How Aqua Might Work for You.
Single Policy
Courtney is a healthy 25-year-old who works for a small company. She doesn’t think she really needs health insurance, but decides to pick Aqua “just in case” something happens.
Her share of her monthly premium comes right out of her paycheck. Courtney begins the year with $500 in her Aqua Allowance and a $250 Aqua Health and Wellness Card.
Health Expenses – Year One
Courtney joins a gym:
- Gym membership - $250.
(100% covered by Aqua Wellness Card).
Courtney has an allergy flare up and an asthma attack:
- Office visit with Allergist - $60.
(100% covered by Aqua Allowance). - Generic medication - $20.
($7 copay through Aqua Pharmacy benefit).
While running down the stairs, Courtney trips and falls, spraining her ankle:
- X-ray - $150.
(100% covered by Aqua Allowance). - Office visit - $60.
(100% covered by Aqua Allowance). - Generic prescription drugs - $20.
($7 copay through Aqua Pharmacy benefit).
Courtney spent $270 on medical expenses for the entire year out of her $500 Aqua Allowance – that means she gets to carry over $230 for the next year.
Benefits Utilized |
Purpose |
Cost |
Covered By |
Coverage |
Subscriber Pays |
Balance Remaining (Aqua Health and Wellness Card) |
Balance Remaining (Aqua Allowance |
Start of Year |
N/A |
N/A |
N/A |
N/A |
$0 |
$250 |
$500 |
Gym Membership |
Wellness |
$250 |
Aqua Wellness Card |
100% ($250) |
$0 |
$0 |
$500 |
Pharmacy Expenses |
Generic Medication |
$20 |
Aqua Pharmacy Benefit |
Generic Prescription = $7 each |
$7 |
$0 |
$500 |
Office Visit |
Asthma Attack |
$60 |
Aqua Allowance |
100% ($60) |
$0 |
$0 |
$440 |
Office Visit |
Sprained Ankle |
$60 |
Aqua Allowance |
100% ($60) |
$0 |
$0 |
$380 |
X-Ray for Ankle Sprain |
X-Ray |
$150 |
Aqua Allowance |
100% ($150) |
$0 |
$0 |
$230 |
Pharmacy Expenses |
Generic Medication |
$20 |
Aqua Pharmacy Benefit |
Generic Prescription = $7 each |
$7 |
$0 |
$230** |
| Start of Year Two | N/A | N/A | N/A | N/A | $0 | $250 | $730 |
|
Covered by Aqua Health and Wellness Card |
|
|
Covered by Aqua Pharmacy Benefit |
|
|
Covered by Aqua Allowance |
*Note – the dollar amounts used are for illustration purposes only. They do not reflect the discounted rates for in-network services.
** = Not Used in Current Year - Roll Over to Following Year
