Get Smart On Your Medicare Options.
Learn more about Medicare and the Fenyx Health Group MSA, a unique Medicare Advantage plan offered exclusively to you by ESS.
Watch our mini MSA 101 course below, then sign up for a free, no obligation informational session.
Get Smart On Your Medicare Options
Learn more about Medicare and the Fenyx Health Group MSA, a unique Medicare Advantage plan offered exclusively to you by ESS.
Watch our mini MSA 101 course below, then sign up for a free, no obligation informational session.
MSA 101 Mini Video Course
video transcript:
Welcome to Fenyx Health Group MSA 101: Lesson 1 – The MSA and Medicare.
Meet the MSA
MSA stands for Medical Savings Account. It’s a special Medicare Advantage plan that combines high-deductible medical benefits with a special bank account.
You’re probably familiar with Health Savings Accounts or HSAs. An MSA is the closest equivalent to an HSA in Medicare.
How MSAs Fit into Medicare
Let’s take a quick look at the Medicare space and how MSAs fit. We’ll cover the highlights here, but visit medicare.gov to learn more.
Medicare has multiple parts to it: Parts A, B, C and D.
Medicare Part A
Part A is sometimes called hospital insurance. It covers care delivered in hospital inpatient, skilled nursing facility, hospice and home health care settings.
Medicare Part B
Part B is sometimes called medical insurance. It covers doctor office visits and other outpatient care, durable medical equipment, imaging, labs and other preventive services.
Original Medicare
Original Medicare is a health insurance program offered by the federal government that includes Parts A and B. If you select Original Medicare, you can buy extra insurance like Medicare Supplemental Insurance, also known as Med Supp or Medigap, to help pay some of your costs.
Medicare Part C
Part C is often referred to as Medicare Advantage. It’s an alternative to Original Medicare, and are Medicare-approved plans offered by private insurance companies.
There are different types of Part C plans, such as PPOs, HMOs, SNPs, POSs and MSAs. All Part C plans include Parts A and B. Some Part C plans also include Part D.
Medicare Part D
Prescription drug coverage, or Part D, covers the cost of prescription drugs and some vaccines. Part D plans are only offered through private insurance companies. The prescription drug benefits can be offered on their own as a standalone Part D plan or they can be bundled in a Medicare Advantage plan along with hospital and medical benefits.
MSAs are Medicare Advantage Plans
So MSAs are a Part C or Medicare Advantage plan. They cover all Medicare Parts A and B services and items. They do not include prescription drug benefits, so you can choose a standalone Part D plan that best fits your needs. MSAs are the only Medicare plan type that gives you money from Medicare that you choose how to spend, save or invest.
Take advantage of your good health NOW to build up money you can use for future healthcare expenses.
Watch the next video to see how simply the Fenyx Health Group MSA plan works.
video transcript:
Welcome to Fenyx Health Group MSA 101: Lesson 2 – How MSAs Work.
MSAs – Uncommon but Simple
MSAs may be less common than other plans like HMOs and PPOs, but they operate in just five simple steps.
Step 1
First, we load your selected deposit amount into your special MSA bank account.
If you’re familiar with plans like Health Savings Accounts, Flexible Spending Accounts or Health Reimbursement Accounts, think of the MSA deposit like the contribution or monies going into the account. The main difference is that in an MSA, the contribution or deposit comes solely from Medicare, not from you or your employer.
Step 2
You decide how to spend, save or invest the deposit money. It’s the only Medicare plan type where you can grow money to use for future healthcare expenses.
Step 3
Our simple benefit structure means no confusing copays, coinsurance or other cost sharing. You pay 100% of covered costs below the plan deductible. You can use the provided deposit to reduce the amount of your own funds needed to reach the deductible.
Step 4
Once you’ve met the deductible, Phoenix Health pays 100% of plan-covered costs.
Step 5
Any deposit money remaining at year-end belongs to YOU for future healthcare needs. It is not use it or lose it. Instead, it rolls over and is yours to keep, even if you move to another plan type in the future.
But, if you stay in the MSA plan for the next calendar year, you receive another year’s deposit into your account.
Now THAT is simple health insurance!
Watch the next video to see how easy it is to use the Fenyx Health Group MSA when you need care.
video transcript:
Welcome to Fenyx Health Group MSA 101: Lesson 3 – Accessing Care in an MSA.
MSAs Offer Broad Access to Providers and Services
Many Medicare Advantage plans limit the providers you can see and restrict the kinds of care you can freely access. But MSAs are different, offering broad access to providers and services.
Access to All Medicare Providers
The Fenyx Health Group MSA has no provider network. Instead, members can access ANY Medicare-participating and accepting provider across the entire U.S.
No Prior Authorizations or Referrals
And, there are no additional prior authorization or referral requirements beyond what Medicare requires.
This means you get the care you want, from the providers you want, when you want it.
Provider Guides to Share
We mail you special provider guides, and encourage you to share them with your providers before needing care. The guides explain our plan, how your provider can submit claims and receive payment, and how to contact us.
Show Your Fenyx Health Member ID Card
When you need care, simply show the provider your Fenyx Health member ID card.
Providers Send Us Claims
We don’t require any copays or other payments at the time of service. Have your provider send us the claim. They can find the submission information on the back of the ID card, on the provider guides and on our website.
We Process Claims
Once we receive the claim, we confirm its for a covered service or item, reprice it to the Medicare-allowed amount and then determine whose liability it is to pay – yours or ours.
Special Financial Program Benefits You and Your Providers
A feature unique to Fenyx Health is that we pay the provider for the full Medicare-allowed amount, even when we determine the liability is yours to pay. This simply means that if you haven’t yet reached your deductible, you’ll receive a bill from us instead of from your provider.
Repay us in full or spread payments out over time. Pay with your MSA bank account, personal accounts or a combination of both.
You receive more time and flexibility when repaying us, and your providers get paid quickly and in full. Now that’s a valuable win-win!
Speaking of value, watch the next video for more information on what costs look like in the MSA and other financial features.
video transcript:
Welcome to Fenyx Health Group MSA 101: Lesson 4 – The Financial Value of the MSA
MSAs Combine Health Benefits and Valuable Financial Features
The MSA is a special one-two punch of health benefits plus valuable financial features. Let’s learn more about the financial opportunities in the Phoenix Health Group MSA.
MSAs Use Medicare’s Low Rates
As an MSA plan member, you receive your Parts A and B services and items at Medicare’s rates, which are usually the lowest rates available.
While Medicare pricing is complex, here are typical costs for some common A and B services.
With these low rates, your dollars go further in the MSA!
Members Decide How to Use the MSA Deposit
MSAs are all about choice. YOU decide how to use your MSA funds – spend, save or invest the deposit as you see fit.
The Only Medicare Plan Option Where You Can Grow Monies for Future Use
Any deposit money remaining at the end of the year belong to you and roll over. It’s the ONLY Medicare plan option where you can grow monies from Medicare for future use. Stay in the plan for multiple years and get a new deposit added to your account each year!
You can also select certain investment options offered by our MSA banking partners to potentially grow your money even more.
MSAs Enjoy a Triple Tax Advantage
MSAs enjoy a triple tax advantage, just like Health Savings Accounts or HSAs, do. Your funds are not taxed when deposited into your account, as they grow in your account and when you use them on qualified medical expenses.
Members and Providers Win With our Special Financial Support Program
The Lesson 3 video discussed our special financial support program that pays providers on your behalf for under-deductible liabilities. This gives you more time and flexibility when repaying us for those liabilities.
Access to Financial Education and Empowerment
All Phoenix Health Group MSA members receive access to our financial education and empowerment program. Get help planning and achieving your financial goals through unlimited one-on-one sessions with independent financial counselors, educational tools and more at no cost to you.
With its unique financial opportunities, you can grow your health AND wealth in the Phoenix Health Group MSA.
Watch the next video to learn more about the main components of an MSA plan.
