expenses. The first category is Medicare-covered expenses. Medicare-covered expenses are anything covered under Medicare Parts A and B; this would include most doctor visits, lab tests and hospital stays. These Part A and B expenses are a subset of what the IRS has defined as Qualified Medical Expenses, or QMEs. QMEs are generally the same type of services and products that otherwise could be deducted as medical expenses on your yearly income tax return.
Any QME that isn’t a Medicare-covered expense makes up the second category on this page. Products like Part D prescription drugs and services like dental, vision and long-term care are QMEs, but aren’t covered by Medicare Parts A and B. A full list of the services and products that count as QMEs can be found on IRS Publication #502 for the applicable tax year.
The final category is non-qualified expenses. Anything that’s not a QME falls into this category – food, clothing, entertainment, house payments, utility payments, gifts, and more.
With that understanding in mind, let’s take a look at how these expenses relate to the Lasso Healthcare MSA plan deductible.
As the 2019 deposit is less than the plan deductible, you will have some out-of-pocket expenses to cover on your own before your Parts A and B coverage through the plan begins. Once you reach your deductible amount, Lasso Healthcare pays 100% of any additional Medicare A/B-covered service you incur. However, once you reach the plan deductible, any further expenses on non-Medicare QMEs or non-qualified expenses remain your responsibility.
CMS regulates what expenses can count towards your Lasso Healthcare MSA plan deductible. Monies you spend on Medicare-covered services count towards your plan deductible, regardless if the funds are from your MSA bank account or out-of-pocket. Monies spent on non-qualified expenses or QMEs outside of Medicare-covered services do not count towards the deductible, regardless if the funds come from your MSA bank account or out-of-pocket.
Let’s also take a look at how the use of your MSA funds relate to IRS income tax liability. The money deposited and any interest earned is NOT taxed as long as you apply the monies toward any QMEs, whether they’re Medicare-covered or not. Any funds spent on non-qualified expenses are taxed as part of your income and subject to additional penalties.
Page 12 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Your encounters with your health care team operate the same under Lasso Healthcare MSA as they would under any Medicare Advantage plan with a deductible.
For example:1. Let’s say you see your Medicare-participating provider for an annual wellness visit. There are no copays required
under Lasso Healthcare MSA, so you pay nothing at the time of your visit.2. After the visit, your provider sends a bill to Lasso Healthcare; in this example, we’ll say the bill is $150 for the office visit.3. Lasso Healthcare re-prices claims to ensure any amounts to pay do not exceed 100% of the Medicare Fee-for-Service
rate; continuing on our example, the maximum Fee-for-Service rate for an annual wellness office visit is $100.4. Next, Lasso Healthcare checks your progress towards your deductible, to determine if you pay the claim or if Lasso
Healthcare pays. We’ll cover the specifics of that particular step on the next page.5. Regardless of how the claim ends up paid, Lasso Healthcare will send you an Explanation of Benefits (EOB) showing
you how the claim was re-priced, your progress towards your deductible, and if Lasso Healthcare paid the claim or if the claim is your responsibility.
Page 13 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Going back to that deductible progress checkpoint…
A1: If you’ve met your plan deductible, Lasso Healthcare pays the provider the $100. There is no further action required by you in this instance.
B1: If you haven’t met the deductible, Lasso Healthcare notifies the provider of your responsibility to pay the $100.
B2: The provider will then invoice/bill you for the $100. Please note that providers not participating in Medicare, where allowed by state, are able to “balance bill” members for up to a total of 109.25% Medicare Fee-for-Service rates. However, only a very small percentage of providers do not participate in Medicare, and they are required to inform you prior to service.
B3: You can pay the $100 with your MSA funds or out-of-pocket. How you physically pay the bill will be dependent on the provider and how they’ve chosen to accept payments.
Page 14 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
There are some aspects of timing that are important to understand when choosing Lasso Healthcare MSA.
Enrollment is generally for a full calendar year, unless you meet certain exceptions. Enrollment periods are limited to the Annual Election Period (AEP) or an Initial Coverage Election Period (ICEP) for those newly eligible for Medicare.
The funds are deposited once at the beginning of the calendar year. If you are enrolling during an ICEP within the year, the funds are deposited the first month your coverage begins.
The yearly deposit and deductible are pro-rated based on when your enrollment begins; the monthly pro-rated amount for each deposit and deductible is $210. For example, if you live in Region 1 and your enrollment begins April 1, the amount deposited to your MSA bank account is $1,890 ($2,520-(210*3)), and your deductible is $6,070 ($6,700-(210*3)), reflecting 9 months of enrollment versus 12.
If you are a first-time enrollee in an MSA product and enroll during the Annual Election Period, you can cancel your enrollment by December 15. Please note that is after the CMS deadline of December 7 for choosing a Medicare Advantage plan. Between December 8 and December 15, you can only return to Original Medicare.
Like enrolling in the plan, self-disenrolling from the plan is limited. The only times to disenroll are AEP or an authorized SEP such as moving out of the service area. Disenrollments cannot be performed via 1-800-MEDICARE, and must be done through Lasso Healthcare MSA.
In some instances, Lasso Healthcare may cancel your enrollment if you no longer meet the requirements we discussed on page 7.
If you leave Lasso Healthcare MSA before the end of the year, you’ll need to pay part of the most recent yearly deposit back to Lasso Healthcare. That re-payment amount is prorated at $210 per month, and based on the number of months left in the current calendar year. For example, if you leave the plan in May, you will need to repay a pro-rated deposit amount of $1,470 ($210*7). This also applies in the event of death; the pro-rated deposit amount will have to be paid back, by your estate, to Lasso Healthcare.
Page 15 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Once you receive the initial deposit from Lasso Healthcare, you may move it to an account offered through your own financial institution. In this instance, Optum Bank can no longer track and report your account activity, and you will be responsible for tracking your own expenses.
When considering an alternative financial institution, ask these questions:• Are there any custodial fees? If so, how much are they and how are they collected? Optum Bank does not charge any
custodial fees while you hold the account as a Lasso Healthcare MSA plan member.• Is there a minimum amount that you have to keep in your account? Optum Bank does not have a minimum balance
requirement under the Lasso Healthcare MSA.• How do you withdraw money from your account? Optum Bank provides you with a debit card linked to your account
to use for your expenses.• Will your account earn interest, and, if so, how much? While you hold the account as a Lasso Healthcare MSA plan
member, the account will be interest bearing. For current rates, visit Optum Bank’s website.• Will you get a monthly statement? Under the Lasso Healthcare MSA, Optum Bank will provide monthly statements
listing your account activity.• Will you get required tax forms? Optum Bank will provide you a 1099-SA.• Are you able to invest any monies from the MSA account? Optum Bank gives you the option to invest any MSA bank
account balance over $2,000 into other investment vehicles. Please speak with Optum Bank and your financial and tax advisors for more information.
Page 16 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Any balance in your MSA bank account can be rolled over into the next year.
If you renew with Lasso Healthcare MSA, the new year’s annual deposit amount will be added into your account.
If you choose not to renew, the funds in the bank account are still yours. They are subject to the same IRS rules as when you were part of the plan. You may keep your account with Optum Bank, subject to additional custodial fees, or move your balance to a financial institution of your choice.
Page 17 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
If you use funds from your MSA bank account, for any reason, you must include IRS Form 8853 when you file taxes. You must file both Forms 8853 and 1040 even if you are not otherwise required to file an income tax return.
You will receive a Form 1099-SA from Optum Bank reporting your account distributions by January 31; that form reports distributions or expenditures from the account. Optum Bank is also required to report this information to the IRS.
For more information, please talk with your tax advisor and review IRS Publications 969 and 502.
Page 18 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Here’s a quick recap of who pays what costs under the Lasso Healthcare MSA:
Lasso Healthcare makes the initial deposit of $2,520 into your MSA bank account. Once you reach your plan deductible, the plan will pay 100% of any additional Medicare A/B-covered services you incur.
While there is zero monthly premium you pay for the Lasso Healthcare MSA, you are responsible for these costs:• Your monthly Medicare Part B premium is automatically deducted from your Social Security account and paid to CMS.
You pay this no matter what Medicare or Medicare Advantage coverage option you ultimately select, and must continue paying your Part B premium to maintain your Medicare eligibility.
• Any health care costs up to the plan deductible amount, whether the costs are for Medicare-covered services, non-Medicare QMEs or non-qualified expenses. You can use the money deposited in your Lasso Healthcare MSA bank account, or your own money, or some combination therein to pay for those costs.
• Once you meet your plan deductible, you are still responsible for paying any health care costs outside of Medicare A/B-covered expenses.
Page 19 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
CMS regulations prohibit you from obtaining or using other insurance that covers the Medicare-covered expenses portion of your deductible. However, you can purchase additional limited benefit policies for various non-Medicare-covered items. For example, Medicare MSA Plans do not cover prescription drugs. If you join Lasso Healthcare MSA Plan, you can also join any separate Medicare Prescription Drug Plan (CMS REQUIRED DISCLAIMER). You can also purchase separate policies to cover vision, dental, long-term care and more.
For these separate limited benefit policies, you can use your MSA funds to pay for items such as the plan coinsurance and deductibles. Those plan payments just won’t count towards your Lasso Healthcare MSA deductible. Please note your MSA funds cannot be used to pay other plan premiums, except premiums for long-term care policies.
Page 21 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
You will get the most value out of the plan if you:1. Have a plan to cover the difference between the deposit and your plan deductible. That’s $4,180 for Region 1,
$5,180 for Region 2 and $6,180 for Region 3.2. Have a plan to manage your health. Work with your care team to establish an individualized care plan. Have regular,
periodic contact with your care team. Focus your efforts on good preventive medicine, and stay as healthy as possible.3. Use the plan-deposited funds on Medicare-covered expenses and other non-Medicare IRS QMEs. Unless you’ve
accounted for the extra tax and penalty implications, aim for using none of the deposit on non-qualified expenses.4. Consider investing any Optum Bank-MSA account balance in excess of the $2,000 threshold in other investment
vehicles to potentially grow your money.
Page 23 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Lasso Healthcare MSA gives you an opportunity to earn up to $225 in Visa gift cards by engaging in and managing your health. Just complete these three activities:
• Complete a health survey. Directions on how to access the survey will be included in the welcome packet mailed to you. Once completed, Lasso Healthcare will mail you a $50 Visa gift card to use on anything you wish.
• Order a set of diagnostic labs, and share your results with Lasso Healthcare. In your welcome packet, they will give you recommendations on what diagnostic labs should be ordered and how to share the results. Once your results have been shared with them, they will mail you a $75 Visa gift card.
• Meet with your provider of choice for an annual wellness visit. Discuss your lab results and establish a plan to manage your care. In your welcome packet, Lasso Healthcare will include instructions on how to share the care plan. Once your care plan has been shared with them, they will mail you a $100 Visa gift card.
Page 24 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
Once Lasso Healthcare has confirmed your eligibility and set up your high-deductible health plan and MSA bank account portions, you will receive via mail: • A welcome packet with a notice on how and where your Evidence of Coverage or EOC document can be retrieved.• The debit card linked to your MSA bank account.• And, your health plan membership ID card.
Please note that these items may arrive separately.
You can also expect a welcome call from Lasso Healthcare. They will say hello, ensure you received your required documentation and help answer any questions you might have. They will also let you know how to complete your health survey.
Page 26 Agent Script and Notes
| Confidential and Proprietary to Lasso Healthcare
We’ve covered a lot of information today. If you have further questions, you can always contact me or Lasso Healthcare directly. Both a summary of the information we discussed and Lasso Healthcare’s phone number are included on this sheet you can take with you.
Agent: Hand the prospect the take-away material H1924_2019LeadPresTAAll4_M.
You can also refer to the Medicare and You Handbook and Medicare.gov for more information.
Thank you for your time and interest. Lasso Healthcare MSA looks forward to servicing you as a member in 2019!
Page 27 Agent Script and Notes